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Erschienen in:

03.12.2019 | Clinical Periodontics (Y Stathopoulou, Section Editor)

Tunneling Techniques for Root Coverage

verfasst von: Yu Wang, Panagiota G. Stathopoulou

Erschienen in: Current Oral Health Reports | Ausgabe 4/2019

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Abstract

Purpose of Review

Tunneling technique (TUN) has been introduced as a minimally invasive and highly esthetic treatment option for the treatment of gingival recession, one of the most frequent mucogingival deformities and conditions. The purpose of the present article is to review how specific technique modifications, different grafting materials, and different defect characteristics may affect the outcome of TUN for root coverage.

Recent Findings

TUN has been shown to be an efficacious root coverage technique that, in combination with various grafting materials, can achieve satisfactory root coverage outcomes in Miller class I and II recession defects that are more predictable in the maxilla and when multiple adjacent defects are treated. Recent evidence suggests that specific technique modifications may be promising for the treatment of challenging multiple Miller class III recession defects.

Summary

In order to achieve successful root coverage outcomes with TUN, the etiology of the defect should be identified and risk factors controlled, case selection is critical, specific technique modifications may be beneficial, and a variety of graft materials may be utilized.
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Zurück zum Zitat Sculean A, Cosgarea R, Stahli A, Katsaros C, Arweiler NB, Brecx M, et al. The modified coronally advanced tunnel combined with an enamel matrix derivative and subepithelial connective tissue graft for the treatment of isolated mandibular Miller class I and II gingival recessions: a report of 16 cases. Quintessence Int. 2014;45(10):829–35.PubMed Sculean A, Cosgarea R, Stahli A, Katsaros C, Arweiler NB, Brecx M, et al. The modified coronally advanced tunnel combined with an enamel matrix derivative and subepithelial connective tissue graft for the treatment of isolated mandibular Miller class I and II gingival recessions: a report of 16 cases. Quintessence Int. 2014;45(10):829–35.PubMed
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Zurück zum Zitat • Sculean A, Cosgarea R, Stahli A, Katsaros C, Arweiler NB, Miron RJ, et al. Treatment of multiple adjacent maxillary Miller class I, II, and III gingival recessions with the modified coronally advanced tunnel, enamel matrix derivative, and subepithelial connective tissue graft: a report of 12 cases. Quintessence Int. 2016;47(8):653–9 This study shows that modified tunneling in combination with EMD and SCTG can result in predictable root coverage outcomes in multiple maxillary Miller class I, II, and III recession defects. PubMed • Sculean A, Cosgarea R, Stahli A, Katsaros C, Arweiler NB, Miron RJ, et al. Treatment of multiple adjacent maxillary Miller class I, II, and III gingival recessions with the modified coronally advanced tunnel, enamel matrix derivative, and subepithelial connective tissue graft: a report of 12 cases. Quintessence Int. 2016;47(8):653–9 This study shows that modified tunneling in combination with EMD and SCTG can result in predictable root coverage outcomes in multiple maxillary Miller class I, II, and III recession defects. PubMed
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Zurück zum Zitat • Yaman D, Demirel K, Aksu S, Basegmez C. Treatment of multiple adjacent Miller class III gingival recessions with a modified tunnel technique: a case series. Int J Periodontics Restorative Dent. 2015;35(4):489–97 This study shows that modified tunneling may be a valuable and predictable technique for the treatment of multiple Miller class III recession defects. PubMed • Yaman D, Demirel K, Aksu S, Basegmez C. Treatment of multiple adjacent Miller class III gingival recessions with a modified tunnel technique: a case series. Int J Periodontics Restorative Dent. 2015;35(4):489–97 This study shows that modified tunneling may be a valuable and predictable technique for the treatment of multiple Miller class III recession defects. PubMed
Metadaten
Titel
Tunneling Techniques for Root Coverage
verfasst von
Yu Wang
Panagiota G. Stathopoulou
Publikationsdatum
03.12.2019
Verlag
Springer International Publishing
Erschienen in
Current Oral Health Reports / Ausgabe 4/2019
Elektronische ISSN: 2196-3002
DOI
https://doi.org/10.1007/s40496-019-00231-8

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