Tunneling Techniques for Root Coverage

Minimally invasive intrasulcular tunneling technique for treatment of gingival recessions: A case series

“… 7 Further, CAF could also be performed without vertical incisions and gingival papillary involvement, through tunneling procedure (TUN). 8 , 9 Surgical tunneling procedure may be accomplished with combined partial and full thickness flap; however, full thickness flap may be appropriate, especially for thin gingival biotypes. 6 , 8 Flap tension should also be minimized to enhance both flap and CTGstability over the denuded roots.…”

Minimally invasive intrasulcular tunneling technique for treatment of gingival recessions- Case Series

“…The incision free design and gingival papillary preservation are considered as the main advantages of TUN. (8) In the current study sufficient tissue was undermined with minimum papillary involvement around the recession area (9) to release active tension from surrounding tissues and approximate gingival recession margins over the CTG. These would also lead to increase blood supply to that part of the graft on the exposed root as it does not get blood supply from underline exposed root.…”

“…(7) Further, CAF could also be performed without vertical incisions and gingival papillary involvement, which is called tunneling procedure (TUN). (8,9) Surgical tunneling procedure may be accomplished with combined partial and full thickness flap; however, full thickness flap may be appropriate especially for thin gingival biotypes. (6,8) Flap tension should also be minimized to enhance both flap and stability over the denuded roots.…”

“…(8,9) Surgical tunneling procedure may be accomplished with combined partial and full thickness flap; however, full thickness flap may be appropriate especially for thin gingival biotypes. (6,8) Flap tension should also be minimized to enhance both flap and stability over the denuded roots. (10) Flap undermining and muscle dissection are essential for immobilization of the graft.…”

Regenerative Potential of Enamel Matrix Protein Derivative and Acellular Dermal Matrix for Gingival Recession: A Systematic Review and Meta-Analysis

“…Gingival recession and pathological loss of keratinized tissues are the most prevalent mucogingival deformities demanding surgical treatment to restore the lost supportive tissues [ 1 ]. Consequently, root coverage techniques and soft tissue augmentation are critical techniques of muco-gingival surgery protocols, including coronally advanced flaps (CAF), laterally advanced flaps (LAF), double papillae repositioned flaps, free gingival grafts (FGG), sub-epithelial connective tissue grafts (CTG), the tunnel technique as well as the pedicle flaps bilaminar technique and guided tissue regeneration or grafts [ 2 , 3 , 4 ].…”