Material & Methods: 7 female patients exhibiting multiple gingival recessions were enrolled into the study. Following Phase-I therapy, sCTG operation using tunnel technique was performed. A modified suture technique were used to obtain graft and flap stabilization. Clinical recordings including recession depth, coronally-apically recession width, width of keratinized gingiva, area of recession, the distance between contact point and most coronal part of interproximal papilla were recorded pre-operatively and 6th months post-operatively.
Results: In total 47 teeth were treated with sCTG. The average number of teeth treated per patient was 6.71. On average, a gain of 1,91mm (81,4%) tissue covering on previously exposed root surfaces was achieved at the end of the 6 months. The mean keratinized tissue was 3,14mm at baseline and it was increased to 3,86 mm at 6th months. Full coverage was achieved in 86,7% of the cases with Miller III type recessions, where percent of root coverage was 93,3%.
Conclusion: These findings suggest that subepithelial connective tissue grafting with modified tunnel approach, results in early healing and highly predictable root coverage in Miller Type III gingival recessions.