Aim: Evidence for the treatment of lingual recession defects is scarce. The aim of this case series was to investigate the clinical efficacy of modified coronally advanced tunnel (MCAT) technique in combination with connective tissue graft (CTG) for the treatment of multiple lingual gingival recessions. Materials and methods: Six patients with a total of 20 adjacent RT1 and RT2 lingual recession defects in mandibular incisors were treated with MCAT + CTG. Clinical parameters were recorded at baseline and 6 months. Patient-centred outcomes (dentinal hypersensitivity and postoperative pain) were also assessed. Results: Postoperative course of healing was uneventful in all patients. At 6 months, significant recession depth reduction (2.45 ± 0.51 mm), keratinized tissue width gain (1.10 ± 0.55 mm) and increase in gingival thickness (0.91 ± 0.34 mm) were observed. Mean root coverage was 79.35% and complete root coverage was achieved in 40% of treated recession defects. All patients reported a significant reduction in dentinal hypersensitivity at the end of the study period. Conclusion: Tunnel technique in combination with CTG is a safe and predictable approach for root coverage in multiple lingual recessions in mandibular incisors. However, further studies of longer duration in large number of patients are needed to support these findings.
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