19 of the Russian's twenty-one championships have been earned on hard surfaces
A revitalized the Russian player won his maiden title for nearly 30 months with success over Frenchman Moutet in the competition title decider.
The athlete, a former number one, has experienced a difficult period, winning just one match at the Grand Slams and suffering a setback at the US Open.
The player's inconsistency on the tennis tour - and struggles with his service game in specific - resulted in him dropping out of the elite rankings and eventually splitting with former trainer Cervara.
Presently working with Johansson and his other coach, he has gradually advanced in the last few weeks - peaking in a closely contested 7-5 4-6 6-3 victory over opponent Moutet.
This represents Medvedev's initial championship following the Italian tournament and initial on a hard surface after spring of the previous year.
Victory also means the Russian has won 21 titles at twenty-one various tournaments.
"For the first time I am participating in a competition with my children simultaneously, so to get a championship is particularly special," said tennis professional Medvedev.
"This title is in honour of my second daughter Victoria, because the first title I won when my child Alisa was born was for her."
The athlete, the 2021 US Open champion, had been defeated in his last six finals, featuring in that event previously this season.
Medvedev's defensive play style and recurring emotional displays on the playing surface had caused observers to wonder if his capacity to compete at the elite level was over.
Yet the athlete has made changes in the past month, attempting to advance forward and compete assertively, supported by an better serve.
He came back from a disadvantage in the opening set against the tricky Frenchman, securing 4 of the final five games to take the lead.
The competitors exchanged breaks in the second set before the Frenchman, bidding for his first professional title, took control to push for a final set.
He rescued four early-game break points in a competitive final set before Medvedev won the break to 15 to serve for the match.
Appropriately, he clinched the win with a point at the net area, with his opponent unable to handle a volley after over two and a half hours.