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Tunneling procedure for root coverage using acellular dermal matrix: a case series.

Marmar Modaressi1, Hom-Lay Wang

  • 1Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, Michigan, USA.

The International Journal of Periodontics & Restorative Dentistry
|July 30, 2009
PubMed
Summary
This summary is machine-generated.

The novel tunneling technique using acellular dermal matrix (ADM) effectively achieved significant root coverage for gingival recession defects. This method offers a viable alternative for treating multiple recession areas, particularly in anterior teeth.

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Area of Science:

  • Periodontology
  • Regenerative Dentistry

Background:

  • Gingival recession defects affect numerous patients, leading to aesthetic concerns and potential root surface issues.
  • Traditional root coverage techniques can be challenging, especially for multiple adjacent defects.

Purpose of the Study:

  • To evaluate the efficacy of the tunneling technique with acellular dermal matrix (ADM) for root coverage in Miller Class I and II gingival recession.
  • To assess clinical outcomes and patient-reported data following ADM-assisted root coverage.

Main Methods:

  • Five subjects with adjacent buccal gingival recession defects were treated using the tunneling technique with ADM.
  • Clinical parameters including probing depth, clinical attachment level, and recession measurements were recorded.
  • Gingival tissue thickness, plaque index, gingival index, and wound healing were assessed postoperatively.

Main Results:

  • An average of 61% defect coverage, translating to 93.5% root coverage, was achieved.
  • A mean increase in gingival tissue thickness of 0.15 mm was observed at 1 year.
  • The technique demonstrated good patient comfort and overall quality assessment.

Conclusions:

  • The tunneling technique with ADM is a viable and effective option for root coverage, particularly for multiple adjacent gingival recession defects.
  • This approach offers a promising alternative to conventional surgical methods for treating gingival recession in specific anatomical locations.