COMPARISON OF TUNNEL TECHNIQUE WITH CORONALLY ADVANCED FLAP IN THE TREATMENT OF MANDIBULAR GINGIVAL RECESSION – A SYSTEMATIC REVIEW

Abstract

This study will help the clinicians to differentiate between the clinical outcomes of tunnel technique and coronally advanced flap in mandibular gingival recessions.Methodology: Online search of the data and manual searching was done by using keywords. Inclusion and exclusion criteria were strictly followed to select the relevant articles and then screening of all the selected articles was done to finalize the studies to be included in this systematic review.Results: Only one randomized control trial was included in this study and rest 6 articles were case series. Only one study reported about the recession treatment in posterior teeth while rest all studies were done in anterior teeth of mandible. Clinical performance of both techniques were accessed based on the clinical parameters which were probing pocket depth PD, recession depth RD, clinical attachment level (gain or loss), keratinized tissue, complete root coverage CRC and Aesthetics.Conclusion: Both techniques showed very promising results with satisfaction of the clinician and patients as well. Aesthetically tunnel technique was more comfortable for patient but coronally advanced flap covered the root more than tunnel technique. Hence none of the treatment can be considered as the gold standard as a lot of research and direct comparison is required for tunnel and coronally advanced technique in mandible.