scholarly journals Utilization of two different surgical techniques in gingival recession treatment: A comparative study

2014 ◽  
Vol 142 (3-4) ◽  
pp. 155-163 ◽  
Author(s):  
Miljan Bajic ◽  
Sasa Jankovic ◽  
Iva Milinkovic ◽  
Sasa Cakic ◽  
Neda Perunovic ◽  
...  
Keyword(s):  
Connective Tissue ◽  
Surgical Procedures ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Coin Toss ◽  
Connective Tissue Graft ◽  
Control Side ◽  
Tissue Graft ◽  
Healing Index ◽  
Tunnel Technique

Introduction. Gingival recession is a displacement of gingival margin apically to cementenamel junction. Objective. The aim of this study was to compare the results achieved with two different surgical procedures used in gingival recession treatment. Methods. Ten patients with bilateral buccal recession on maxillary canines or premolars were included in the study. Professional teeth cleaning was performed before surgery. Recession on the experimental side was treated with connective tissue graft in combination with coronally advanced, split thickness flap (tunnel technique). Control side recession was treated with connective tissue graft in combination with trapezoidal coronally advanced, full thickness flap. Coin toss was used for side decision. The following parameters were evaluated before surgery and 6 months post-op: Vertical Recession Dimension, Clinical Attachment Level, Apico-coronal width of the keratinized tissue, Healing index (Laundry), RES index, and Patient evaluation of esthetic results. Student?s t-test was used for statistical analysis. Results. Six months after surgery, mean root coverage was 91.5?14.1% and 90.1?14.6% on the experimental and on the control side, respectively. RES index, Healing index (Laundry) and Patient Subjective evaluation of esthetic results showed significantly better results (p?0.05). Conclusion. Both surgical procedures produce highly successful clinical results based on evaluated parameters, but this tunnel technique provides significantly better esthetic results.

scholarly journals Clinical Comparison of the Subepithelial Connective Tissue versus Platelet-Rich Fibrin for the Multiple Gingival Recession Coverage on Anterior Teeth Using the Tunneling Technique

2017 ◽  
Vol 2017 ◽  
pp. 1-6
Author(s):  
Victor Fabrizio Cabrera Pazmiño ◽  
Miguel Agusto Riquelme Rodas ◽  
Carlos David Barrios Cáceres ◽  
Guillermo Gustavo Renault Duarte ◽  
Melanie Vanesa Cano Azuaga ◽  
...  
Keyword(s):  
Connective Tissue ◽  
Gingival Recession ◽  
Platelet Rich Fibrin ◽  
Periodontal Tissues ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Anterior Teeth ◽  
Clinical Comparison ◽  
Tunnel Technique ◽  
Subepithelial Connective Tissue Graft

The aim of this study was to evaluate and compare, clinically, the efficiency of the subepithelial connective tissue graft (SCTG) and platelet-rich fibrin (L-PRF) using the tunnel technique to cover the multiple gingival recessions on anterior teeth, in the same patient. Within the limits of this study, we conclude that both SCTG and L-PRF proved to be reliable options for the treatment of gingival recessions, efficiently supporting the biological and aesthetic demand, stimulating the periodontal tissues’ health, and bringing reliable and highly predictable results.

scholarly journals Complete root coverage in severe gingival recession with unfavorable prognosis using the tunneling technique

2020 ◽  
Vol 12 (2) ◽  
pp. 91-95
Author(s):  
Mohammad Ahmad Javaid ◽  
Aamna Sohail ◽  
Raafay Ahmed
Keyword(s):  
Connective Tissue ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Root Surface ◽  
Root Coverage ◽  
Dentine Hypersensitivity ◽  
Gingival Margin ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Mandibular Canine

Gingival recession defined as the apical migration of the gingival margin leads to the exposure of root surface. This in turn may lead to compromised esthetics, dentine hypersensitivity and attachment loss. Severe gingival recession is typically managed surgically. However, achieving complete root coverage in cases of severe gingival recession, especially in the mandibular canine region is quite challenging. Different surgical techniques have been described in the literature to manage this condition. Tunnelling technique is one such technique which has shown promising results. Use of connective tissue graft with tunnelling technique has demonstrated favorable results in cases with mild to moderate gingival recession. Here we report a case where connective tissue graft was used in conjunction with tunnelling technique to achieve complete root coverage despite severe gingival recession and unfavorable prognosis.

scholarly journals Treatment of Localized Gingival Recession by Means Tunnel Technique after the Orthodontic Treatment. A Follow-Up of 1 Year

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Marcelo Imano ◽  
Paula Porto Spada ◽  
Juliana Marchioro Souza Macalossi ◽  
Tatiana Miranda Deliberador
Keyword(s):  
Connective Tissue ◽  
Orthodontic Treatment ◽  
Dental Treatment ◽  
Gingival Recession ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Dental Esthetics ◽  
Tunnel Technique ◽  
Subepithelial Connective Tissue Graft

Facial and dental esthetics are the objectives of dental treatment, and, for this, it is necessary that specialties such as periodontics and orthodontics work together. The objective of this article is to report a clinical case with the solution of localized gingival recession after orthodontic treatment, using tunneled subepithelial connective tissue grafts with follow-up for 1 year. The patient underwent orthodontic treatment for 1 year. Prior to the start of treatment, a gingival recession of 5 mm was already present on tooth 31. One month after the completion of treatment, the patient was subjected to a tunneled subepithelial connective tissue graft, with the purpose of covering the exposed root. We observed the effectiveness of the procedure and patient satisfaction with the results obtained. The subepithelial connective tissue graft was successful in this case, and the collaboration of specialists is important to provide the best treatment for the patient.

The Subepithelial Connective Tissue Graft: Part 1. Patient Selection and Surgical Techniques

2005 ◽  
Vol 6 (1) ◽  
pp. 146-162 ◽  
Author(s):  
Lawrence G. Breault ◽  
Lemuel L. Covington ◽  
Barry G. Bishop ◽  
Constance L. Sedon
Keyword(s):  
Connective Tissue ◽  
Patient Selection ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Surgical Approaches ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft ◽  
Tissue Grafts ◽  
Treatment Alternatives

Abstract Periodontal mucogingival techniques continually evolve. This provides the patient more treatment alternatives for common problems such as gingival recession. General practitioners should be familiar with these techniques in order to identify patients who might benefit from them. Currently, subepithelial connective tissue grafts (SCTG) remain the most reliable techniques used to cover denuded root surfaces. This paper reviews patient selection and the numerous surgical approaches for subepithelial connective tissue grafting. Citation Sedon CL, Breault LG, Covington LL, Bishop BG. The Subepithelial Connective Tissue Graft: Part I. Patient Selection and Surgical Techniques. J Contemp Dent Pract 2005 February;(6)1:146-162.

Gingival recession coverage with a modified tunnel connective tissue graft technique – case report

2018 ◽  
Vol 14 (4) ◽  
pp. 344-352
Author(s):  
Bartosz Matejkowski ◽  
Agnieszka Bogusławska-Kapała ◽  
Izabela Strużycka
Keyword(s):  
Connective Tissue ◽  
Donor Site ◽  
Gingival Recession ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Attached Gingiva ◽  
Impaired Control ◽  
Tunnel Technique ◽  
Tissue Attachment ◽  
Root Surfaces

Gingival recessions are a more and more common pathology of multifactorial aetiology. They may affect individual teeth or be generalised. Studies have shown that the incidence of gingival recession increases with age. Recession is accompanied by loss of the connective tissue attachment and exposure of tooth root surfaces, what may lead to tooth hypersensitivity, root caries, non-carious defects, impaired control of the dental plaque and unsatisfactory aesthetic outcomes. <b>Aim.</b> The aim of the paper was to present treatment of a female patient with advanced gingival recessions in the area of upper canines with a modified tunnel technique, with a free connective tissue graft taken from the palate. <b>Material and methods.</b> Treatment included a surgical method of gingival recession treatment consisting of a modified tunnel technique, with a free connective tissue graft harvested from the palate that was introduced via a tunnel into the donor site. <b>Results.<b> 2 years after the procedure recession coverage and increased zone of the attached gingiva was observed. <b>Conclusions.</b> The modified tunnel connective tissue graft technique used to treat the gingival recession allowed to achieve satisfactory aesthetic outcomes and effective elimination of hypersensitivity, and it reduced the risk of tooth caries.

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