Tunnel technique periodontal surgery

This article reviews the surgical protocol required to use the tunnel technique in the treatment of multiple adjacent recession defects. Suturing technique for the fixation of the Collagen Membrane-Dr. Following surgery , you will be given an ice pack to apply to the surgical site to help control swelling.

A prescription may be given that time to reduce swelling. In addition, avoid pulling on the lip to look at the graft and no brushing graft site. Other restrictions involve no physical activity for the first week after surgery.

Periodontal plastic therapeutic surgical techniques are the clinician’s tools for correcting such defects. Many surgical protocols have been described to achieve root coverage successfully. I found this technique, i. It is a very sensitive procedure and requires use of operating microscope, microsurgical instruments, delicate handling of the tissues and ample patience while undermining the interdental papilla.

Using micro surgical instruments in a minimal invasive manner, we can avoid tissue damage and we can enhance the healing of the surrounding structures. Whether it is due to age, genetics, overly aggressive brushing, or periodontal disease, many people find that their gums begin to recede over time. Recent advances in periodontal plastic surgery have encouraged reassessment of the envelope technique and its modified version, the tunnel technique , for root coverage.

There is nothing like pin hole in Periodontal surgery , it is a word just to make attractive to patients.

Thus a periodontal plastic surgical procedure was planned to treat the adjacent gingival recession defects using the pouch and tunnel method after obtaining a signed informed consent form from the patient. World Workshop in Clinical Periodontics renamed mucogingival surgery as “ periodontal plastic surgery. This interactive limited attendance course is intended for periodontists and general dentists with surgical experience who wish to learn more about esthetic periodontal plastic surgery procedures for treatment of soft tissue defects at teeth and implant sites. Surgical Technique Courses. Currently, a receding gum line is often treated with either what is called the “pinhole technique ” or the “ tunnel technique.

Tunneling is reported to have success rates of 85. Particular treatment requirements are necessary in the mandibular arch as it presents several anatomic specifications. Mahn adapted the tunnel approach for acellular dermal connective tissue grafting by using.

Initial periodontal therapy, including recommended oral hygiene measures and adult prophylaxis, was performed prior to surgery. To achieve goals of periodontal surgical therapy, minimal invasive surgery can be considered as a potential future for the treatment of periodontal disease with the concept of being minimal in our treatment approaches. Gum disease treatments may cost between $5and $1000.

The author states: “In my. Full-mouth scaling and root planing procedures were performed at least weeks prior to periodontal plastic surgery. A split-thickness flap with a horizontal intrasulcular incision and vertical incisions was used in cases 1– and the modified tunnel technique was used in case for coronal advancement of the mucogingival complex. PRF membrane was inserted inside the subperiosteal tunnel for group I and CTG for group II, and the vertical incision was sutured.

Patients were kept under observation for months. Tunnel technique with connective tissue graft versus coronally advanced flap with enamel matrix derivative for root coverage: a RCT using 3D digital measuring methods. A gold standard treatment approach for coverage of gingival recession with predictable esthetic outcomes is the transplantation of autogenous soft tissue grafts.

Various surgical techniques can be used in combination with autogenous soft tissue. Abstract Aim To evaluate the long‐term outcomes of Acellular Dermal Matrix (ADM) with Coronally Advanced Flap (CAF) or Tunnel technique (TUN) in the treatment of multiple adjacent gingival recessio. In this study, all the sites treated with pouch and tunnel technique showed 1 root coverage.

At the end of year, all the sites showed complete root coverage.