Tunnel technique with a surgical maneuver to increase the graft extension: Case report with a 3-year follow-up


Autoria(s): Ribeiro, Fernando S.; Zandim-Barcelos, Daniela Leal; Pontes, Ana Emilia F.; Mantovani, Rafael V.; Sampaio, Jose Eduardo C.; Marcantonio, Elcio
Contribuinte(s)

Universidade Estadual Paulista (UNESP)

Data(s)

20/05/2014

20/05/2014

01/04/2008

Resumo

Background: This article reports a clinical case with a 3-year follow-up in which a subepithelial connective tissue graft (SCTG) was used with the tunnel technique to treat multiple gingival recessions, and describes a technique used to enlarge the extension of the graft.Methods: A 41 -year-old female patient was referred for evaluation and treatment of maxillary multiple recessions. Following basic therapy, the plaque index was 23%, and the gingival index was 12%. Thus, SCTG with the tunnel technique was proposed to provide root coverage of Miller Class I recession on teeth #8 through #11 and a Miller Class III recession on tooth #12. After the donor area had been prepared, SCTG was removed and split cross-sectionally to lengthen it. The graft was placed through the tunnel and sutured.Results: Two weeks after the surgical procedure, the tissue color was nearly homogeneous with some reddish regions where the connective tissue was left uncovered, and there were no signs of incisions or suture marks. After 3 years of follow-up, the mean coverage of the recessions was 2.2 +/- 0.7 mm (74.2%), which corresponded to the gain of keratinized tissue. In addition, a gain in tissue thickness was observed.Conclusion: In a long-term evaluation, the tunnel technique with the elongated SCTG was used successfully for treatment of multiple gingival recessions with an increase of the soft tissue volume and gain of keratinized tissue.

Formato

753-758

Identificador

http://dx.doi.org/10.1902/jop.2008.070274

Journal of Periodontology. Chicago: Amer Acad Periodontology, v. 79, n. 4, p. 753-758, 2008.

0022-3492

http://hdl.handle.net/11449/16030

10.1902/jop.2008.070274

WOS:000255423000025

Idioma(s)

eng

Publicador

Amer Acad Periodontology

Relação

Journal of Periodontology

Direitos

closedAccess

Palavras-Chave #case report #connective tissue #esthetics #gingival recession #grafts #surgery
Tipo

info:eu-repo/semantics/article