Subepithelial Connective Tissue Graft with Tunnel Technique for Correction of Multiple Gingival Recessions in Maxillary Anterior Teeth : a Case Report
Keywords:
multiple gingival recessions,, root coverage surgery, connective tissue graft, tunnel techniqueAbstract
Gingival recession is a highly prevalent problem in adult population. It may occur single or multiple forms in association with improper toothbrushing and inflamed periodontal condition. By indications of root hypersensitivity and esthetic concern, a number of root coverage techniques offer predictable results in some recession types. The purpose of this case report is to present the rationale, clinical procedures of subepithelial connective tissue graft with tunnel technique for coverage of multiple adjacent recessions in anterior esthetic region. Root coverage outcomes after 8 months and plausible related factors are also discussed evidently
References
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Reiser GM, Bruno JF, Mahan PE, Larkin LH.The subepithelial connective tissue graft palatal donor site: anatomic
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Thalmair T, Fickl S, Wachtel H. Cover-age of Multiple Mandibular Gingival Recessions Using Tunnel Technique
with Connective Tissue Graft: A Prospective Case Series. Int J Periodontics Restora-tive Dent; 2016;36(6):859-67.
Cairo F. Periodontal plastic surgery of gingival recessions at single and multiple teeth. Periodontol 2000;2017;75(1):296-316.
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Zuhr O, Baumer D, Hurzeler M. The addition of soft tissue r eplacement grafts in plastic periodontal and implant
surgery:critical elements in design and execution. J Clin Periodontol;2014;41 Suppl 15:S123-42.
Allen AL. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. Rationale and technique.
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follow-up of 500 consecutively treated cases.Int J Periodontics Restorative Dent; 2005;25(5):449-59.
Fickl S, Fischer KR, Jockel-Schneider Y,S tappert CF, Schlagenhauf U, Kebschull M.Early wound healing and patient morbidity after single-incision vs. trap-doorgraft harvesting from the palate--a clinical study. Clin Oral Investig; 2014;18(9):2213-9.
Graziani F, Gennai S, Roldan S, Discepoli N,Buti J, Madianos P, et al. Efficacy of periodontal plastic procedures in the treatment of multiple gingival recessions.J Clin Periodontol; 2014;41 Suppl 15:63-76.
Santamaria MP, Neves F, Silveira CA,Mathias IF, Fernandes-Dias SB, Jardini MAN,et al. Connective tissue graft and tunnel or trapezoidal flap for the treatment of single maxillary gingival recessions:a randomized clinical trial. J Clin Periodontol; 2017;44(5):540-7.
Azaripour A, Kissinger M, Farina VS, Van Noorden CJ, Gerhold-Ay A, Wil-lershausen B, et al. Root coverage with
connective tissue graft associated with coronally advanced flap or tunnel technique: a randomized, double-blind,
mono-centre clinical trial. J Clin Peri-odontol; 2016;43(12):1142-50.
Dembowska E, Drozdzik A. Subepi-thelial connective tissue graft in the treatment of multiple gingival recession.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod; 2007;104(3):e1-7.
Georges P, Nisand D, Etienne D, Mora F.Efficacy of the supraperiosteal envelope technique: a preliminary
comparative clinical study. Int J Periodontics Restorative Dent; 2009;29(2):201-11.
Zuhr O, Rebele SF, Schneider D, Jung RE,Hurzeler MB. Tunnel technique Miller class III recessions: a report of
five cases. Clin Adv Periodontics, 2012;2:217-22.
North Am; 2015;59(4):981-96.
Kasaj A. Gingival recession coverage:Do we still need autogenous grafts?Quintessence Int; 2016;47(9):775-83.
Kassab MM, Badawi H, Dentino AR.Treatment of gingiva l recession. Dent Clin North Am. 2010;54(1):129-40.
Al-Zahrani MS, Bissada NF. Predictability of connective tissue grafts for root coverage:clinical perspectives and a
review of the literature. Quintessence Int; 2005;36(8):609-16.
Zucchelli G, Mounssif I. Periodontal plastic surgery.Periodontol 2000; 2015;68(1):333-68.
Saadoun AP. Current trends in gingval recession coverage--part I: the tunnel connective tissue graft. Pract Proced
Aest het Dent; 2006;18(7):433-8; quiz 40.
Atieh MA, Leichter J. The Octagon Model: a clinical tool for assessing marginal tissue recession. Int J Esthet
Dent; 2016;11(1):98-109.
Miller PD, Jr. A classification of marginal tissue recession. Int J Periodontics Re-storative Dent; 1985;5(2):8-13.
Wang HL, Romanos GE, Geurs NC,Sullivan A, Suarez-Lopez Del Amo F,Eber RM. Comparison of two differently
processed acellular dermal matrix products for root coverage procedures:a prospective, randomized multicenter
study.J Periodontol; 2014;85(12):1693-701.
Santos A, Goumenos G, Pascual A.Management of gingival recession by the use of an acellular dermal graft
material: a 12-case series. J Periodon-tol; 2005;76(11):1982-90.
Zabalegui I, Sicilia A, Cambra J, Gil J,Sanz M. Treatment of multiple adjacentgingival recessions with the tunnel sub-
epithelial connective tissue graft: a clinical report. Int J Periodontics Restorative Dent; 1999;19(2):199-206.
Flemmig TF. Periodontitis. Ann Peri-odontol; 1999;4(1):32-8.
McGuire MK, Nunn ME. Prognosis versus actual outcome. II. The effec-tiveness of clinical parameters in developing an accurate prognosis. J Periodontol;1996;67(7):658-65.
Liu CL, Weisgold AS. Connective tis-suegraft: a classification for incisio design from the palatal site and clinical
case reports. Int J Periodontics Restorative Dent; 2002;22(4):373-9.
Reiser GM, Bruno JF, Mahan PE, Larkin LH.The subepithelial connective tissue graft palatal donor site: anatomic
considerations for surgeons. Int J Periodontics Restorative Dent;1996;16(2):130-7.
Cairo F, Nieri M, Pagliaro U. Efficacy of periodontal plastic surgery proce-dures in the treatment of localized
facial gingival recessions. A systematic review. J Clin Periodontol; 2014;41 Suppl 15:S44-62.
Thalmair T, Fickl S, Wachtel H. Cover-age of Multiple Mandibular Gingival Recessions Using Tunnel Technique
with Connective Tissue Graft: A Prospective Case Series. Int J Periodontics Restora-tive Dent; 2016;36(6):859-67.
Cairo F. Periodontal plastic surgery of gingival recessions at single and multiple teeth. Periodontol 2000;2017;75(1):296-316.
Wennstrom JL, Zucchelli G. Increased gingival dimensions. A significant factor for successful outcome of root
coverage procedures? A 2-year prospective clinical study. J Clin Peri-odontol; 1996;23(8):770-7.
Tatakis DN, Chambrone L, Allen EP,Langer B, McGuire MK, Richardson CR, et al. Periodontal soft tissue root
coverage procedures: a consensus report from the AAP Regeneration Workshop. J Periodontol; 2015;86
(2 Suppl):S52-5.
Zuhr O, Baumer D, Hurzeler M. The addition of soft tissue r eplacement grafts in plastic periodontal and implant
surgery:critical elements in design and execution. J Clin Periodontol;2014;41 Suppl 15:S123-42.
Allen AL. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. Rationale and technique.
Int J Periodontics Restorative Dent;1994;14(3):216-27.
Harris RJ, Miller R, Miller LH, Harris C.Complications with surgical procedures utilizing connective tissue grafts: a
follow-up of 500 consecutively treated cases.Int J Periodontics Restorative Dent; 2005;25(5):449-59.
Fickl S, Fischer KR, Jockel-Schneider Y,S tappert CF, Schlagenhauf U, Kebschull M.Early wound healing and patient morbidity after single-incision vs. trap-doorgraft harvesting from the palate--a clinical study. Clin Oral Investig; 2014;18(9):2213-9.
Graziani F, Gennai S, Roldan S, Discepoli N,Buti J, Madianos P, et al. Efficacy of periodontal plastic procedures in the treatment of multiple gingival recessions.J Clin Periodontol; 2014;41 Suppl 15:63-76.
Santamaria MP, Neves F, Silveira CA,Mathias IF, Fernandes-Dias SB, Jardini MAN,et al. Connective tissue graft and tunnel or trapezoidal flap for the treatment of single maxillary gingival recessions:a randomized clinical trial. J Clin Periodontol; 2017;44(5):540-7.
Azaripour A, Kissinger M, Farina VS, Van Noorden CJ, Gerhold-Ay A, Wil-lershausen B, et al. Root coverage with
connective tissue graft associated with coronally advanced flap or tunnel technique: a randomized, double-blind,
mono-centre clinical trial. J Clin Peri-odontol; 2016;43(12):1142-50.
Dembowska E, Drozdzik A. Subepi-thelial connective tissue graft in the treatment of multiple gingival recession.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod; 2007;104(3):e1-7.
Georges P, Nisand D, Etienne D, Mora F.Efficacy of the supraperiosteal envelope technique: a preliminary
comparative clinical study. Int J Periodontics Restorative Dent; 2009;29(2):201-11.
Zuhr O, Rebele SF, Schneider D, Jung RE,Hurzeler MB. Tunnel technique Miller class III recessions: a report of
five cases. Clin Adv Periodontics, 2012;2:217-22.
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Published
2018-01-01
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บุญรอด ค. (2018). Subepithelial Connective Tissue Graft with Tunnel Technique for Correction of Multiple Gingival Recessions in Maxillary Anterior Teeth : a Case Report. Region 11 Medical Journal, 32(3), 1131–1142. Retrieved from https://he02.tci-thaijo.org/index.php/Reg11MedJ/article/view/157954
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