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Clinical case: gingival recessions in the 5th sextantIn this clinical case, multiple gingival recessions were treated in...
29/12/2025

Clinical case: gingival recessions in the 5th sextant

In this clinical case, multiple gingival recessions were treated in the 5th sextant, where I chose a modified zipper tunnel technique as the surgical approach.

Situations like this highlight that there is no single technique suitable for every case. A solid understanding of different surgical approaches, along with proper evaluation of the biotype, anatomy, and local conditions, allows us to adapt the technique to each patient’s specific needs.

Continuous education and clinical experience are essential to make predictable decisions and successfully manage complex cases.






PeriodontalSurgery
ClinicalCase
Dentistry
AdvancedDentistry
ContinuousEducation

Clinical case of mucogingival surgeryIn this patient, I performed a rotated subepithelial connective tissue graft to inc...
18/12/2025

Clinical case of mucogingival surgery

In this patient, I performed a rotated subepithelial connective tissue graft to increase and improve soft tissue volume in the anterior maxillary area. The prosthetic plan includes a fixed bridge from canine to canine, making precise soft tissue management essential to achieve a predictable functional and aesthetic outcome.

In this case, the use of this technique allows us to enhance tissue volumes without the need for bone grafting, offering a clear advantage in terms of reduced treatment time, faster healing, and fewer potential complications for the patient.

careful planning, and tissue biology working together to achieve optimal aesthetics and function.





Recessions in the 5th sextant can be particularly challenging to manage. Due to each patient’s unique anatomical conditi...
08/12/2025

Recessions in the 5th sextant can be particularly challenging to manage. Due to each patient’s unique anatomical conditions, achieving complete root coverage is not always possible. In this case, I opted for a tunnel technique to obtain the best possible esthetic and biological outcome.

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02/09/2025
Challenging lower incisors root coverage case successfully treated!This patient presented with severe gingival recession...
18/04/2025

Challenging lower incisors root coverage case successfully treated!

This patient presented with severe gingival recessions in the lower incisors, combined with a thin periodontal biotype and significant soft tissue loss — a situation that made the case particularly complex.

To address this, I used a modified tunneling technique combined with the “zipper” approach, allowing for precise tissue handling and tension-free coronal advancement. The result: excellent root coverage, improved tissue thickness, and a very satisfied patient.

Mastering soft tissue management is key in periodontal plastic surgery — and it’s always rewarding to see these transformations come to life.

07/04/2025
Aquí tienes el texto mejorado y traducido al inglés:**International Course on Surgery, Implants, and Bone Regeneration**...
06/04/2025

Aquí tienes el texto mejorado y traducido al inglés:

**International Course on Surgery, Implants, and Bone Regeneration**
On March 28th and 29th, we had the pleasure of hosting this international course at Odos Dental, with the participation of doctors who traveled to Madrid to enjoy two intensive days of learning and hands-on experience. The program included lectures and clinical updates on immediate implants, bone regeneration, and soft tissue management, as well as a practical workshop to apply these techniques and a live surgery. Two days full of education, clinical excellence, and great moments in Madrid.

El próximo 18 de Febrero,  os espero en el Webinar sobre Yoma de injertos de tejido conectivo. El el que veremos los dif...
13/02/2025

El próximo 18 de Febrero, os espero en el Webinar sobre Yoma de injertos de tejido conectivo. El el que veremos los diferentes tipos de injertos de tejido conectivo y su aplicaciones.
Os espero!!

Last week, I had the pleasure of giving a lecture and workshop on bone regeneration in Bratislava, Slovakia. I want to t...
26/09/2024

Last week, I had the pleasure of giving a lecture and workshop on bone regeneration in Bratislava, Slovakia. I want to thank everyone who welcomed me so warmly and the entire Dentsply team for their hard work and dedication. It was truly a pleasure spending that time with you. I hope to see you all again soon.

Next event conference in Bratislava.
12/09/2024

Next event conference in Bratislava.

The subepithelial connective tissue pedicled split palatal flap for soft tissue coverage on extraction sites was first p...
01/06/2024

The subepithelial connective tissue pedicled split palatal flap for soft tissue coverage on extraction sites was first published by Wang in 1993 and then by Nemcovsky and Artzi in 1999.
This flap consists of a strip of connective tissue that is separated from the palatal vault and then rotated over the defect.
The donor site remains primarily covered thanks to the remaining epithelial portion of the palate flap.
This flap increases both the height and width of the soft tissue at the recipient site.
This approach is advantageous for various reasons.
First, there is a direct blood supply from the base of the pedicle, which reduces the risk of necrosis.
Second, the esthetics achieved with this flap is good.
Third, the procedure is relatively simple, requiring only an accurate fixation on the buccal part of the crest.
Fourth, there is little morbidity.
Finally, the flap increases the soft tissue at the recipient site both in horizontal and vertical dimensions.
Success with the palatal flap depends on the thickness of the palatal mucosa, which is greatest between the canines and molars.
The flap can be done from premolars rotating to anterior zone or from canine rotating to premolar or molar zone, only changes the blood supply that comes from nasopalatine artery first or greater palatine artery in the second variant of the technique.
Another important factor is the distance from the gingival margin to the palatine neurovascular bundle which varies from 7 to 17 mm at second premolar.

El pasado fin de semana tuve el placer de dar una charla sobre cirugía,  implantes, regeneración ósea y manejo de tejido...
27/05/2024

El pasado fin de semana tuve el placer de dar una charla sobre cirugía, implantes, regeneración ósea y manejo de tejidos blandos.
Para los alunmos del Diploma Experto Clínico en Implantología, Regeneración Ósea y Cirugía Mucogingival ‘D.E.C.I.R.’ en San Sebastián.
Muchas gracias a por su invitación y recibirme así, fue un día fantástico, y cómo , no a el equipo de .iberia por organizarlo todo y hacerlo posible.
Muchas gracias a todos.

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Gaztambide 50, Madrid

28015

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