Tunnel Technique With Connective Tissue Graft For Gingival Recession

Gingival recession associated with non-carious cervical lesions (NCCL) poses both esthetic and functional challenges. This case report highlights a minimally invasive tunnel technique combined with a connective tissue graft (CTG) to achieve optimal root coverage and soft tissue augmentation. A 35-year-old patient presented with Miller Class I gingival recession in the maxillary anterior region, diagnosed with chronic periodontitis (Stage I, Grade A). Prior composite restorations and all-ceramic veneers failed due to recurrent NCCL. A tunnel technique was performed to preserve papillae, and CTG was harvested from the palate and inserted into the tunnel. Suspensory sutures (Suprabond, Sun Medical) ensured graft stabilization. The patient reported no postoperative pain, and healing was uneventful. At the one-year follow-up, complete root coverage was achieved with stable gingival architecture, enhanced soft tissue thickness, and no step defects or black triangles. This case demonstrates the effectiveness of the tunnel technique with CTG as a minimally invasive and esthetically superior approach for managing NCCL-related gingival recession. The technique preserves soft tissue integrity, minimizes morbidity, and ensures long-term stability. Further studies and clinical reports can help validate its broader application The tunnel technique with CTG is a minimally invasive, predictable approach for treating NCCL-related gingival recession. It enhances esthetics, preserves soft tissue integrity, and ensures long-term stability, making it a valuable technique in periodontal plastic surgery.