Akademik Veri Yönetim Sistemi
10.Uluslararası Osseointegrasyon Kongresi, İstanbul, Türkiye, 26 - 28 Eylül 2024, ss.34-35, (Özet Bildiri)
Treatment of Multiple Gingival Recessions in Thin Gingival Phenotype with Modified Tunnel Technique Yağmur Ünlü 1, Halil Erhan Fıratlı 2 1Istanbul University, Institute of Graduate Studies in Health Sciences, Department of Periodontology, Istanbul-Turkey 2 Istanbul University, Faculty of Dentistry, Department of Periodontology, Istanbul-Turkey Gingival recession (GR) is the apical displacement of the gingival margin relative to the cemento-enamel junction due to trauma, inflammation or anatomical factors such as gingival phenotype. The tunnel technique for treating GR is a successful minimally invasive technique with less post-operative morbidity and pain. In patients with a thin gingival phenotype, it is possible to increase tissue thickness with a connective tissue graft. This case aimed to treat multiple GR in mandibular incisors with thin phenotype using the modified tunnel technique (MTT). MATERIALS AND METHODS A systemically healthy 27-year-old female patient applied to our clinic with sensitivity and aesthetic complaints in the anterior mandible. Clinical examination revealed Cairo class-I GR in teeth 31, 32, 41 and a thin phenotype. Initial periodontal treatment and oral hygiene education were completed. Connective tissue graft (CTG) with MTT was planned. A split-thickness tunnel was prepared in the recipient site without vertical incision, ensuring flap mobility without disrupting papillae integrity. A de-epithelialized CTG was obtained from the right palatal region. The CTG was placed into the tunnel with guiding sutures, and the flap was positioned coronally with sling sutures. Postoperative antibiotics, analgesics, antiseptic mouthwash were prescribed. The recipient and donor sites healed uneventfully. RESULTS At the 3-month follow-up, complete root closure and thickening of the phenotype was observed. The sensitivity and aesthetic complaints were resolved. CONCLUSION In treating multiple gingival recession with a thin phenotype, the MTT, as a minimally invasive technique with increased vascularization and coronal displacement of the flap, can be successfully used for both root closure and phenotype thickening.