Akademik Veri Yönetim Sistemi
10,Uluslararası Osseointegrasyon Kongresi, İstanbul, Türkiye, 26 - 28 Eylül 2024, ss.30-31, (Özet Bildiri)
Application of Connective Tissue Graft with Modified Tunnel Technique in the Treatment of Localized Gingival Recession Şevval Yılmaz 1, Cemresu Tabar 1, Yağmur Ünlü 1, Halil Erhan Fıratlı 1 1 İstanbul University, Institute of Health Sciences,Department of Periodontology, İstanbul-Turkiye Gingival recession is defined as the exposure of the root surface and displacement of the gingival margin apically. There are different methods for the treatment of gingival recession. Treatments such as coronally shifted flap, connective tissue graft, modified tunnel technique can be applied. In this case report, treatment of gingival recession in the maxillary canine-premolar region with tunnel technique and connective tissue graft was aimed. MATERIALS AND METHODS A systemically healthy 26-year-old male patient was admitted to the Department of Periodontology Clinics of Istanbul University Faculty of Dentistry. After radiologic and clinical examination, Cairo class I gingival recession was detected in the right maxillary teeth 13, 14, 15. The patient had sensitivity and aesthetic complaints due to loss of attachment. Firstly, non-surgical periodontal treatment was applied and oral hygiene education was given. Periodontal soft tissue surgery was planned 1 month after the first-line periodontal treatment. In the modified tunnel technique, the recipient site was prepared, free gingival graft was taken from the palatinal region and deepithelialized. It was placed in the recipient site and fixed to composite guides placed in the interdental areas with 6.0 polyvinylidene flouride sutures. RESULTS Gingival recessions in the maxillary right upper region with an initial average attachment loss of 2 mm were treated with postoperative attachment gain of 2 mm, and the thin gingival phenotype was converted to thick phenotype with the application of connective tissue. CONCLUSION Connective tissue grafting in combination with the modified tunnel technique is minimally invasive approach in the treatment of gingival recession and meets aesthetic expectations.