Treatment of multiple lingual gingival recession defects in mandibular incisors with modified coronally advanced tunnel technique and connective tissue graft: A case series

Authors: Vikender Singh Yadav, Priyanka Kamra, Deepti, Nisha Singh, Anu Bhatia and Renu Yadav

Abstract

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.

Download Article

Other articles in this issue

Article
Long-term Outcomes of Periodontal Regenerative Procedures for the Treatment of Intrabony Periodontal Defects: A Systematic Review and Meta-analysis Kyung Nam, Nathan E. Estrin, Jasmine Sze, Jamie Saragossi, Vincent J. Iacono and Seyed Hossein Bassir Download
Supplementation with Melatonin Prevents Alveolar Bone Resorption in Rats with Periodontal Disease and Pinealectomy Fernando Marani, Rodrigo Martins dos Santos, Maria Sara de Lima Coutinho Mattera, Thaís Verônica Saori Tsosura, Fernando Yamamoto Chiba, Renato Felipe Pereira, Melise Jacon Peres-Ueno, Gestter Willian Lattari Tessarin, Marjorie Oliveira Gallinari, Nayar Download
Impact of Periodontal Therapy and Adjunctive Omega-3 plus Aspirin on Quality of Life in Patients with Periodontitis and Type 2 Diabetes Nidia C Castro dos Santos, Naira MRB Andere, Cassia F Araujo, Belen Retamal-Valdes, Frederico C Martinho, Alpdogan Kantarci, Thomas E Van Dyke, Magda Feres and Mauro P Santamaria Download
Gingival tissue heat shock protein expression in aggressive and chronic periodontitis Veli Özgen Öztürk, Sema Becerik, Nagihan Bostanci and Gülnur Emingil Download
Evaluation of the influence of Different Culture Media and Atmospheric Conditions on ex vivo Biofilms of Individuals with Advanced Periodontitis Caio J. Tanaka, Luciene Cristina de Figueiredo, Patricia S. Trovisco, Flavia Teles, Tuany Lisboa, Magda Feres and Geisla Mary Silva Soares Download
Creeping attachment following treatment of multiple gingival recession defects with xenogeneic collagen matrix: Two case reports Jonathan Meza-Mauricio, Lorenzo Tavelli, Marlon Marx Hilariano Maximiano, Ilton José Mafra, Javier Parma Garcia and Marcelo Faveri Download
Effect of xenogeneic dermal matrix associated with coronally advanced flap in the treatment of single gingival recession: A case series Laís Fernanda Ferreira Ferraz, Manuela Maria Viana Miguel, Amanda Rossato, Manuela Bafini Fonseca, Ingrid Fernandes Mathias-Santamaria and Mauro Pedrine Santamaria Download
The Effect of Adjuvant Ozone Therapy in Nonsurgical Periodontal Treatment: A Systematic Review with Meta-analysis Daniela Pafiadache Thomé, Francisco Wilker Mustafa Gomes Muniz, Alessandra Cardoso Nicolini, Cassiano Kuchenbecker Rösing and Juliano Cavagni Download
Treatment of multiple lingual gingival recession defects in mandibular incisors with modified coronally advanced tunnel technique and connective tissue graft: A case series Vikender Singh Yadav, Priyanka Kamra, Deepti, Nisha Singh, Anu Bhatia and Renu Yadav Download
Physical activity is associated with less periodontitis and calculus in adults: A cross-sectional observational study João Augusto Peixoto de Oliveira, Barbara Rocha Christofoli, Joseane Goergen, Fernando Silva Rios, Ricardo dos Santos Araujo Costa, Tassiane Panta Wagner, Cristina Izquierdo, Marisa Maltz, Juliana Jobim Jardim and Alex Nogueira Haas Download
Grape Seed Extract Down-modulates Oxidative and Inflammatory Responses of Oral Mucosa Cells Villas Boas SB, Sousa LS, Cardoso LM, Tavella-Silva NC, de Souza Costa CA and Basso FG Download
Evaluation of the antimicrobial activity of iodoform paste on the contamination of the implant-abutment interface by Porphyromonas gingivalis- an in vitro study Sabino Haroldo Ferrari Jr, Wang Hsing Han, Karina Cogo- Müller, Wilson R Sendyk, Rafaela D. Parolina de Carvalho, Yeon Jung Kim and Debora Pallos Download