Clinical Evaluation of the Modified Laterally Stretched Technique (RT2) Gingival Recession vs Tunneling With CT Grafting

Clinical Evaluation of the Modified Laterally Stretched Technique in the Gingival Recession Sites of the Lower Anterior Teeth (RT2) vs Tunneling With Connective Tissue Grafting in Both Techniques: A Randomized Clinical Trial

Regression analysis in a recent systematic review showed significantly greater mRC and CRC values when modifications are done to the TUN procedure to achieve more coronal advancement of the flap, coronal advancement also helps in covering the underlying graft for better recession coverage outcomes (Tavelli et al., 2018), limited data is present on the possible influence of a covered or partially uncovered graft. However, it has been suggested that minimal exposure of the CTG may aid not only in achieving CRC but also a harmonious gingival margin (John et al., 2015; Rasperini et al., 2011).

• Single or multiple RT2 gingival recession site/sites in the lower anterior teeth.
• Age >/= 18 years.
• Patients with healthy or treated periodontal conditions.
• Patients willing to participate in the study.
• Absence of uncontrolled medical conditions.
• Full mouth plaque score </= 20% (O'Leary 1972).
• Full mouth bleeding score <20% (Ainamo and Bay 1975).
• Patients with aesthetic concerns.

Exclusion Criteria:

• Pregnant or lactating females.
• deep recession sites more than 5 mm
• Tobacco smoking.
• Uncontrolled medical conditions.
• Uncooperative patients or unable to complete the study.
• Patients treated with any medication known to cause gingival hyperplasia.
• No occlusal interferences.