Subepithelial Connective Tissue Graft in Combination with a Tunnel Technique for the Treatment of Miller Class II and III Gingival Recessions in Mandibular Incisors: Clinical and Esthetic Results

2016 ◽  
Vol 36 (4) ◽  
pp. 591-598 ◽  
Author(s):  
Jose Nart ◽  
Cristina Valles
Keyword(s):  
Connective Tissue ◽  
Class Ii ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Tunnel Technique ◽  
Subepithelial Connective Tissue Graft ◽  
Mandibular Incisors

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 Tunnel technique with enamel matrix derivative in addition to subepithelial connective tissue graft compared with connective tissue graft alone for the treatment of multiple gingival recessions: a randomized clinical trial

2020 ◽  
Vol 24 (12) ◽  
pp. 4475-4486
Author(s):  
Bartłomiej Górski ◽  
Renata Górska ◽  
Joanna Wysokińska-Miszczuk ◽  
Tomasz Kaczyński
Keyword(s):  
Connective Tissue ◽  
Enamel Matrix Derivative ◽  
Clinical Parameters ◽  
Enamel Matrix ◽  
Root Coverage ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Tunnel Technique ◽  
Subepithelial Connective Tissue Graft ◽  
Matrix Derivative

Abstract Objectives The aim of this study was to compare outcomes of the modified coronally advanced tunnel technique (MCAT) combined with subepithelial connective tissue graft (SCTG) with or without enamel matrix derivative (EMD), in the treatment of gingival recession types 1 and 2. Materials and methods A total of 20 patients with 150 multiple gingival recessions (GR) were included in the study. On one side, MCAT was combined with SCTG and EMD (tests), whereas MCAT with SCTG was applied on the contralateral side (controls). Clinical parameters were measured at baseline and 6 months after surgery. Visual analog scales (VAS) and questionnaires were used to assess patient-reported outcomes and the root coverage esthetic score (RES) for professional esthetic evaluation. Results MCAT+SCTG+EMD was not superior with regard to root coverage. At 6 months, average root coverage (ARC) was 87.4% for SCTG+EMD-treated and 90.9% for SCTG-treated defects (p = 0.4170). Complete root coverage (CRC) was observed in 86.7% (tests) and 85.3% (controls) of the cases (p = 0.9872). Significantly less pain was reported using VAS (p = 0.0342) post-operatively in the SCTG+EMD group. Professional assessment of esthetic outcomes using RES showed a significant difference (9.25 versus 8.71, p = 0.0103) in favor of the test group. Conclusions Both treatment modalities were equally effective in treatment of multiple GR and led to similar improvements in clinical parameters. However, the application of EMD as an adjunct resulted in less post-operative pain and better professionally assessed esthetic outcomes. Clinical relevance Patients’ early morbidity and 6-month esthetic outcomes following GR coverage with MCAT might be influenced by means of EMD utilization.

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.

scholarly journals Laterally Positioned Flap with Subepithelial Connective Tissue Graft Modified One-Stage Procedure for the Treatment of Deep Isolated Gingival Recessions in Mandibular Incisors

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Alvaro Francisco Bosco ◽  
Juliano Milanezi de Almeida ◽  
Belén Retamal-Valdes ◽  
Renata Tavares ◽  
Jessica M. Latimer ◽  
...  
Keyword(s):  
Connective Tissue ◽  
Donor Site ◽  
Root Coverage ◽  
Connective Tissue Graft ◽  
One Stage ◽  
Tissue Graft ◽  
Adjacent Tooth ◽  
Keratinized Tissue ◽  
Subepithelial Connective Tissue Graft ◽  
Mandibular Incisors

The laterally positioned flap (LPF) has been proposed as a promising treatment for isolated gingival recessions (GRs) in mandibular incisors. Several modifications have been proposed to reduce the risk of gingival recession (GR) at the donor tooth site. Therefore, the aim of this was to describe a modified one-stage procedure of performing the LPF associated with the subepithelial connective tissue graft (LPF + SCTG) with the modifications for the treatment of deep isolated GR in mandibular incisors. The modified one-stage technique (LPF + SCTG) is unique because it was presented being bilaminar with tunneled connective tissue graft (CTG) in the adjacent tooth and extended to the flap donor site, without a submarginal incision in the adjacent tooth, taking the entire band of the keratinized tissue (KT) into the flap. In addition, 3 clinical cases were described using this surgical technique. Three healthy patients with Cairo RT1 or RT2 GRs on teeth 31 or 41 were treated with the LPF + SCTG technique. Probing depth (PD), clinical attachment level (CAL), complete root coverage (CRC), mean root coverage (MRC), recession depth (RD), and keratinized tissue width (KTW) were assessed at baseline and in the follow-up periods of 18, 24, and 48 months, in the cases 1, 2, and 3, respectively. The LPF + SCTG with the modifications presented is a predictable approach for the treatment of deep isolated RT1 and RT2 GRs in mandibular incisors that are well positioned in the bone envelope with the presence of KTW adjacent to GR and adequate vestibule depth in the donor area of the flap.

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