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Dişeti Çekilmelerinin Tedavisinde Tünel Tekniği ve Modifikasyonlarının Klinik Etkinliğinin Değerlendirilmesi

Yıl 2024, Cilt: 13 Sayı: 1, 228 - 237, 26.01.2024
https://doi.org/10.54617/adoklinikbilimler.1332104

Öz

Dişeti çekilmesi (DÇ), dişin gingival kenarının mine-sement sınırının apikalinde konumlanması sonucu kök yüzeyinin ağız ortamına açılması olarak tanımlanır. Dişeti çekilmesinin patolojik, fizyolojik, anatomik veya bunların kombinasyonları sebebiyle oluşabileceği ile ilgili farklı düşünceler vardır. Son yıllarda hastaların yüksek estetik beklentilerini karşılamak ve kanlanmayı artırmak gibi sebeplerle papillanın bütünlüğünü koruyan cerrahi prosedürler ön plana çıkmaktadır. Periodontal biyotipi geliştirmek için bir otogreft olan bağ dokusu grefti(BDG) altın standarttır. Tünel tekniği (TUN), konservatif özellikleri ve gelişmiş estetik sonuçları sayesinde sıkça gündeme gelmektedir. Bu yöntem teknik hassasiyeti oldukça yüksek olan olan Modifiye Koronale Pozisyone Tünel Tekniği (MKPTT), Vestibuler İnsizyon Subperiosteal Tünel Tekniği (VISTA), modifiye-Vestibuler İnsizyon Subperiosteal Tünel Tekniği (m-VISTA ) ve Lateral Tünel Tekniği (LTT) modifikasyonların ortaya çıkmasına aracı olmuştur. Son yıllarda çokça uygulanan BDG ve/veya greft benzeri materyallerin kullanımı hasta konforunu artırmaktadır. Bu greft benzeri materyaller sığır/domuz kaynaklı kolajen matriks(KM), hiyalüronik asit(HA), trombositten zengin fibrin(TZF) olabilmektedir. Bu materyaller ile kullanılan çalışmaların sonuçları umut verici görünmektedir. LTT, tekli dişeti çekilmelerinin tedavisinde oldukça başarılı bulunmuştur. MKPTT hem tekli hem de çoklu dişeti çekilmelerinin tedavisinde kök kapama yüzdesi ve keratinize dişeti genişliğinin artırılmasında en yüksek başarıya sahip yöntem olarak öne çıkmaktadır.

Kaynakça

  • Referans1. Zucchelli G, Mounssif I. Periodontal plastic surgery. Periodontol 2000 2015;68:333-68.
  • Referans2. Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, et al. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. J Clin Periodontol 2018;45:219-29.
  • Referans3. Cortellini P, Bissada NF. Mucogingival conditions in the natural dentition: Narrative review, case definitions, and diagnostic considerations. J Periodontol 2018;89:204-13.
  • Referans4. Tugnait A, Clerehugh V. Gingival recession—its significance and management. J Dent 2001;29:381-94.
  • Referans5. Graziani F, Gennai S, Roldan S, Discepoli N, Buti J, Madianos P, et al. Efficacy of periodontal plastic procedures in the treatment of multiple gingival recessions. J Clin Periodontol 2014;41:63-76.
  • Referans6. Toker H, Ozdemir H. Gingival recession: epidemiology and risk indicators in a university dental hospital in Turkey. Int J Dent Hyg 2009;7:115-20.
  • Referans7. Miller PD. A classification of marginal tissue recession. Int Periodontol Rest Dent 1985;5:9-13.
  • Referans8. Pini‐Prato G. The Miller classification of gingival recession: limits and drawbacks. J Clin Periodontol 2011;38:243-5.
  • Referans9. Cairo F, Nieri M, Cincinelli S, Mervelt J, Pagliaro U. The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes: an explorative and reliability study. J Clin Periodontol 2011;38:661-6.
  • Referans10. Zucchelli G, Tavelli L, McGuire M, Rasperini G, Feinberg S, Wang HL, et al. Autogenous soft tissue grafting for periodontal and peri-implant plastic surgical reconstruction. J Periodontol 2020;91:9–16.
  • Referans11. Tavelli L, Barootchi S, Nguyen TV, Tattan M, Ravidà A, Wang HL. Efficacy of tunnel technique in the treatment of localized and multiple gingival recessions: A systematic review and metaanalysis. J Periodontol 2018;89:1075-90.
  • Referans12. De Sanctis M, Zucchelli G. Coronally advanced flap: A modified surgical approach for isolated recession‐type defects: Three‐year results. J Clin Periodontol 2007;34:262-8.
  • Referans13. Caffesse RG, Guinard EA. Treatment of localized gingival recessions: part IV. Results after three years. J Periodontol 1980;51:167-70.
  • Referans14. Zucchelli G, Cesari C, Amore C, Montebugnoli L, De SanctisM. Laterally moved, coronally advanced flap: A modified surgical approach for isolated recession‐type defects. J Periodontol 2004;75:1734-41.
  • Referans15. Cohen DW, Ross SE. The double papillae repositioned flap in periodontal therapy. J Periodontol 1968;39:65-70.
  • Referans16. Sullivan H. Free autogenous gingival grafts. III. Utilization of grafts in the treatment of gingival recession. Periodontics 1968;6:152.
  • Referans17. Nelson SW. The subpedicle connective tissue graft: A bilaminar reconstructive procedure for the coverage of denuded root surfaces. J Periodontol 1987;58:95-102.
  • Referans18. Novaes Jr AB, Grisi DC, Molina GO, Souza SL, Taba Jr M, Grisi MF. Comparative 6‐month clinical study of a subepithelial connective tissue graft and acellular dermal matrix graft for the treatment of gingival recession. J Periodontol 2001;72:1477-84.
  • Referans19. Prato GP, Tinti C, Vincenzi G, Magnani C, Cortellini P, Clauser C. Guided tissue regeneration versus mucogingival surgery in the treatment of human buccal gingival recession. J Periodontol 1992;63:919-28.
  • Referans20. Hammarström L. Enamel matrix, cementum development and regeneration. J Clin Periodontol 1997;24:658-68.
  • Referans21. Cheung WS, Griffin TJ. A comparative study of root coverage with connective tissue and platelet concentrate grafts: 8‐month results. J Periodontol 2004;75:1678-87.
  • Referans22. Chambrone L, Tatakis DN. Periodontal soft tissue root coverage procedures: a systematic review from the AAP Regeneration Workshop. J Periodontol 2015;86:8-51.
  • Referans23. Zuhr O, Rebele S, Cheung S, Hürzeler M. Research Group on Oral Soft Tissue Biology and Wound Healing. Surgery without papilla incision: Tunneling flap procedures in plastic periodontal and implant surgery. Periodontol 2000 2018;77:123-49.
  • Referans24. Raetzke PB. Covering localized areas of root exposure employing the “envelope” technique. J Periodontol 1985;56:397- 402.
  • Referans25. Allen AL. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. I. Rationale and technique. Int J Periodontics Restorative Dent 1994;14.
  • Referans26. Zabalegui I, Sicilia A, Cambra J, Gil J, Sanz M. Treatment of multiple adjacent gingival recessions with the tunnel subepithelial connective tissue graft: a clinical report. Int J Periodontics Restorative Dent 1999;19.
  • Referans27. Zuhr O, Rebele SF, Schneider D, Jung RE, Huerzeler 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;41:582-92.
  • Referans28. Allen AL. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. II. Clinical results. Int J Periodontics Restorative Dent 1994;14.
  • Referans29. Azzi R, Etienne D, Takei H, Fenech P. Surgical thickening of the existing gingiva and reconstruction of interdental papillae around implant-supported restorations. Int J Periodontics Restorative Dent 2002;22.
  • Referans30. Zuhr O, Fickl S, Wachtel H, Bolz W, Hurzeler M. Covering of gingival recessions with a modified microsurgical tunnel technique: case report. Int J Periodontics Restorative Dent 2007;27:457.
  • Referans31. Sculean A, Cosgarea R, Stahli A, Katsaros C, Arweiler NB, Brecx M, et al. The modified coronally advanced tunnel combined with an enamel matrix derivative and subepithelial connective tissue graft for the treatment of isolated mandibular Miller Class I and II gingival recessions: a report of 16 cases. Quintessence Int 2014;45:829-35.
  • Referans32. Zadeh HH. Minimally invasive treatment of maxillary anterior gingival recession defects by vestibular incision subperiosteal tunnel access and platelet-derived growth factor BB. Int J Periodontics Restorative Dent 2011;31:653.
  • Referans33. Chatterjee A, Sharma E, Gundanavar G, Subbaiah SK. Treatment of multiple gingival recessions with vista technique: A case series. J Indian Soc Periodontol 2015;19:232.
  • Referans34. Lee C-T, Hamalian T, Schulze-Späte U. Minimally invasive treatment of soft tissue deficiency around an implant-supported restoration in the esthetic zone: modified VISTA technique case report. J Oral Implantol 2015;41:71-6.
  • Referans35. Fernández-Jiménez A, Estefanía-Fresco R, García-De- La-Fuente A-M, Marichalar-Mendia X, Aguirre-Zorzano L-A. Description of the modified vestibular incision subperiosteal tunnel access (m-VISTA) technique in the treatment of multiple Miller class III gingival recessions: a case series. BMC Oral Health 2021;21:1-11.
  • Referans36. Sculean A, Allen EP. The Laterally Closed Tunnel for the Treatment of Deep Isolated Mandibular Recessions: Surgical Technique and a Report of 24 Cases. Int J Periodontics Restorative Dent 2018;38.
  • Referans37. Quispe-López N, Sánchez-Santos J, Delgado-Gregori J, López-Malla Matute J, López-Valverde N, Zubizarreta-Macho Á, et al. Double Lateral Sliding Bridge Flap versus Laterally Closed Tunnel for the Treatment of Single Recessions in the Mandibular Anterior Teeth: A Pseudorandomized Clinical Trial. J Clin Med 2022;11:2918.
  • Referans38. Guldener K, Lanzrein C, Eliezer M, Katsaros C, Stähli A, Sculean A. Treatment of single mandibular recessions with the modified coronally advanced tunnel or laterally closed tunnel, hyaluronic acid, and subepithelial connective tissue graft: a report of 12 cases. Quintessence Int 2020;51:456-63.
  • Referans39. Langer B, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol 1985;56:715-20.
  • Referans40. Tözüm TF, Keçeli HG, Güncü GN, Hatipoğlu H, Şengün D. Treatment of gingival recession: comparison of two techniques of subepithelial connective tissue graft. J Periodontol 2005;76:1842-8.
  • Referans41. Fernández-Jiménez A, Estefanía-Fresco R, García-De-La-Fuente AM, Marichalar-Mendia X, Aguirre-Urizar JM, Aguirre- Zorzano LA. Comparative study of the modified VISTA technique (m-VISTA) versus the coronally advanced flap (CAF) in the treatment of multiple Miller class III/RT2 recessions: a randomized clinical trial. Clin Oral Investig 2023;27:505-17.
  • Referans42. Stähli A, Dent M, Miron RJ, Deppe H, Dent DM, Cosgarea R, et al. The combined laterally closed, coronally advanced tunnel for the treatment of mandibular multiple adjacent gingival recessions: surgical technique and a report of 11 cases. Quintessence Int 2021;52:576.
  • Referans43. Chowdary PC, Pavan Kumar YS, Murthy KRV, Kishore DT. A Novel Modified‐Vista Technique With Connective Tissue Graft in the Treatment of Gingival Recession: A Case Report. Clin Adv Periodontics 2022;12:75-9.
  • Referans44. Subbareddy BV, Gautami PS, Dwarakanath C, Devi PK, Bhavana P, Radharani K. Vestibular incision subperiosteal tunnel access technique with platelet-rich fibrin compared to subepithelial connective tissue graft for the treatment of multiple gingival recessions: A randomized controlled clinical trial. Contemp Clin Dent 2020;11:249.
  • Referans45. Kumar TA, Gowda TM, Mehta DS, Kumar A. Management of Multiple Gingival Recessions with the VISTA Technique: An 18-Month Clinical Case Series. Int J Periodontics Restorative Dent 2018;38.
  • Referans46. Aroca S, Molnár B, Windisch P, Gera I, Salvi GE, Nikolidakis D, et al. Treatment of multiple adjacent Miller class I and II gingival recessions with a Modified Coronally Advanced Tunnel (MCAT) technique and a collagen matrix or palatal connective tissue graft: a randomized, controlled clinical trial. J Clin Periodontol 2013;40:713-20.
  • Referans47. Cieślik‐Wegemund M, Wierucka‐Młynarczyk B, Tanasiewicz M, Gilowski Ł. Tunnel technique with collagen matrix compared with connective tissue graft for treatment of periodontal recession: a randomized clinical trial. J Periodontol 2016;87:1436-43.
  • Referans48. Tunalı M, Özdemir H, Küçükodacı Z, Akman S, Yaprak E, Toker H, et al. A novel platelet concentrate: titanium-prepared platelet-rich fibrin. Biomed Res Int 2014.
  • Referans49. Agarwal MC, Rathore P, Gummaluri SS, Agarwal P, Kumari S. Vestibular incision subperiosteal tunnel access with titaniumprepared platelet-rich fibrin–A golden approach for treating multiple recession defects in esthetic zone. Contemp Clin Dent 2019;10:682.
  • Referans50. Hegde S, Madhurkar JG, Kashyap R, Kumar MSA, Boloor V. Comparative evaluation of vestibular incision subperiosteal tunnel access with platelet-rich fibrin and connective tissue graft in the management of multiple gingival recession defects: A randomized clinical study. J Indian Soc Periodontol 2021;25:228.

Evaluation of the Clinical Efficiency of Tunnel Technique and Modifications in the Treatment of Gingival Recessions

Yıl 2024, Cilt: 13 Sayı: 1, 228 - 237, 26.01.2024
https://doi.org/10.54617/adoklinikbilimler.1332104

Öz

Gingival recession can be defined as the displacement of the gingival margin apical to the cemento-enamel junction(CEJ) with root surface exposure. There are different opinions about whether gingival recession may occur due to pathological,physiological,anatomical or combinations of these.In recent years, surgical procedures that preserve the integrity of the papilla have come to the fore, for reasons such as meeting the high aesthetic expectations of the patients and increasing the blood supply.Subepithelial connective tissue graft(SCTG) is the gold standard. Tunnel technique(TUN) is frequently on the agenda thanks to its conservative properties and improved aesthetic results.This method has led to the emergence of the Modified Coronally Advanced Tunnel Technique(MCAT), Vestibular Incision Subperiosteal Tunnel Technique(VISTA), modified-Vestibular Incision Subperiosteal Tunnel Technique(m-VISTA) and Lateral Tunnel Technique(LTT). The use of graft-like materials with or without BDG increases patient comfort.These graft-like materials can be bovine/swine-derived collagen matrix(CM), hyaluronic acid(HA), and platelet-rich fibrin(PRF).The results of the studies used with these materials seem promising.LTT has been found to be quite successful in the treatment of single gingival recessions.MCAT stands out as the method with the highest success in increasing the percentage of root surface coverage and keratinized gingival width in the treatment of both single and multiple gingival recessions.

Kaynakça

  • Referans1. Zucchelli G, Mounssif I. Periodontal plastic surgery. Periodontol 2000 2015;68:333-68.
  • Referans2. Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, et al. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. J Clin Periodontol 2018;45:219-29.
  • Referans3. Cortellini P, Bissada NF. Mucogingival conditions in the natural dentition: Narrative review, case definitions, and diagnostic considerations. J Periodontol 2018;89:204-13.
  • Referans4. Tugnait A, Clerehugh V. Gingival recession—its significance and management. J Dent 2001;29:381-94.
  • Referans5. Graziani F, Gennai S, Roldan S, Discepoli N, Buti J, Madianos P, et al. Efficacy of periodontal plastic procedures in the treatment of multiple gingival recessions. J Clin Periodontol 2014;41:63-76.
  • Referans6. Toker H, Ozdemir H. Gingival recession: epidemiology and risk indicators in a university dental hospital in Turkey. Int J Dent Hyg 2009;7:115-20.
  • Referans7. Miller PD. A classification of marginal tissue recession. Int Periodontol Rest Dent 1985;5:9-13.
  • Referans8. Pini‐Prato G. The Miller classification of gingival recession: limits and drawbacks. J Clin Periodontol 2011;38:243-5.
  • Referans9. Cairo F, Nieri M, Cincinelli S, Mervelt J, Pagliaro U. The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes: an explorative and reliability study. J Clin Periodontol 2011;38:661-6.
  • Referans10. Zucchelli G, Tavelli L, McGuire M, Rasperini G, Feinberg S, Wang HL, et al. Autogenous soft tissue grafting for periodontal and peri-implant plastic surgical reconstruction. J Periodontol 2020;91:9–16.
  • Referans11. Tavelli L, Barootchi S, Nguyen TV, Tattan M, Ravidà A, Wang HL. Efficacy of tunnel technique in the treatment of localized and multiple gingival recessions: A systematic review and metaanalysis. J Periodontol 2018;89:1075-90.
  • Referans12. De Sanctis M, Zucchelli G. Coronally advanced flap: A modified surgical approach for isolated recession‐type defects: Three‐year results. J Clin Periodontol 2007;34:262-8.
  • Referans13. Caffesse RG, Guinard EA. Treatment of localized gingival recessions: part IV. Results after three years. J Periodontol 1980;51:167-70.
  • Referans14. Zucchelli G, Cesari C, Amore C, Montebugnoli L, De SanctisM. Laterally moved, coronally advanced flap: A modified surgical approach for isolated recession‐type defects. J Periodontol 2004;75:1734-41.
  • Referans15. Cohen DW, Ross SE. The double papillae repositioned flap in periodontal therapy. J Periodontol 1968;39:65-70.
  • Referans16. Sullivan H. Free autogenous gingival grafts. III. Utilization of grafts in the treatment of gingival recession. Periodontics 1968;6:152.
  • Referans17. Nelson SW. The subpedicle connective tissue graft: A bilaminar reconstructive procedure for the coverage of denuded root surfaces. J Periodontol 1987;58:95-102.
  • Referans18. Novaes Jr AB, Grisi DC, Molina GO, Souza SL, Taba Jr M, Grisi MF. Comparative 6‐month clinical study of a subepithelial connective tissue graft and acellular dermal matrix graft for the treatment of gingival recession. J Periodontol 2001;72:1477-84.
  • Referans19. Prato GP, Tinti C, Vincenzi G, Magnani C, Cortellini P, Clauser C. Guided tissue regeneration versus mucogingival surgery in the treatment of human buccal gingival recession. J Periodontol 1992;63:919-28.
  • Referans20. Hammarström L. Enamel matrix, cementum development and regeneration. J Clin Periodontol 1997;24:658-68.
  • Referans21. Cheung WS, Griffin TJ. A comparative study of root coverage with connective tissue and platelet concentrate grafts: 8‐month results. J Periodontol 2004;75:1678-87.
  • Referans22. Chambrone L, Tatakis DN. Periodontal soft tissue root coverage procedures: a systematic review from the AAP Regeneration Workshop. J Periodontol 2015;86:8-51.
  • Referans23. Zuhr O, Rebele S, Cheung S, Hürzeler M. Research Group on Oral Soft Tissue Biology and Wound Healing. Surgery without papilla incision: Tunneling flap procedures in plastic periodontal and implant surgery. Periodontol 2000 2018;77:123-49.
  • Referans24. Raetzke PB. Covering localized areas of root exposure employing the “envelope” technique. J Periodontol 1985;56:397- 402.
  • Referans25. Allen AL. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. I. Rationale and technique. Int J Periodontics Restorative Dent 1994;14.
  • Referans26. Zabalegui I, Sicilia A, Cambra J, Gil J, Sanz M. Treatment of multiple adjacent gingival recessions with the tunnel subepithelial connective tissue graft: a clinical report. Int J Periodontics Restorative Dent 1999;19.
  • Referans27. Zuhr O, Rebele SF, Schneider D, Jung RE, Huerzeler 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;41:582-92.
  • Referans28. Allen AL. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. II. Clinical results. Int J Periodontics Restorative Dent 1994;14.
  • Referans29. Azzi R, Etienne D, Takei H, Fenech P. Surgical thickening of the existing gingiva and reconstruction of interdental papillae around implant-supported restorations. Int J Periodontics Restorative Dent 2002;22.
  • Referans30. Zuhr O, Fickl S, Wachtel H, Bolz W, Hurzeler M. Covering of gingival recessions with a modified microsurgical tunnel technique: case report. Int J Periodontics Restorative Dent 2007;27:457.
  • Referans31. Sculean A, Cosgarea R, Stahli A, Katsaros C, Arweiler NB, Brecx M, et al. The modified coronally advanced tunnel combined with an enamel matrix derivative and subepithelial connective tissue graft for the treatment of isolated mandibular Miller Class I and II gingival recessions: a report of 16 cases. Quintessence Int 2014;45:829-35.
  • Referans32. Zadeh HH. Minimally invasive treatment of maxillary anterior gingival recession defects by vestibular incision subperiosteal tunnel access and platelet-derived growth factor BB. Int J Periodontics Restorative Dent 2011;31:653.
  • Referans33. Chatterjee A, Sharma E, Gundanavar G, Subbaiah SK. Treatment of multiple gingival recessions with vista technique: A case series. J Indian Soc Periodontol 2015;19:232.
  • Referans34. Lee C-T, Hamalian T, Schulze-Späte U. Minimally invasive treatment of soft tissue deficiency around an implant-supported restoration in the esthetic zone: modified VISTA technique case report. J Oral Implantol 2015;41:71-6.
  • Referans35. Fernández-Jiménez A, Estefanía-Fresco R, García-De- La-Fuente A-M, Marichalar-Mendia X, Aguirre-Zorzano L-A. Description of the modified vestibular incision subperiosteal tunnel access (m-VISTA) technique in the treatment of multiple Miller class III gingival recessions: a case series. BMC Oral Health 2021;21:1-11.
  • Referans36. Sculean A, Allen EP. The Laterally Closed Tunnel for the Treatment of Deep Isolated Mandibular Recessions: Surgical Technique and a Report of 24 Cases. Int J Periodontics Restorative Dent 2018;38.
  • Referans37. Quispe-López N, Sánchez-Santos J, Delgado-Gregori J, López-Malla Matute J, López-Valverde N, Zubizarreta-Macho Á, et al. Double Lateral Sliding Bridge Flap versus Laterally Closed Tunnel for the Treatment of Single Recessions in the Mandibular Anterior Teeth: A Pseudorandomized Clinical Trial. J Clin Med 2022;11:2918.
  • Referans38. Guldener K, Lanzrein C, Eliezer M, Katsaros C, Stähli A, Sculean A. Treatment of single mandibular recessions with the modified coronally advanced tunnel or laterally closed tunnel, hyaluronic acid, and subepithelial connective tissue graft: a report of 12 cases. Quintessence Int 2020;51:456-63.
  • Referans39. Langer B, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol 1985;56:715-20.
  • Referans40. Tözüm TF, Keçeli HG, Güncü GN, Hatipoğlu H, Şengün D. Treatment of gingival recession: comparison of two techniques of subepithelial connective tissue graft. J Periodontol 2005;76:1842-8.
  • Referans41. Fernández-Jiménez A, Estefanía-Fresco R, García-De-La-Fuente AM, Marichalar-Mendia X, Aguirre-Urizar JM, Aguirre- Zorzano LA. Comparative study of the modified VISTA technique (m-VISTA) versus the coronally advanced flap (CAF) in the treatment of multiple Miller class III/RT2 recessions: a randomized clinical trial. Clin Oral Investig 2023;27:505-17.
  • Referans42. Stähli A, Dent M, Miron RJ, Deppe H, Dent DM, Cosgarea R, et al. The combined laterally closed, coronally advanced tunnel for the treatment of mandibular multiple adjacent gingival recessions: surgical technique and a report of 11 cases. Quintessence Int 2021;52:576.
  • Referans43. Chowdary PC, Pavan Kumar YS, Murthy KRV, Kishore DT. A Novel Modified‐Vista Technique With Connective Tissue Graft in the Treatment of Gingival Recession: A Case Report. Clin Adv Periodontics 2022;12:75-9.
  • Referans44. Subbareddy BV, Gautami PS, Dwarakanath C, Devi PK, Bhavana P, Radharani K. Vestibular incision subperiosteal tunnel access technique with platelet-rich fibrin compared to subepithelial connective tissue graft for the treatment of multiple gingival recessions: A randomized controlled clinical trial. Contemp Clin Dent 2020;11:249.
  • Referans45. Kumar TA, Gowda TM, Mehta DS, Kumar A. Management of Multiple Gingival Recessions with the VISTA Technique: An 18-Month Clinical Case Series. Int J Periodontics Restorative Dent 2018;38.
  • Referans46. Aroca S, Molnár B, Windisch P, Gera I, Salvi GE, Nikolidakis D, et al. Treatment of multiple adjacent Miller class I and II gingival recessions with a Modified Coronally Advanced Tunnel (MCAT) technique and a collagen matrix or palatal connective tissue graft: a randomized, controlled clinical trial. J Clin Periodontol 2013;40:713-20.
  • Referans47. Cieślik‐Wegemund M, Wierucka‐Młynarczyk B, Tanasiewicz M, Gilowski Ł. Tunnel technique with collagen matrix compared with connective tissue graft for treatment of periodontal recession: a randomized clinical trial. J Periodontol 2016;87:1436-43.
  • Referans48. Tunalı M, Özdemir H, Küçükodacı Z, Akman S, Yaprak E, Toker H, et al. A novel platelet concentrate: titanium-prepared platelet-rich fibrin. Biomed Res Int 2014.
  • Referans49. Agarwal MC, Rathore P, Gummaluri SS, Agarwal P, Kumari S. Vestibular incision subperiosteal tunnel access with titaniumprepared platelet-rich fibrin–A golden approach for treating multiple recession defects in esthetic zone. Contemp Clin Dent 2019;10:682.
  • Referans50. Hegde S, Madhurkar JG, Kashyap R, Kumar MSA, Boloor V. Comparative evaluation of vestibular incision subperiosteal tunnel access with platelet-rich fibrin and connective tissue graft in the management of multiple gingival recession defects: A randomized clinical study. J Indian Soc Periodontol 2021;25:228.
Toplam 50 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Periodontoloji
Bölüm Derleme
Yazarlar

Ilgın Manav 0000-0002-0426-8261

Ahu Uraz Çörekci 0000-0001-6281-6855

Deniz Çetiner 0000-0002-1903-2999

Yayımlanma Tarihi 26 Ocak 2024
Gönderilme Tarihi 25 Temmuz 2023
Yayımlandığı Sayı Yıl 2024 Cilt: 13 Sayı: 1

Kaynak Göster

Vancouver Manav I, Uraz Çörekci A, Çetiner D. Dişeti Çekilmelerinin Tedavisinde Tünel Tekniği ve Modifikasyonlarının Klinik Etkinliğinin Değerlendirilmesi. ADO Klinik Bilimler Dergisi. 2024;13(1):228-37.