Surgical technique of tunneling for gingival recession recovery – clinical case report
DOI:
https://doi.org/10.33448/rsd-v10i12.20183Keywords:
Tunneling; Gingival retraction; recession; Oral surgery; surgery; Gingival retraction.Abstract
Connective tissue graft associated with surgical tunneling technique has been cited as favorable option for the treatment of moderate. Miller class I and II gingival recession. This presente article aims to report a clinical case of a 43-yers-old male patient selected for the treatmente of gingival recession of tooth 41. After clinical and radiographic evaluation, we concluded that it was a Miller class I recession. It was decided to proceed surgically with the root coverage of this tooth using the tunneling technique. One month after the procedure, complete root coverage, no bleeding on probing depth of 3 mm and perfectesthetic integration with the with the adjacente tissues were observed. In view of the aforementioned case, it is clear that this technique presentes very predictable results When indicated and executed correctly, thus reaching a very aesthetic result.
References
Saadoun AP. Current trends in gingival recession coverage part I: the tunnel connective tissue graft. Pract Proced Aesthet Dent, 2006;18:433-40.
Zuhr O, Rebele SF, Schneider D, Jung RE, Hurzeler MB. Tunnel Technique with connecrtive tissue grafit versus coronally advanced flap with enamel matrix derivative for root coverage: A RCT using #D digital methods. PartII: volumetric studies on healing dynamics and gingival dimensions. J Clin Periodontol. 2014;41:593-603.
Tsourounakis I, Sweidan C, Palaiologou AA, Maney P. Coverage of isolated, severe gingival recession: A modified technique. Clin Adv in Periodontics. 2014;4:148–53.
Ribeiro FS, Zandim DL, Pontes AEF, Mantovani RV, Sampaio JEC, Marcantonio E.
Tunnel technique with a surgical maneuver to increase the graft extension: Case report with a 3-year old follow-up. J Periodontol. 2008;79:753–8.
Bouchard P, Malet J, Borghetti A. Decision-making in aesthetics: Root coverage revisited. Periodontology 2000. 2001;27:97–120.
Dani S, Dhage A, Gundannavar G. The pouch and tunnel technique for management of multiple gingival recession defects. J Indian Soc Perio. 2014;18:776–80.
Langer B, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol. 1985;56:715–20.
Raetzke PB. Covering localized areas of root exposure employing the envelope technique. J Periodontol. 1985;56:397–402.
Allen AL. Use of supraperiosteal envelope in soft tissue grafting for root coverage. I. Rationale and technique. Int J Periodontics Restorative Dent. 1994;14:216–7.
Zabalegui I, Sicilia A, Cambra J, Gil J, Sanz M. Treatment of multiple gingival recessions with the tunnel subepithelial connective tissue graft: A clinical report. Int J Periodontics Restorative Dent. 1999;19:471–9.
Azzi R, Etienne D, Takei H, Fenech P. Surgical thickening of the existing gingiva and reconstruction of interdental papillae around implant-supported restorations. Int J Periodontics Restorative Dent. 2002;22:71–7.
Zühr O, Fickl S, Watchtel H, Bolz W, Hurzeler MB. Covering of gingival recessions with a modified microsurgical tunnel technique: case report. Int J Periodontics Restorative Dent. 2007;27:456–63.
Stimmelmay M, Allen E, Gernet W, Edelhoff D, Beuer F, Schlee M, et al. Treatment of gingival recession in the anterior mandible using the tunnel technique and a combination epithelialized-subepithelial connective tissue graft–a case series. Int J Periodontics
Restorative Dent. 2011;31:164–73.
Salama H, Salama M, Garber D. The tunnel technique in the periodontal plastic treatment of multiple adjacent gingival recession defects: A review. Inside Dentistry. 2008;4:78–81.
Zühr O, Rebele SF, Schneider D, Jung RE, Hurzeler MB. Tunnel technique with connective tissue graft versus coronally advanced flap with enamel matrix derivative for root coverage: A RCT using 3D digital methods. Part I: Clinical and patient-centred outcomes. J Clin Periodontol. 2014;41: 582–92.
Miller PD Jr. A classification of marginal tissue recession. Int J Periodontics Restorative Dent. 1985;5:8–13.
Han JS, John V, Blanchard SB, Kowolik MJ, Eckert GJ. Changes in gingival dimensions following connective tissue grafts for root coverage: Comparison of two procedures. J Periodontol. 2008;79:1346–54.
Shanelec DA. Periodontal Microsurgery. J Esthet Restor Dent. 2003;(Special Issue 15):18–23.
Burkhardt R, Lang NP. Coverage of localized gingival recessions: A comparison of micro- and macrosurgical techniques. J Clin Periodontol. 2005;32:287–93.
Chambrone L, Chambrone D, Pustiglioni FE, Chambrone LA, Lima LA. Can subepithelial connective tissue grafts be considered the gold standard procedure in the treatment of Miller Class I and II recession-type defects? J Dent. 2008;36:659–71.
Allen E. Subpapillary continuous sling suture method for soft tissue grafting with the tunneling technique. Int J Periodontics Restorative Dent. 2010;30:478–85.
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