A Preliminary Clinical Comparison of the Use of Fascia Lata Allograft and Autogenous Connective Tissue Graft in Multiple Gingival Recession Coverage Based on the Tunnel Technique

Efficacy of tunnel technique in the treatment of localized and multiple gingival recessions: A systematic review and meta‐analysis

“…Search results based on the PRISMA guidelines are depicted in Figure . Twenty articles reporting on 1181 recessions treated with TUN, with a mean follow‐up of 11 months, were included in the present systematic review (Tables and ) . Among these, six RCTs comparing CAF to TUN were considered for the meta‐analysis.…”

“…The results of bias risk assessment for the included RCTs, using The Cochrane Risk of Bias Tool, are summarized in . Four articles had a low risk of bias, six were considered to have a moderate risk of bias, and one study had a high risk of bias . The results of bias risk assessment for the included case series, using The Joanna Briggs Institute Scale for Case Series, are summarized in .…”

Root Coverage Procedures for Multiple Recession Defects

“…Studies using subepithelial connective tissue graft (SCTG) on multiple Miller Class I and II gingival recession defects show mean percent root coverage ranging from 77 to 98%, with only 4 out of 17 studies reporting less than 90% [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28]. Other than coronally positioned flaps, flap designs used include tunnel technique [12,13], modified coronally advanced tunnel (MCAT) technique [26], modified coronally advanced flap (MCAF) technique by Zucchelli and De Sanctis [17,29], and a modified coronally positioned flap with a horizontal incision in the alveolar mucosa [20].…”

“…Other than coronally positioned flaps, flap designs used include tunnel technique [12,13], modified coronally advanced tunnel (MCAT) technique [26], modified coronally advanced flap (MCAF) technique by Zucchelli and De Sanctis [17,29], and a modified coronally positioned flap with a horizontal incision in the alveolar mucosa [20]. While most studies evaluated their outcome between 6 and 12 months postoperatively, 5-year results were reported by Zucchelli et al with mean root coverage of 97% [22].…”

“…Bednarz et al reported that fascia lata allograft in conjunction with MCAT technique produced a comparable mean root coverage of 94% to SCTG after 6 months [12]. In four out of five studies where coronally positioned flaps (CPF) alone was compared to SCTG, significantly better root coverage was achieved with the graft [14,15,[21][22][23].…”