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Efficacy of tunnel technique in the treatment of localized and multiple gingival recessions: A systematic review and metaâ analysis
dc.contributor.authorTavelli, Lorenzo
dc.contributor.authorBarootchi, Shayan
dc.contributor.authorNguyen, Trang V.N.
dc.contributor.authorTattan, Mustafa
dc.contributor.authorRavidà, Andrea
dc.contributor.authorWang, Hom‐lay
dc.date.accessioned2018-09-04T20:08:12Z
dc.date.available2019-11-01T15:10:33Zen
dc.date.issued2018-09
dc.identifier.citationTavelli, Lorenzo; Barootchi, Shayan; Nguyen, Trang V.N.; Tattan, Mustafa; Ravidà, Andrea ; Wang, Hom‐lay (2018). "Efficacy of tunnel technique in the treatment of localized and multiple gingival recessions: A systematic review and metaâ analysis." Journal of Periodontology 89(9): 1075-1090.
dc.identifier.issn0022-3492
dc.identifier.issn1943-3670
dc.identifier.urihttps://hdl.handle.net/2027.42/145520
dc.description.abstractBackgroundTunnel technique (TUN) has recently gained popularity among clinicians for its promising clinical and esthetic results in treating gingival recession (GR) defects. However, evidence regarding the efficacy of the TUN is not yet conclusive. Therefore, the aim of the present systematic review and metaâ analysis was to investigate the predictability of TUN and its comparison to the coronally advanced flap (CAF) procedure.MethodsA literature search on PubMed, Cochrane libraries, EMBASE, and handâ searched journals through November 2017 was conducted to identify clinical studies investigating TUN for root coverage procedures. Only randomized controlled trials (RCTs) were considered for the metaâ analysis comparing TUN to CAF.ResultsA total of 20 articles were included in the systematic review and six in the metaâ analysis. The overall calculated mean root coverage (mRC) of TUN for localized and multiple GR defects was 82.75 ± 19.7% and 87.87 ± 16.45%, respectively. Superior results were found in maxillary and in Miller Class I and II GR defects. TUN outcomes may have been enhanced by splitâ thickness flap preparation and microsurgical approach. TUN and CAF had comparable mRC, complete root coverage (CRC), keratinized tissue gain, and root coverage esthetic score when varying combinations of graft material were evaluated. However, CAF demonstrated superior outcomes to TUN when the same graft (connective tissue or acellular dermal matrix) was used in both techniques.ConclusionsTUN is an effective procedure in treating localized and multiple GR defects. Limited evidence is available comparing TUN to CAF; however, CAF seemed to be associated with higher percentage of CRC than was TUN when the same grafts (connective tissue or acellular dermal matrix) were used in both techniques.
dc.publisherThe Joanna Briggs Institute
dc.publisherWiley Periodicals, Inc.
dc.subject.otherevidenceâ based dentistry
dc.subject.othermetaâ analysis
dc.subject.othergingival recession
dc.subject.othertooth root
dc.subject.othersurgical flaps
dc.titleEfficacy of tunnel technique in the treatment of localized and multiple gingival recessions: A systematic review and metaâ analysis
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelDentistry
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/145520/1/jper10154.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/145520/2/jper10154_am.pdf
dc.identifier.doi10.1002/JPER.18-0066
dc.identifier.sourceJournal of Periodontology
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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