Treatment Of Gingival Recession In The Mandibular Anterior Region With An Amnion Chorion Membrane Using The Papilla Access Tunnel Technique – 2 Clinical Case Reports

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The tunnel technique for root coverage and soft tissue augmentation in the mandibular anterior area can pose several challenges, including shallow recession, thin soft tissue, pronounced roots, and alveolar undercuts. These factors can complicate the surgical procedure and lead to poor outcomes. In this context, a papilla access technique has been developed to facilitate the preparation of the tunnel site and the placement of grafts under challenging anatomical conditions. This surgical access method is particularly useful in patients with minimal recession of the mandibular central incisors, where extending the tunnel to include the lateral incisors and canines is necessary for augmentation purposes. This approach offers improved surgical maneuverability for both site preparation and graft placement while minimizing the risk of perforation or trauma to delicate tissues. Overall, the papilla access technique represents a useful addition to the armamentarium of periodontal surgeons for root coverage in the mandibular anterior region and soft tissue augmentation procedures.