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1. Case Report: „TST“ Method (Three Step Technique)
for Reconstruction of a Papilla
Surgeon: Florian Göttfert DDS, Nürnberg, Germany
Situation: Papillae deficiency, Periodontal dissease,
Bacterial infection Aa (aggregatibacter
actinomycetemcomitans very high)
Upper jaw
Material: Flex Barrier (crosslinked Hyaluronic acid)
Injection and application
Summary:
To prevent the natural esthetic look of the mucosa, the soft tissue
around the teeth especially the papilla has to be shaped as good as in
the natural way. The critical forecast of the surgical success in the
past meant that those cases usually were not detachable in a surgical
way. Now these cases could be solved.
Following the Three-Step-Technique and by injection of Flex Barrier
the problem of papilla deficiency is solvable.
2. Ausgangssituation: Defizitäre Papillen infolge nekrotisierten Weichgewebes
aufgrund einer sehr hohen aggressiven Parodontitis mit Keimkonstellation
Typ: Aa
Initial situation: papilla deficiency with necrotic soft tissue due to a highly
aggressive periodontitis with germs Type: Aa
Chirurg/Surgeon: Dr. Florian Göttfert/Nürnberg/Germany
3. Flex Barrier Injektion in die unbefestigte Gingiva nach der TST-Methode
(1. Schritt)
Flex Barrier injection into the Non-Attached-Gingiva after TST method
(1. step)
Chirurg/Surgeon: Dr. Florian Göttfert/Nürnberg/Germany
4. Situation nach 2. und 3. Schritt der TST-Methode mit Flex Barrier
Situation after 2nd and 3th step of the TST-Method with Flex Barrier
Chirurg/Surgeon: Dr. Florian Göttfert/Nürnberg/Germany
5. Regenerierte Papille nach 6 Wochen
Aufgrund der Keimkonstellation adjuvante Therapie mit einem Diodenlaser und
Applikation von Tissue Support
Regeneration of the papilla after 6 weeks
Because of the germ infection attendant therapy with a diode laser and application of
Tissue Support
Chirurg/Surgeon: Dr. Florian Göttfert/Nürnberg/Germany
6. Regenerierte Papille nach 6 Wochen
Regeneration of the papilla after 6 weeks
Nekrotische Papille vor der Behandlung
Necrotic papilla before treatment
Chirurg/Surgeon: Dr. Florian Göttfert/Nürnberg/Germany
