Case Report

Treatment Of Gingival Recession In The Mandibular Anterior Region With An Amnion Chorion Membrane Using The Papilla Access Tunnel Technique – 2 Clinical Case Reports

Volume: 27 Number: 4 December 30, 2024
EN

Treatment Of Gingival Recession In The Mandibular Anterior Region With An Amnion Chorion Membrane Using The Papilla Access Tunnel Technique – 2 Clinical Case Reports

Abstract

The tunnel technique for root coverage and soft tissue augmentation in the mandibular anterior area can pose several challenges, including shallow recession, thin soft tissue, pronounced roots, and alveolar undercuts. These factors can complicate the surgical procedure and lead to poor outcomes. In this context, a papilla access technique has been developed to facilitate the preparation of the tunnel site and the placement of grafts under challenging anatomical conditions. This surgical access method is particularly useful in patients with minimal recession of the mandibular central incisors, where extending the tunnel to include the lateral incisors and canines is necessary for augmentation purposes. This approach offers improved surgical maneuverability for both site preparation and graft placement while minimizing the risk of perforation or trauma to delicate tissues. Overall, the papilla access technique represents a useful addition to the armamentarium of periodontal surgeons for root coverage in the mandibular anterior region and soft tissue augmentation procedures.

Keywords

Ethical Statement

Informed consent was obtained from the patient prior to the start of the treatment and for publication of this case report. Approval was obtained from the institutional ethics committee (Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education) on the 10th of March, 2023 with protocol reference number: 23001

References

  1. 1. Pini Prato G. Mucogingival deformities. Ann Periodontol. 1999;4(1):98–101.
  2. 2. Glossary of Periodontal Terms - AAP Connect [Internet]. [cited 2022 Dec 1]. Available from: https://members.perio.org/libraries/glossary?ssopc=1
  3. 3. Wolff J, Farré-Guasch E, Sándor GK, Gibbs S, Jager DJ, Forouzanfar T. Soft Tissue Augmentation Techniques and Materials Used in the Oral Cavity: An Overview. Implant Dent. 2016 Jun 1;25(3):427–434.
  4. 4. Allen E. The Papilla Access Tunnel Technique for the Treatment of Shallow Recession and Thin Tissue in the Mandibular Anterior Region. Int J Periodontics Restorative Dent. 2020 Mar;40(2):165–169.
  5. 5. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. I. Rationale and technique - PubMed [Internet]. [cited 2022 Dec 1]. Available from: https://pubmed.ncbi.nlm.nih.gov/7995692/
  6. 6. Papageorgakopoulos G, Greenwell H, Hill M, Vidal R, Scheetz JP. Root coverage using acellular dermal matrix and comparing a coronally positioned tunnel to a coronally positioned flap approach. J Periodontol. 2008 Jun;79(6):1022–1030.
  7. 7. Zuhr O, Rebele SF, Schneider D, Jung RE, Hürzeler MB. Tunnel technique with connective tissue graft versus coronally advanced flap with enamel matrix derivative for root coverage: a RCT using 3D digital measuring methods. Part I. Clinical and patient-centred outcomes. J Clin Periodontol. 2014;41(6):582–592.
  8. 8. Wang Y, Stathopoulou PG. Tunneling Techniques for Root Coverage. Curr Oral Health Rep. 2019 Dec 1;6(4):237–243.

Details

Primary Language

English

Subjects

Periodontics

Journal Section

Case Report

Publication Date

December 30, 2024

Submission Date

February 20, 2024

Acceptance Date

December 6, 2024

Published in Issue

Year 1970 Volume: 27 Number: 4

EndNote
Roshni KB, Shetty NJ (December 1, 2024) Treatment Of Gingival Recession In The Mandibular Anterior Region With An Amnion Chorion Membrane Using The Papilla Access Tunnel Technique – 2 Clinical Case Reports. Cumhuriyet Dental Journal 27 4 252–259.

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


CDJ accepts articles in English. Submitting a paper to CDJ is free of charges. In addition, CDJ has not have article processing charges.

Frequency: Four times a year (March, June, September, and December)

IMPORTANT NOTICE

All users of Cumhuriyet Dental Journal should visit to their user's home page through the "https://dergipark.org.tr/tr/user" " or "https://dergipark.org.tr/en/user" links to update their incomplete information shown in blue or yellow warnings and update their e-mail addresses and information to the DergiPark system. Otherwise, the e-mails from the journal will not be seen or fall into the SPAM folder. Please fill in all missing part in the relevant field.

Please visit journal's AUTHOR GUIDELINE to see revised policy and submission rules to be held since 2020.