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Featured Article

Graftless Tunnel Technique for the Treatment of Multiple Gingival Recessions in Sites with Thick or Very Thick Biotype: A Prospective Case Series
Giulio Rasperini, DDS/Michele Codari, DDS/Enrico Limiroli, DDS/Raffaele Acunzo, DDS/Lorenzo Tavelli, DDS/Ausra Znamenskaite Levickiene, DDS

Minimally invasive techniques for root coverage continue to be a topic of high interest for our readership. In this issue, Rasperini et al publish their research “Graftless Tunnel Technique for the Treatment of Multiple Gingival Recessions in Sites with Thick or Very Thick Biotype: A Prospective Case Series.” The report presents a prospective case series to investigate the efficacy of graftless tunnel technique (TUN) in the treatment of multiple gingival recessions (GRs) characterized by thick or very thick biotype. Twenty-seven GRs were treated in seven patients using graftless TUN. At 6-month postoperative evaluations, the mean root coverage was 84.57% ± 31.1%, while complete root coverage was achieved in 77.8% of treated GR sites and in six out of seven patients. TUN technique is normally performed in combination with soft tissue grafts, either autogenous connective tissue graft or substitutes, regardless of a patient’s biotype; however, the authors utilize TUM successfully without the addition of a graft. This report raises questions as to the balance between minimally invasive approaches with predictable efficacy.

What's New

• Editorial: Significance of Peri-implant Keratinized Mucosa Width and Soft Tissue Thickness

  Hom-Lay Wang, DDS, MS, PhD/ Giovanni Zucchelli, DDS, PhD
  

• A “Graft Less” Approach for Dental Implant Placement in Posterior Edentulous Sites

  Craig M. Misch, DDS, MDS/ Waldemar D. Polido, DDS, MS, PhD
  
  

• Connective Tissue Grafts with Nonincised Papillae Surgical Approach for Periodontal Reconstruction in Noncontained Defects

  Jose A. Moreno Rodríguez, DDS, MSc/ Antonio J. Ortiz Ruiz, DDS, MSc, PhD/ Guillermo Pardo Zamora, DDS, MSc, PhD/ Miguel Pecci-Lloret, DDS/ Raúl G. Caffesse, DDS, MS, Dr Odont
  
  

• Preservation of Peri-implant Soft Tissues Following Immediate Postextraction Implant Placement. Part II: Clinical Evaluation

  Daniele Cardaropoli, DDS/ Lorenzo Tamagnone, DDS/ Alessandro Roffredo, DDS/ Andrea De Maria, DDS/ Lorena Gaveglio, DDS
  
  

• A Clinical and Radiographic Retrospective Study on 223 Anodized Surface Implants with a 5- to 17-Year Follow-up

  Luca Ferrantino, DDS, MSc, PhD/ Francesco Tironi, DDS/ Stefano Pieroni, DDS/ Alessandra Sironi, DEH/ Massimo Simion, MD, DDS
  
  

• Assessment of Peri-implant Soft Tissue Adaptive Pressure and Time After Provisional Restorations

  Jiang-Wu Yao, DDS, MS/ Hom-Lay Wang, DDS, MSD, PhD
  
  

• Randomized Clinical Trial on Single Zirconia Crowns with Feather-Edge vs Chamfer Finish Lines: Four-Year Results

  Edoardo Ferrari Cagidiaco, DDS/ Nicola Discepoli, DDS, MSc, PhD/ Cecilia Goracci, DDS, MSc, PhD/ Fabio Carboncini, DDS/ Paolo Vigolo, DDS, MSc/ Marco Ferrari, MD, DMD, PhD
  
  

• Graftless Tunnel Technique for the Treatment of Multiple Gingival Recessions in Sites with Thick or Very Thick Biotype: A Prospective Case Series

  Giulio Rasperini, DDS/ Michele Codari, DDS/ Enrico Limiroli, DDS/ Raffaele Acunzo, DDS/ Lorenzo Tavelli, DDS/ Ausra Znamenskaite Levickiene, DDS
  
  

• Long-Term Follow-up on Root Coverage with a Double Pedicle Flap and Connective Tissue Graft

  Retief Wessels, DDS, MSc/ Aryan Eghbali, DDS, MSc, PhD/ Sam De Roose, DDS/ Thomas De Bruyckere, DDS, MSc/ Stijn Vervaeke, DDS, MSc, PhD/ Jan Cosyn, DDS, MSc, PhD
  
  

• Effectiveness of Adjunctive Use of Low-Level Laser Therapy and Photodynamic Therapy After Scaling and Root Planing in Patients with Chronic Periodontitis

  Kaveri Kranti Gandhi, BDS, MDS/ Rajdeep Pavaskar, BDS, MDS/ Emil G. Cappetta, DMD/ Howard J. Drew, DMD
  
  

• Demonstration of Radiographic Bone Fill in Postextraction Sockets Using a Novel Implant-Site Development Technique: A Retrospective Comparative Case Series

  Bálint Molnár, DMD, PhD/ Tibor Deutsch, PhD/ Rita Marton, DMD/ Kristóf Orbán, DMD/ Anna Martin, DMD/ Peter Windisch, DMD, PhD
  
  

• Mandibular Canal Position in Posterior Mandible: Anatomical Study and Surgical Considerations in Relation to Bone Harvesting Procedures

  Francesco Fistarol, DDS/ Luca De Stavola, DDS, MOM/ Andrea Fincato, DDS/ Eriberto Bressan, DDS, PhD
  
  

• A Less-Invasive Window Design for Lateral Wall Maxillary Sinus Augmentations

  Hafiz Adawi, BDS, MDS, FRCDC/ Parnward Hengjeerajaras, DDS/ Stuart J. Froum, DDS/ Zahra Bagheri, DMD, MSc, CAGS
  
  

• Clinical Evidence of OsseoSpeed EV Implants: A Retrospective Study and Characterization of the Newly Introduced System

  Marco Toia, DDS/ Silvia Galli, DDS, PhD/ Denis Cecchinato, MD, DDS/ Ann Wennerberg, DDS, PhD/ Ryo Jimbo, DDS, PhD
  
  

• Implant-Gingival Unit Stability Around One-Stage Implant with Laser-Microgrooved Collar: Three-Year Result of a Prospective Study

  Renzo Guarnieri, MD, DDS/ Dario Di Nardo, DDS, PhD/ Gianfranco Gaimari, DDS, PhD/ Gabriele Miccoli, DDS, PhD/ Luca Testarelli, DDS, PhD
  
  

• Histologic Evaluation of the Bone Regeneration Capacities of Bio-Oss and MinerOss X in Rabbit Calvarial Defects

  Nasrin Esfahanizadeh, DDS, MS/ Parsa Daneshparvar/ Nasrin Takzaree, MPhil, PhD/ Mehrnoosh Rezvan, DDS, MS/ Niloufar Daneshparvar, DDS
  
  

• Autogenous Dentin Shell Grafts Versus Bone Shell Grafts for Alveolar Ridge Reconstruction: A Novel Technique with Preliminary Results of a Prospective Clinical Study

  Wenlan Xiao/ Chen Hu, MD/ Chenyu Chu, DDS, PhD/ Yi Man, DDS, PhD
  
  

• Long-Term Implant Survivability of an Implant Having Direct Contact with Cementum-Like Tissue in a Preexisting Mandibular Intraosseous Lesion with a 16-Year Longitudinal Follow-up

  Won-Bae Park, DMD, PhD/ Ji-Young Han, DMD, PhD/ Jung Sun Jang, MS/ Kyung Lhi Kang, DDS, PhD/ Philip Kang, DDS
  
  

• Author Index for The International Journal of Periodontics & Restorative Dentistry, Volume 39, 2019