Evidence map›Paper›PMID 40844211›Full record

ArticleClinical and experimental dental research2025

Modified Coronally Advanced Tunnel Technique With Porcine Dermal Matrix for Recession Treatment: 12-Month Follow-Up.

Erik Würflein, Sebastian Ollinger, Anton Sculean, Kirstin Vach, Victoria Constanze Landwehr, Katja Nelson, Betül Dursun, Susanne Nahles, Pd Gerhard Iglhaut, Tobias Fretwurst

Abstract read
In one paragraph

Article in Clinical and experimental dental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Erik WürfleinDepartment of Oral and Maxillofacial Surgery/Translational Implantology, Faculty of Medicine, Medical Centre - University of Freiburg, Freiburg, Germany.ORCID 0009-0001-3384-0888
Sebastian OllingerDepartment of Oral and Maxillofacial Surgery/Translational Implantology, Faculty of Medicine, Medical Centre - University of Freiburg, Freiburg, Germany.ORCID 0009-0009-3194-7575
Anton SculeanDepartment of Periodontology, University of Bern, Bern, Switzerland.ORCID 0000-0003-2836-5477
Kirstin VachInstitute of Medical Biometry and Statistics, Faculty of Medicine and Medical Centre, University of Freiburg, Freiburg, Germany.ORCID 0000-0001-9278-2203
Victoria Constanze LandwehrDepartment of Oral and Maxillofacial Surgery/Translational Implantology, Faculty of Medicine, Medical Centre - University of Freiburg, Freiburg, Germany.ORCID 0000-0001-9184-6252
Katja NelsonDepartment of Oral and Maxillofacial Surgery/Translational Implantology, Faculty of Medicine, Medical Centre - University of Freiburg, Freiburg, Germany.ORCID 0000-0002-0516-3234
Betül DursunDepartment of Oral and Maxillofacial Surgery/Translational Implantology, Faculty of Medicine, Medical Centre - University of Freiburg, Freiburg, Germany.ORCID 0009-0006-3448-8958
Susanne NahlesDepartment of Oral and Maxillofacial Surgery, Berlin Institute of Health, Corporate Member of Freie Universität Berlin, Charité - Faculty of Medicine Berlin, Humboldt-University of Berlin, Berlin, Germany.ORCID 0000-0001-8522-0763
Pd Gerhard IglhautDepartment of Oral and Maxillofacial Surgery/Translational Implantology, Faculty of Medicine, Medical Centre - University of Freiburg, Freiburg, Germany.ORCID 0000-0002-9874-7238
Tobias FretwurstDepartment of Oral and Maxillofacial Surgery/Translational Implantology, Faculty of Medicine, Medical Centre - University of Freiburg, Freiburg, Germany.ORCID 0000-0003-4769-7610

Funding

This study was supported by the Oral Reconstruction Foundation, Basel, Switzerland (no. 41906).
6 · The paper itself

Abstract

objectivesTo assess the efficacy of the modified coronally advanced tunnel technique (MCAT) with a porcine dermal matrix (PDM) after a 12-month follow-up. There are no other Clinical trials evaluating a PDM over the period of 12 months. MATERIAL AND

methodsPatients with recession type (RT) 1 and RT 2 gingival recessions were treated with the MCAT and a novel PDM. Plaster casts (preoperative and 12 months postoperative) were scanned using a 3Shape Lab Scanner E3. The resulting STL files were imported and superimposed in the open-source software GOM Inspect for analysis. Measurements included recession depth, mean root and total root coverage (mRC and cRC), mean recession reduction (mRR), and gingival thickness. Statistical analysis was performed using mixed linear models.

resultsA total of 77 teeth (19 patients) were included in the study. Healing was uneventful in all patients. The mean preoperative recession depth was 1.26 mm ± 0.86 mm. mRC was 69.47% ± 61.90%, cRC was 29.79%, mRR was 0.87 ± 0.83 mm, and gingival thickness gain was 0.23 ± 0.24 mm, with comparable results for RT 1 and RT 2. Neither tooth type nor jaw type had any effect on root coverage.

conclusionsThe modified coronally advanced tunnel technique in combination with the analyzed porcine dermal matrix demonstrated stable results for root coverage and gingival thickness after 12 months of follow-up.

trial registrationDeutsches Register Klinischer Studien/German Clinical Trial Register (DRKS); DRKS00023201.

Indexed as

Gingival RecessionGingivoplastyAcellular DermisAdultAnimalsFemaleFollow-Up StudiesGingivaHumansMaleMiddle AgedSwineTreatment OutcomeYoung Adultcoronally advanced tunnel techniquedigital measurementgingival recessionporcine dermal matrixrecession reductionrecession typeroot coverage

Identifiers

PMID40844211
PMCPMC12371723

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Registered trials

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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.