Farizan Zata Hadyan and Shafira Kurnia (2019) Multiple Gingival Recession Coverage Treated with Modified Tunneling Technique Using Acellular Dermal Matrix (ADM) Combine with Platelet Rich Fibrin (PRF): A Case Report. In: Proceeding The 4th Periodontic Seminar (Perios4). Program Pendidikan Dokter Gigi Spesialis Periodonsia FKG Unair, Hotel Bumi Surabaya, pp. 69-73. ISBN 978-602-73529-2-6

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Abstract

One of the most common aesthetic concerns associated with the periodontal tissues is gingival recession. Gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins; gingival margin migrates apical to the cemento enamel junction. Although it rarely results in tooth loss, marginal tissue recession is associated with thermal and tactile sensitivity, aesthetic complaints, and a tendency toward root caries. Selection of the most appropriate soft tissue grafting procedure must be done carefully. This search for predictable aesthetic outcome has led to the development of several new and modified surgical technique this past decades, such as modified tunneling technique. In this presentation a- 33-year-old female visited Periodontics Clinic of Dental Hospital Airlangga University with the chief complaint of poor aesthetic and dental sensitivity resulting from exposed root surfaces in mandibular central incisors. Through clinical evaluation revealed, Miller’s class III defect. The recession on buccal teeth 31 and 41 (FDI notation) were 3mm and 4mm. Modified tunnel technique with the use of an acellular dermal matrix (Surederm®) combined with PRF was planned. The treatment of gingival recession through creating “tunnel” beneath the buccal mucosa allows coronal repositioning of the soft tissue with predictable root coverage and aesthetic. Horizontal incision enable placement of tissue graft. Based on this report, placement of an acellular dermal matrix combined with PRF with modified tunnel technique is an effective treatment modality with predictable and highly aesthetic result.

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