EuroPerio 11, Vienna, Austria, 14 - 17 May 2025, pp.450-451, (Summary Text)
Background: The modified coronally advanced tunnel tech-nique (MCAT) with autogenous grafts has been found to be aneffective treatment method in covering root surfaces. The suc-cess of the treatment can be influenced by various factors. Theaim of this study was to present the 1-year clinical outcomes ofpatients who underwent MCAT and de-epithelialised gingivalgraft (DGG) for the treatment of multiple gingival recessions.
Description of the procedure: Multiple gingival recessioncases from 5 patients who received root coverage treatment inour clinic were included in the study. Clinically, plaque index(PI), gingival index (GI), recession depth (RD) and keratinisedtissue width (KTW) were measured. The MCAT technique with DGG were performed, and the grafts were stabilised witha double-crossed suture technique using 6- 0 monofilament su-tures. Postoperative care was instructed, and the patients werecalled back for follow-up. The sutures were removed at 2 weeks,and the patients were regularly monitored for up to 1 year.Clinical measurements were repeated at 1 year follow-up.
Outcomes: In total, 32 gingival recessions were treated. Themean RD and KTW values were 2.63 ± 1.07 mm and 1.53 ± 1.2 atbaseline and changed to 0.61 ± 0.53 mm and 4.27 ± 1.68, respec-tively, at 1 year. The mean root coverage was 77% while the per-centage of complete root coverage was 50% (16 teeth) at 1 year.
Conclusions: The MCAT technique has emerged as a safe andeffective method in periodontal plastic surgery. When it comesto the quality and stabilisation of the tissue obtained for rootcoverage, the DGG is an effective option to achieve more pre-dictable results.