Journal of Indian Society of Periodontology
Journal of Indian Society of Periodontology
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CASE REPORT
Year : 2014  |  Volume : 18  |  Issue : 6  |  Page : 776-780

The pouch and tunnel technique for management of multiple gingival recession defects


1 Department of Periodontics, K. L. E. Dental College and Hospital, Bengaluru, Karnataka, India
2 Department of Periodontics, Private Practioner, Oxford Dental College and Hospital, Bengaluru, Karnataka, India
3 Department of Periodontics,Oxford Dental College and Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Sneha Dani
Department of Periodontics, K.L.E Institute of Dental Sciences and Hospital, #20, Yeshwantpur Suburb, Opposite CMTI, Tumkur Road, Bengaluru 500 092, Karnataka
India
Sneha Dani
Department of Periodontics, K.L.E Institute of Dental Sciences and Hospital, #20, Yeshwantpur Suburb, Opposite CMTI, Tumkur Road, Bengaluru 500 092, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-124X.147431

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The desire for improved esthetics has increased tremendously over the years. Periodontal plastic surgery deals with regenerative procedures designed to restore form, function and enhance esthetics. The aim of this study was to evaluate the effectiveness of subepithelial connective tissue graft using pouch and tunnel technique as root coverage procedure. Three patients corresponding to a total of 8 sites participated in the study. Maxillary teeth with miller's class I gingival recession were included in the study. All the sites were treated using subepithelial connective tissue graft using pouch and tunneling technique. Patients were followed up for a period of 6 months and 1 year. All the treated teeth showed 100% root coverage at the end of 6 months and 1 year. Gingival recession is a common occurrence and its prevalence increases with age. It can lead to clinical problems, diminished cosmetic appeal and hence esthetic concern. There are various techniques for root coverage. Subepithelial connective tissue graft has shown the best predictability (95%) of root coverage in Millers class I & II cases. This technique preserves the intermediate papilla, accelerates the initial wound healing & also applies less traction. Due to minimal trauma at the recipient site, this procedure may be advantageous in treatment of recession as compared to other treatment modalities.


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