Prof. Dr. Nelson Carranza - Pagina Academica

08/08/2026

28/05/2026

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📩 Email: [email protected]
📲 WhatsApp: +54 9 11 2157 1691

También podés ingresar a
https://institutocarranza.com/academico/

Allí encontrarás más información sobre el curso y un formulario de contacto para enviarte todos los detalles.






MucogingivalSurgery
PeriodontalPlasticSurgery
TunnelTechnique
CAF
LASTTechnique
ConnectiveTissueGraft
DentalEducation
PerioEducation
Periodontology
ImplantDentistry
DentalSurgery
InstitutoCarranza
NelsonCarranza
BuenosAires
DentistryCourses

13/05/2026

07/05/2026

Implante en 21. Toda estrategia en el sector estético requiere reconstrucción de tejidos duros y tejidos blandos. La secuencia puede variar pero es objetivos no.

27/04/2026

17/04/2026

From planning to ex*****on.

Shallow and narrow recessions. Thin phenotype. High tissue stretchability. Frenulum pull. Adequate keratinized tissue apically.

All of these factors pointed toward a coronally advanced flap approach.

The case was completed today using a coronally advanced flap combined with a de-epithelialized free gingival graft. A double blade graft harvesting technique was not possible because the palatal mucosa was extremely thin.

One of the key details was the incision design: a combination of oblique and horizontal interdental incisions.

But here is the real question:

Where should the horizontal incisions be placed?

That single design choice can completely change flap mobility, graft adaptation, and the final esthetic outcome.

Small details make a big difference.

We will discuss this in depth during my course this August in Buenos Aires. Don’t miss it.

PeriodontalPlasticSurgery MucogingivalSurgery Periodontics Periodontology DentalEducation DentalSurgery GingivalPhenotype SoftTissueGrafting MucogingivalTherapy PeriodontalSurgery DentalCourse BuenosAires InstitutoCarranza DentalInstagram PerioEducation

16/04/2026

Some recession defects don’t need more coronal advancement. They need release.

This lower anterior RT2 recession was shallow and narrow, with very limited keratinized tissue and a powerful frenulum pull. Because these were RT2 defects, complete root coverage was never the main objective. The primary goal was to create a stable band of attached tissue and improve the quality and resistance of the marginal tissues.

For these situations, I still like the classic envelope approach described by John Bruno. It is a traditional repositioned flap technique with very specific indications: no vertical incisions, excellent vascularity, and a very natural integration of the graft.

A partial-thickness flap was elevated in the periosteal plane. In the midline, the dissection was extended into the submucosal plane to release the frenulum attachment. There was no need to remove the frenulum itself.

A 1.5 mm connective tissue graft was harvested using the double blade technique, then stabilized and anchored to the recipient bed with 7-0 resorbable sutures. The flap was finally repositioned in an attempt to achieve primary closure.

Once the submucosal release was completed, the tissues became much more elastic than expected and the graft ended up completely covered.

Not because the flap was pushed farther coronally.

But because the frenulum was no longer pulling it apically.

Traditional techniques are not obsolete.

They simply need to be understood, adapted, and used where they still work best.

DoubleBladeTechnique AttachedGingiva PeriodontalPlasticSurgery MucogingivalSurgery Periodontics SoftTissueGrafting LowerAnteriorRecession FrenulumPull Microsurgery DentalSurgery

13/04/2026

ESCRIBENOS a [email protected]

09/04/2026

Deep, narrow recession | LAST envelope approach

Case completed this morning.

A deep, narrow recession on the lower anterior region was managed using a LAST envelope flap combined with a connective tissue graft.

Flap elevation was performed in periosteal and submucosal planes, allowing adequate lateral tissue displacement and controlled flap stretchability.

A 1 mm connective tissue graft, harvested using my double blade technique, was stabilized to the recipient bed with resorbable sutures.

In deep defects, the answer is not coronal advancement—it’s lateral tissue management.

Hashtags






RootCoverage
SoftTissueManagement
MucogingivalSurgery
PeriodontalPlasticSurgery
AdvancedPeriodontology
ClinicalDentistry
EstheticPeriodontics

25/03/2026

Coronally advanced flap with contour correction

This case was completed this morning.
The presence of a Stillman cleft required the creation of a false recession through a paramarginal incision to re-establish proper gingival contour and allow a more controlled coronal repositioning.

Flap elevation was performed along both periosteal and submucosal planes, providing ample mobility and passive displacement.
A 1-mm connective tissue graft, harvested using our double-blade technique, was firmly anchored to the recipient bed with resorbable sutures to enhance tissue thickness and stability.

In these situations, the objective is not only root coverage, but also reconstruction of soft-tissue architecture and long-term biological control.






MucogingivalSurgery
PeriodontalPlasticSurgery
FlapDesign
AdvancedPeriodontology
ClinicalDecisionMaking
MicrosurgicalDentistry
DentalEducation
EstheticPeriodontics