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dc.contributor.authorRibeiro, Fernando S.
dc.contributor.authorZandim-Barcelos, Daniela Leal [UNESP]
dc.contributor.authorPontes, Ana Emilia F.
dc.contributor.authorMantovani, Rafael V.
dc.contributor.authorSampaio, Jose Eduardo C. [UNESP]
dc.contributor.authorMarcantonio, Elcio [UNESP]
dc.identifier.citationJournal of Periodontology. Chicago: Amer Acad Periodontology, v. 79, n. 4, p. 753-758, 2008.
dc.description.abstractBackground: This article reports a clinical case with a 3-year follow-up in which a subepithelial connective tissue graft (SCTG) was used with the tunnel technique to treat multiple gingival recessions, and describes a technique used to enlarge the extension of the graft.Methods: A 41 -year-old female patient was referred for evaluation and treatment of maxillary multiple recessions. Following basic therapy, the plaque index was 23%, and the gingival index was 12%. Thus, SCTG with the tunnel technique was proposed to provide root coverage of Miller Class I recession on teeth #8 through #11 and a Miller Class III recession on tooth #12. After the donor area had been prepared, SCTG was removed and split cross-sectionally to lengthen it. The graft was placed through the tunnel and sutured.Results: Two weeks after the surgical procedure, the tissue color was nearly homogeneous with some reddish regions where the connective tissue was left uncovered, and there were no signs of incisions or suture marks. After 3 years of follow-up, the mean coverage of the recessions was 2.2 +/- 0.7 mm (74.2%), which corresponded to the gain of keratinized tissue. In addition, a gain in tissue thickness was observed.Conclusion: In a long-term evaluation, the tunnel technique with the elongated SCTG was used successfully for treatment of multiple gingival recessions with an increase of the soft tissue volume and gain of keratinized tissue.en
dc.publisherAmer Acad Periodontology
dc.relation.ispartofJournal of Periodontology
dc.sourceWeb of Science
dc.subjectcase reporten
dc.subjectconnective tissueen
dc.subjectgingival recessionen
dc.titleTunnel technique with a surgical maneuver to increase the graft extension: Case report with a 3-year follow-upen
dcterms.rightsHolderAmer Acad Periodontology
dc.contributor.institutionSch Dent
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionEduc Fdn Barretos
dc.description.affiliationSch Dent, Integrated Arts & SciFac Santa Fe, BR-15775000 Santa Fe do Sul, SP, Brazil
dc.description.affiliationSão Paulo State Univ, Sch Dent Araraquara, Araraquara, SP, Brazil
dc.description.affiliationEduc Fdn Barretos, Sch Dent, Barretos, SP, Brazil
dc.description.affiliationUnespSão Paulo State Univ, Sch Dent Araraquara, Araraquara, SP, Brazil
dc.rights.accessRightsAcesso restrito
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Odontologia, Araraquarapt[6]
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