![](/fileadmin/_processed_/a/8/csm_Clinical_Case_Regenfast_Header_2400x1000_Rivara_3d0e193f15.jpg)
Soft Tissue Regeneration with Geistlich Fibro-Gide® and REGENFAST®
Multiple recession coverage in the anterior maxilla
"I used Geistlich Fibro-Gide® to achieve root coverage in the presence of root abrasions. REGENFAST® played a role in improving soft-tissue healing in particular in the early phase when wound stability is crucial for the success of the treatment."
The Situation
A patient (44 years old, male, pipe smoker once a day) with gingival recessions RT-1 on upper central incisors with intact enamel-cement junction. Recession coverage surgery was performed in combination with Geistlich Fibro-Gide®.
![1 | Initial situation: teeth 11 and 21 present with gingival recession, root abrasion and preserved cement-enamel junction.](/fileadmin/_processed_/5/a/csm_STR_Rivara_01_4279dee22d.png)
![2 | Flap design for coronally advanced flap.](/fileadmin/_processed_/d/6/csm_STR_Rivara_02_bfa1236ac2.png)
![3 | Split-full-split thickness flap, the anatomical papillae are de-epithelized. The roots are smoothed with curettes.](/fileadmin/_processed_/0/f/csm_STR_Rivara_03_53db0c5e2a.png)
![4 | Geistlich Fibro-Gide® is shaped.](/fileadmin/_processed_/0/e/csm_STR_Rivara_04_656f10db0e.png)
![5 | REGENFAST® is applied on the matrix until it is soaked.](/fileadmin/_processed_/8/f/csm_STR_Rivara_05_81a7117379.png)
![6 | Geistlich Fibro-Gide® is fixated with polyglycolic acid 6-0 sutures.](/fileadmin/_processed_/b/e/csm_STR_Rivara_06_7af67c02af.png)
![7 | The flap is released with superficial and deep incisions on the inner side, and sutured. Vertical incisions are sutured with single stitches.](/fileadmin/_processed_/1/a/csm_STR_Rivara_07_3c94e3fbd1.png)
![8 | 14-day check, the situation is stable.](/fileadmin/_processed_/b/5/csm_STR_Rivara_08_81e814f14c.png)
![9 | Follow-up at 6 months. The soft tissue
situation is stable. The root coverage is complete.](/fileadmin/_processed_/d/6/csm_STR_Rivara_09_18e34d3f26.png)
![1 | Initial situation: teeth 11 and 21 present with gingival recession, root abrasion and preserved cement-enamel junction.](/fileadmin/_processed_/5/a/csm_STR_Rivara_01_b9f96af599.png)
![2 | Flap design for coronally advanced flap.](/fileadmin/_processed_/d/6/csm_STR_Rivara_02_c40d7f2255.png)
![3 | Split-full-split thickness flap, the anatomical papillae are de-epithelized. The roots are smoothed with curettes.](/fileadmin/_processed_/0/f/csm_STR_Rivara_03_10354ce5ef.png)
![4 | Geistlich Fibro-Gide® is shaped.](/fileadmin/_processed_/0/e/csm_STR_Rivara_04_2f811a614a.png)
![5 | REGENFAST® is applied on the matrix until it is soaked.](/fileadmin/_processed_/8/f/csm_STR_Rivara_05_cb0a440bf8.png)
![6 | Geistlich Fibro-Gide® is fixated with polyglycolic acid 6-0 sutures.](/fileadmin/_processed_/b/e/csm_STR_Rivara_06_cc03875451.png)
![7 | The flap is released with superficial and deep incisions on the inner side, and sutured. Vertical incisions are sutured with single stitches.](/fileadmin/_processed_/1/a/csm_STR_Rivara_07_3c6515e0b1.png)
![8 | 14-day check, the situation is stable.](/fileadmin/_processed_/b/5/csm_STR_Rivara_08_355ac35a9d.png)
![9 | Follow-up at 6 months. The soft tissue
situation is stable. The root coverage is complete.](/fileadmin/_processed_/d/6/csm_STR_Rivara_09_922e88ac93.png)