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

Tavelli, Lorenzo; Barootchi, Shayan; Nguyen, Trang Van; Tattan, Mustafa; Ravidà, Andrea; Wang, Hom‐Lay

doi:10.1002/jper.18-0066

Cited by 124 publications

(170 citation statements)

References 49 publications

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“…The efficacy of root coverage procedures in treating gingival recessions on natural dentition have been well established . Additionally, the position of the interproximal attachment levels as the main limiting factor in the amount of root coverage that can be achieved, has also been confirmed …”

Section: Discussionmentioning

confidence: 95%

Classification of facial peri‐implant soft tissue dehiscence/deficiencies at single implant sites in the esthetic zone

Zucchelli

Tavelli

Stefanini

et al. 2019

Journal of Periodontology

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184

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Background The incidence of a peri‐implant soft tissue dehiscence/deficiency (PSTD) is not a rare finding. Despite multiple previous attempts aimed at correcting the PSTDs, a classification of these conditions has not yet been proposed. This lack in the literature may also lead to discrepancies in the reported treatment outcomes and thus misinform the clinician or the readers. The aim of the present article was therefore to present a classification of peri‐implant PSTD at a single implant site. Methods Four classes of PSTDs were discussed based on the position of the gingival margin of the implant‐supported crown in relation to the homologous natural tooth. In addition, the bucco‐lingual position of the implant head was also taken into consideration. Each class was further subdivided based on the height of the anatomical papillae. Results Subsequently, for each respective category a surgical approach (including bilaminar techniques, the combined prosthetic‐surgical approach or soft tissue augmentation with a submerged healing) was also suggested. Conclusion This paper provides a new classification system for describing PSTDs at single implant sites, with the appropriate recommended treatment protocol.

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Section: Discussionmentioning

confidence: 95%

Classification of facial peri‐implant soft tissue dehiscence/deficiencies at single implant sites in the esthetic zone

Zucchelli

Tavelli

Stefanini

et al. 2019

Journal of Periodontology

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184

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“…• OpenGrey: using the following search strategy: (gingiva* AND (recession* OR defect*)) OR (root coverage) References from previous systematic reviews (Atieh et al, 2016;Buti et al, 2013;Cairo, Nieri, & Pagliaro, 2014;Cairo et al, 2016;Chambrone & Tatakis, 2015;Chambrone et al, 2018;Huang et al, 2019;Karam et al, 2016;Koop, Merheb, & Quirynen, 2012;Oliveira & Muncinelli, 2012;Tavelli et al, 2018) concerning root coverage procedures were checked for article screening. Authors of relevant grey literatures who could be reached by email have been contacted.…”

Section: Clinical Relevancementioning

confidence: 99%

Long‐term stability of root coverage procedures for single gingival recessions: A systematic review and meta‐analysis

Dai

Huang

Ding

et al. 2019

J Clinic Periodontology

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Aim To evaluate the long‐term (≥2 years) stability of root coverage procedures for single gingival recessions. Materials and Methods A complete literature search was performed up to July 2018. Randomized controlled trials (RCTs) following ≥2 years were selected. Primary outcomes were complete root coverage (CRC) and mean root coverage (MRC). Secondary outcomes were width of keratinized tissue (KTW) and patient‐centred parameters. Meta‐analysis was conducted when possible. Results A total of fifteen RCTs were included. The results demonstrated significantly higher MRC in short‐term than long‐term after coronally advanced flap (CAF; 7.29%, p = 0.006). When CAF combined with connective tissue graft (CTG), no significant difference was observed in CRC or MRC for short‐term versus long‐term (1.00, p = 0.97; 2.35%, p = 0.09), and it resulted in better long‐term efficacy than CAF alone in terms of CRC (0.69, p = 0.0006) and KTW (−0.63 mm, p = 0.04). For CAF plus enamel matrix derivative, the meta‐analysis showed no significant difference between the short‐term and long‐term results of CRC (1.26, p = 0.21). Conclusions CAF alone could result in decreased postoperative percentage of root coverage with time. CAF + CTG could maintain long‐term stability and result in better root coverage outcomes than CAF.

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“…Tunneling (TUN) technique gained popularity with clinicians by offering minimally invasive surgery with acceptable root coverage and better esthetic outcomes. A recent review on the efficacy of TUN versus CAF indicated that the former was useful for both localized and MGARs, although, the latter was found to be associated with better root coverage (Tavelli et al, ).…”

Section: Introductionmentioning

confidence: 99%

Xenogeneic collagen matrix versus connective tissue graft for the treatment of multiple gingival recessions: A systematic review and meta‐analysis

AlSarhan

Jasser

Tarish

et al. 2019

Clinical & Exp Dental Res

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A systematic review and meta‐analysis was performed to understand the efficacy of xenogeneic collagen matrix (CMX) compared with connective tissue graft (CTG) for the treatment of multiple adjacent gingival recessions (MAGRs). A literature search was performed for published randomized controlled trials in adult patients (≥18 years old) with Multiple Adjacent Miller class I and II gingival recessions (MAGRs). The assessments included recession depth, Recession width, complete root coverage, mean root coverage, probing depth, clinical attachment level, and keratinized tissue width. Pooled data were analyzed using fixed‐ and random‐effects models, and Forest plots were constructed. Heterogeneity within studies was calculated to assess publication bias. Four randomized controlled trials were included based on the eligibility criteria. Although the recession depth, complete root coverage, and mean root coverage were significantly lower with CMX (p = .017 and p = .001, p = .001, respectively), there was no statistically significant difference in the Recession width between CMX and CTG (p = .203). CMX showed significantly lower Probing Depth than CTG (p = .023); however, no significant difference in clinical attachment level (p = .060) and keratinized tissue width (p = .052) was observed between the groups. Owing to the heterogeneity in the included studies, firm conclusions cannot be drawn regarding the noninferiority of CMX compared with CTG. Long‐term studies are therefore needed to conclusively establish the relative efficacy of CMX in MAGR.

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

Cited by 124 publications

References 49 publications

Classification of facial peri‐implant soft tissue dehiscence/deficiencies at single implant sites in the esthetic zone

Classification of facial peri‐implant soft tissue dehiscence/deficiencies at single implant sites in the esthetic zone

Long‐term stability of root coverage procedures for single gingival recessions: A systematic review and meta‐analysis

Xenogeneic collagen matrix versus connective tissue graft for the treatment of multiple gingival recessions: A systematic review and meta‐analysis

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