Treatment of multiple gingival recessions adopting modified tunnel subepithelial connective tissue graft technique

Gingival recession related to periodontal disease or developmental problems can result in root sensitivity, root caries, and esthetically unacceptable root exposures. In the past, multiple surgical procedures have been proposed to obtain root coverage on exposed buccal root surfaces. There has been...

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Published inIndian journal of dental research : official publication of Indian Society for Dental Research Vol. 25; no. 6; p. 816
Main Authors Singh, Jagmohan, Bharti, Vipin
Format Journal Article
LanguageEnglish
Published India 01.11.2014
Subjects
Adult
Connective Tissue - transplantation
Gingival Recession - diagnosis
Gingival Recession - surgery
Gingivoplasty - methods
Humans
Male
Palate - surgery
Surgical Flaps
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Summary:Gingival recession related to periodontal disease or developmental problems can result in root sensitivity, root caries, and esthetically unacceptable root exposures. In the past, multiple surgical procedures have been proposed to obtain root coverage on exposed buccal root surfaces. There has been great interest in the treatment of gingival recession defects, especially with subepithelial connective-tissue grafting (SCTG). Recent advances have focused on SCTG by the tunnel technique. This article highlights the esthetic results obtained by adopting a modification of the tunnel technique using a single vertical incision along with autologous SCTG in the management of multiple adjacent Miller Class-II gingival recessions. A single vertical incision was used along with tunnel preparation for the facile placement of SCTG into the prepared tunnel. After 6 months of follow-up, the clinical condition was stable with satisfactory root coverage outcome. An excellent esthetical outcome was achieved and the patient was satisfied with the result.
ISSN:1998-3603