Coverage of Multiple Mandibular Gingival Recessions Using Tunnel Technique with Connective Tissue Graft: A Prospective Case Series

Thalmair, Tobias; Fickl, Stefan; Wachtel, Hannes

doi:10.11607/prd.2278

Cited by 21 publications

(24 citation statements)

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“…Other modifications to TUN, such as papillae detachment and elevation or the addition of composite stops between contact points preventing the collapse of suspended sutures, were not associated with improved outcomes. Meanwhile, positive correlations between 6‐0 and 7‐0 (smaller diameters than 5‐0) suture diameters and mRC and CRC were observed.…”

Section: Discussionmentioning

confidence: 85%

“…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.…”

Section: Resultsmentioning

confidence: 99%

“…Twenty articles reporting on 1181 recessions * Rstudio Version 1.1.383, RStudio, Inc., Boston, MA treated with TUN, with a mean follow-up of 11 months, were included in the present systematic review (Tables 1 and 2). [14][15][16][17][18]20,[30][31][32][33][34][35][36][37][38][39][40][41][42][43] Among these, six RCTs comparing CAF to TUN 15,18,20,31,37,38 were considered for the meta-analysis. Excluded articles and reasons for exclusion are reported in Supplementary Data S4.…”

Section: Study Selectionmentioning

confidence: 99%

“…Eleven articles were RCTs 14,15,17,18,20,30,31,33,37,38,40 and nine were case series. 16,32,[34][35][36]39,[41][42][43] None of the studies included patients who were smokers. Five articles focused on localized GR defects, 18,36,[38][39][40] three treated both single and multiple GR defects, 15,20,43 and the remaining studies included only multiple GR defects.…”

Section: Study Design and Study Populationmentioning

confidence: 99%

See 3 more Smart Citations

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

Tavelli

Barootchi

Nguyen

et al. 2018

Journal of Periodontology

117

116

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Section: Discussionmentioning

confidence: 85%

Section: Resultsmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

Section: Study Design and Study Populationmentioning

confidence: 99%

See 2 more Smart Citations

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

Tavelli

Barootchi

Nguyen

et al. 2018

Journal of Periodontology

117

116

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show abstract

“…Gingival recessions are more frequently observed in mandibular than in maxillary teeth. With increasing age, they are more frequent on buccal than on lingual surfaces 10 .…”

Section: Introductionmentioning

confidence: 99%

Incisor proclination and gingival recessions: is there a relationship?

et al. 2017

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Aim: To test the hypothesis that there is no relationship between the amount of vestibular inclination of mandibular incisors and the appearance of gingival recession in this region. Methods: This study included 20 patients selected in accordance with the following inclusion criteria: 1. adult patients without gingival recession in the mandibular incisors before treatment (T0), 2. no previous orthodontic treatment, 3. treated without tooth extraction in the mandibular arch, 4. bonded mandibular splinting from one canine to another after the active stage of orthodontic treatment (T1), 5. no visible wear of the incisal edge of the mandibular incisors, 6. Pre-and post-treatment teleradiography and plaster casts, and plaster casts 3 years post-treatment (T2). Depending on the amount of inclination of the mandibular incisors after treatment, the sample was divided into two groups: Group 1-10 individuals (IMPA T1-T0 ≤ 5˚) and Group 2-10 individuals (IMPA T1-T0 > 5˚). The measurement of length of the clinical crown (LCC) of the four mandibular incisors, distance between the incisal edge and vestibular marginal gingiva were made in plaster casts at T0, T1 and T2. Results: In spite of Group 1 presenting a reduction in LCC at T2, there was no statistically significant difference in LCC in the 3 time intervals evaluated in the two groups. Conclusions: The null hypothesis was accepted. The variation in the amount of vestibular inclination of the mandibular incisors during orthodontic treatment and 3 years after conclusion of treatment did not promote the appearance of gingival recessions in this group of patients.

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Influence of vestibular depth on the outcomes of root coverage therapy: A prospective case series study

Blasi

Monje

Muñoz-Peñalver

et al. 2022

Journal of Periodontology

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Background The purpose of this study was to investigate the influence of vestibular depth (VD) on the outcomes of root coverage therapy. Methods Patients presenting gingival recession defects (GRD) with a minimum depth of 2 mm underwent root coverage therapy consisting of a coronally advanced flap plus a connective tissue graft (CAF + CTG). Clinical examinations were performed, and intraoral scans were obtained at baseline, 3 and 6 months after surgery to assess changes in probing depth (PD), keratinized tissue width (KTW), recession depth (RD), GRD area, marginal gingival thickness (MGT), and VD. The influence of VD on percentage of root coverage (%RC) and the likelihood of achieving complete root coverage (CRC) were explored. Results A total of 20 patients were enrolled, and 44 teeth were treated. RD decreased and MGT increased in all treated sites. At 6 months, mean %RC was 87.47 ± 18.37 and CRC was observed in 61.4% of sites. Mean baseline VD was 7.33 ± 2.67 mm. Mean VD reduction from baseline to 6 months was 1.98 ± 1.27 mm. %RC and CRC were significantly correlated with baseline VD. Each additional 1 mm of baseline VD implied a gain of 6.58% for %RC and increased 2.75 times the probability of achieving CRC. Narrow baseline KTW and mandibular arch location were associated with inferior treatment outcomes. Conclusion Lower %RC and likelihood of achieving CRC can be expected after root coverage therapy via CAF + CTG in sites presenting a shallow vestibulum.

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Coverage of Multiple Mandibular Gingival Recessions Using Tunnel Technique with Connective Tissue Graft: A Prospective Case Series

Cited by 21 publications

References 0 publications

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

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

Incisor proclination and gingival recessions: is there a relationship?

Influence of vestibular depth on the outcomes of root coverage therapy: A prospective case series study

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