ReviewInternational journal of dentistry2023
Efficacy of Tunnel Technique (TUN) versus Coronally Advanced Flap (CAF) in the Management of Multiple Gingival Recession Defects: A Meta-Analysis.
Review in International journal of dentistry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Clinical efficacy of Vestibular Incision Subperiosteal Tunnel Access (VISTA) for treatment of multiple gingival recession defects: a systematic review, meta-analysis and meta-regression.Clinical oral investigations · 2023Pooled it
- Trial
- Clinical and aesthetic outcomes of enamel matrix derivative and subepithelial connective tissue graft using the modified coronally advanced tunnel technique: a randomized controlled trial.Journal of applied oral science : revista FOB · 2026Trial
- Effectiveness of Photobiomodulation as a Treatment for Xerostomia in Patients with Head and Neck Cancer Undergoing Radiotherapy: A Systematic Review and Meta-Analysis.Dentistry journal · 2026Review
- Intraosseous Temperature Predictors During Osteotomy with Helix GM (Titanium) and Zi Compact Drill Systems (Zirconium): A Linear Regression Study.Dentistry journal · 2026Article
- Double-vestibular incision subperiosteal tunnel access (double-VISTA) with connective tissue graft for treating multiple gingival recessions: 2-year follow-up.Clinical advances in periodontics · 2026Article
- Thermographic-Infrared Changes During Surgical Osteotomy Influenced by the Motor Type, System, and Diameter.International journal of dentistry · 2026Article
- Comparison of Clinical and Esthetic Results of Different Techniques in the Treatment of Multiple Gingival Recessions.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2025Observational
- A modified anchored suturing technique for enhanced flap stability in periodontal plastic surgery: A case series.Journal of advanced periodontology & implant dentistry · 2025Article
- Clinical efficacy of tunnel flap combined with de-epithelialized connective tissue graft in treating gingival recession: a case-series study.Odontology · 2025Article
- Comparative Effectiveness of Tunneling vs. Coronally Advanced Flap Techniques for Root Coverage: A 6-12-Month Randomized Clinical Trial.Bioengineering (Basel, Switzerland) · 2025Article
- Long-term assessment of a modified tunneling technique for root coverage in lower anterior gingival recession: a retrospective study.Journal of periodontal & implant science · 2025Article
- Multiple Recessions Coverage Using the Modified Tunnel Technique and Connective Tissue Graft with or Without Cross-Linked Hyaluronic Acid: 2-Year Outcomes of RCT.Journal of functional biomaterials · 2025Article
- A Comparison between the Tunnel Technique with Autogenous Grafts and Coronally Advanced Flap for Root Coverage of Multiple Gingival Recessions: A Randomized Clinical Trial.Frontiers in dentistry · 2025Article
- Surgical Free Gingival Root Coverage Graft Embedded in a Modified Subperiosteal Flap: A Novel Case Report.Case reports in dentistry · 2025Article
- Tunnel Technique and Subepithelial Connective Tissue Graft, With or Without Cross-Linked Hyaluronic Acid, in the Treatment of Multiple Gingival Recessions: Prognostic Parameters for Clinical Treatment Outcomes of Randomized Controlled Trial.Journal of clinical medicine · 2024Article
- Root Coverage Techniques: Coronally Advancement Flap vs. Tunnel Technique: A Systematic Review and Meta-Analysis.Dentistry journal · 2024Review
- Exploratory study on a novel minimally invasive tunnel like flap approach for orthodontic movement of dental implants.Clinical oral investigations · 2024Article
- Comparative evaluation of vestibular incision subperiosteal tunnel access and coronally advanced flap in adjunction with platelet-rich fibrin for maxillary gingival recession - A randomized controlled study.Journal of Indian Society of PeriodontologyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: We systematically assessed the efficacy of tunnel technique (TUN) vs. coronally advanced flap (CAF) in the management of multiple gingival recession defects in adults. Methods: Five databases were searched until September 2021 for randomized controlled trials (RCTs) assessing TUN vs. CAF; grafts of interest were acellular dermal matrix (ADM) and connective tissue graft (CTG). Primary outcomes were root coverage (RC) and complete root coverage (CRC). Secondary outcomes were clinical attachment level (CAL), keratinized tissue width (KTW), probing depth (PD), and recession coverage (REC). Effect measures were risk ratio (RR) or mean difference (MD) with their confidence intervals (95% CI). Inverse variance methods and random-effects model meta-analyses were used. Subgroup analyses by the type of graft were performed. Quality of evidence was assessed using GRADE methodology. Results: Five RCTs ( Conclusions: In adults with gingival recessions, TUN had similar primary and secondary outcomes in comparison with CAF. Subgroup analyses by the type of graft did not affect main conclusions. More RCTs with better design are needed to further characterize the effects of TUN vs. CAF in the treatment of multiple gingival recession defects.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.