Tunnel technique for recession coverage low insicor

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Posted on 03.07.2018 11:12 AM By snjezana pohl In Soft Tissue Enhancement

Low incisor recessions are generally considered as more difficult to cover. In the majority of cases there is no attached gingiva and strong lip pull. Howie has posted VISTA technique, the technique that I recently also apply as the first choice. However, in my experience if CTG is used and there is no tension, CAF and tunnel technique work equally predictable. Tunnel technique means that incisions are sulcular and the tissue is split. If the tissue is thin I wouldn`t bet that it´s split flap, rather full flap. It means, this presented case with tunnel technique as many other in thin tissue patients is rather full thickness with solely sulcular incisions.

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6 Comments

andoni jones says on 03.10.2018 06:19 AM

Beautiful result Snjezana! After seeing Zucchellis' CT harvest technique (de epitelized free gingival graft) recently on the DentalXP site, I have completely changed the way I harvest. In my hands bilaminar techniques are very unpredictable, sometimes getting terrible quality tissue comprised mainly of adipose tissue. What is your opinion on this? Thanks!!

snjezana pohl says on 03.11.2018 06:23 AM

Thanks, Andony.
For the reason of low morbidity I prefer single incision technique. If the tissue is adipose, the graft is going to be adipose...
It`s good to hear from you again
Snjezana

Delia Tuttle says on 03.10.2018 09:19 PM

Connective tissue is gold ! I like both techniques sulcus aproach or vista. And the most I like your skills ! Well done !

snjezana pohl says on 03.12.2018 12:33 PM

Me too, Delia, I like both of them.
Thank you for your nice comment!
Cheers
Snjezana

Jorge Campos says on 03.12.2018 09:33 AM

Love the video speed! Because you can watch the detail you want to see without looking 10 minutes!
Thanks, and great result!
Regards,
Jorge

snjezana pohl says on 03.12.2018 12:35 PM

Relentless cut off:)) Who has 10 minutes?
Thank you, my friend
Snjezana