Management of gingival recession with modified coronally advanced tunnel technique: Case report

Dewina Marsha Larasati * and Shafira Kurnia Supandi

Department of Periodontology, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia. Jl. Mayjend. Prof. Dr. Moestopo No. 47 Surabaya 60132, Indonesia.
Case Study
World Journal of Advanced Research and Reviews, 2024, 22(03), 1488–1492
Article DOI: 10.30574/wjarr.2024.22.3.1820


Publication history: 
Received on 07 May 2024; revised on 18 June 2024; accepted on 21 June 2024
Introduction: Gingival recession is characterized by apical migration of the gingival margin from the cementoenamel junction (CEJ), with concomitant exposure of the root surface. Teeth with gingival recession often experience pain in response to thermal, chemical, and tactile stimuli to the exposed dentine. This is known as dentin hypersensitivity. Dentin hypersensitivity is characterized by exposed dentinal tubules most often due to gingival recession and loss of cementum through erosion, abrasion, or other factors.
Patient’s main concerns: A-20-years-old male patient visited to Periodontics Clinic Dental Hospital Airlangga University with the main complaint of dentin hypersensitivity in the upper right second premolar. The Systemic is good, had no history of allergies and did not smoke.
Important clinical findings: The recession measured 1 mm facially on the maxillary right second premolar. Case and Management: Prior to surgery, scaling and root planing was performed to eliminate debris and calculus. Two weeks afterward, modified coronally advanced tunnel technique was done for dentin hypersensitivity treatment. One month evaluation, dentin hypersensitivity disappeared. 
Conclusion: Modified coronally advanced tunnel technique was the appropriate treatment to treat dentin hypersensitivity. This technique achieved healthy keratinized tissue and coverage of the root surface.
Dentin Hypersensitivity; Gingival Recession; Coronally Advanced Flap; Modified Coronally Advanced Tunnel Technique; Acellular Dermal Matrix
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