Efficacy of tunnel technique in the treatment of localized and multiple gingival recessions: A systematic review and meta-analysis

Journal of Periodontology
Lorenzo TavelliHom-Lay Wang

Abstract

Tunnel 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 meta-analysis was to investigate the predictability of TUN and its comparison to the coronally advanced flap (CAF) procedure. A literature search on PubMed, Cochrane libraries, EMBASE, and hand-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 meta-analysis comparing TUN to CAF. A total of 20 articles were included in the systematic review and six in the meta-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 split-thickness flap preparation and microsurgical approach. TUN and CAF had comparable mRC, complete root coverage (CRC), keratinized tissue gain, and root coverage es...Continue Reading

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Citations

Mar 22, 2019·Acta Odontologica Scandinavica·Vittorio MoraschiniMonica Diuana Calasans-Maia
Aug 6, 2019·Journal of Dental Research·L TavelliH L Wang
Aug 29, 2019·Journal of Periodontology·Giovanni ZucchelliWilliam V Giannobile
May 12, 2020·Journal of Periodontology·Shayan BarootchiHom-Lay Wang
Jul 13, 2020·Journal of Clinical Periodontology·Francesco CairoMaurizio Tonetti
May 16, 2019·Cranio : the Journal of Craniomandibular Practice·Roger Solow
Nov 6, 2020·Journal of Periodontology·Giulio RasperiniWilliam V Giannobile
Nov 21, 2020·Clinical Advances in Periodontics·Gerardo José Chacón RamírezHom-Lay Wang
Jan 14, 2021·Australian Dental Journal·V KofinaS Y Rawal
Feb 11, 2021·Clinical and Experimental Dental Research·Kristina BertlAndreas Stavropoulos
Jul 8, 2021·Clinical Advances in Periodontics·Rodrigo Martin-CabezasOlivier Huck
Dec 1, 2021·Clinical and Experimental Dental Research·Sourav PandaMassimo Del Fabbro

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