Evaluation of Root Coverage Using Subepithelial Connective Tissue Graft in Combination  with Tunnel Technique

Authors

  • Jawairia Zaman Department of Oral and Maxillofacial Surgery, Al-Aleem Medical College, Lahore Pakistan
  • Muhammad Azeem Department of Oral and Maxillofacial Surgery, Punjab Dental Hospital, Lahore Pakistan
  • Hafiza Mahnoor Kaleem Department of Prosthodontics, University College of Medicine and Dentistry/University of Lahore Pakistan
  • Armaghan Israr Mirza Department of Oral and Maxillofacial Surgery, King Edward Medical University/Mayo Hospital, Lahore Pakistan
  • Zukhruf Ashraf Department of Prosthodontics, University College of Medicine and Dentistry/University of Lahore Pakistan
  • Waleed Javaid Toosy Department of Prosthodontics, Avicena Medical and Dental College, Lahore Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75i4.11746

Keywords:

Gingival recession, Subepithelial connective tissue graft, Tunnel technique

Abstract

Objective: To evaluate the frequency of complete root coverage when using a graft of subepithelial connective tissue inserted with tunneling technique in patients with gingival recession.

Study Design: Prospective longitudinal study.

Place and Duration of Study: Department of Oral and Maxillofacial Surgery, de’Montmorency College of Dentistry, Punjab Dental Hospital, Lahore, Pakistan, from Apr to Oct 2022.

Methodology: A total of 80 cases, male and female, diagnosed with gingival recession classified as Millers Classes I or II, between the ages of 18 to 65 years, were enrolled in this study. Patients who smoked, had pre-existing medical comorbidities, exhibited parafunctional habits (bruxism, nail biting, clenching) or had preexisting periodontal disease were excluded. Probing depth at the site of gingival recession was assessed on the 1st, 7th, 21st and 90th day post-operatively. The success of the procedure was determined by the presence or absence of complete root coverage after 90 days.

Results: Mean age was found to be 35.16±9.47 years, with 15(18.8%) male patients and 65(81.3%) female patients. Complete root coverage was present in 57(71.3%) patients. The mean preoperative periodontal depth was 1.17±0.28 mm which improved to mean 1.03±0.25 mm at 90th post-op day, this was found to be statistically significant.

Conclusion: Root coverage with subepithelial connective tissue graft using tunnel technique showed comparable results to already existing techniques.

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References

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Published

30-08-2025

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Original Articles

How to Cite

1.
Zaman J, Azeem M, Kaleem HM, Mirza AI, Ashraf Z, Toosy WJ. Evaluation of Root Coverage Using Subepithelial Connective Tissue Graft in Combination  with Tunnel Technique. Pak Armed Forces Med J [Internet]. 2025 Aug. 30 [cited 2025 Sep. 5];75(4):722-6. Available from: https://www.pafmj.org/PAFMJ/article/view/11746