Modified Tunnel Procedure to Facilitate Ridge Reconstruction of an Extraction Socket Associated with Buccal Dehiscence and Gingival Recession: A Case Report with a 6-year Follow-Up

Felice Ascenzi; Andrell Hosein; Emily Ming-chieh Lu; Kevin Seymour

doi:10.1155/2023/6614653

Modified Tunnel Procedure to Facilitate Ridge Reconstruction of an Extraction Socket Associated with Buccal Dehiscence and Gingival Recession: A Case Report with a 6-year Follow-Up

Felice Ascenzi, Andrell Hosein, Emily Ming-chieh Lu, Kevin Seymour (Editor)

Centre for Clinical Education, Faculty of Dentistry, Oral and Craniofacial Sciences, King’s College London, Guy’s Hospital, Great Maze Pond, London SE1 9RT, UK
Department of Clinical and Molecular Sciences, Università Politecnica delle Marche, Piazza Roma, 22, Ancona 60121, Italy
Periodontology Unit, Centre for Host-Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King’s College London, Guy’s Hospital, Great Maze Pond, London SE1 9RT, UK

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Abstract

Introduction. Extraction sockets associated with buccal dehiscences and gingival recessions pose particular surgical and restorative challenges. In these cases, unassisted healing following flapless tooth extraction results in severe bone and soft tissue deformities and an aesthetic compromise. Root coverage procedures prior to ridge reconstruction may enable predictable alveolar augmentation. Case Presentation. This is the first case report describing the utilisation of modified tunnel procedure to facilitate ridge reconstruction consisting of ovate pontic and xenograft, of tooth #25 in a 38-year-old-male. The 6 months and 1-year reviews showed optimal soft tissue aesthetics, 100% root coverage of the tooth #25, and bone augmentation, which enabled placement of 10.0 mm×4.0 mm (3i) implant in a prosthetically driven position. The 6-year review continued to show favourable clinical outcomes. Conclusion. Compromised extraction sockets containing buccal dehiscence and associated with gingival recessions may benefit from soft tissue augmentation procedures to enhance the clinical outcome of ridge reconstruction.

Original language	English
Article number	6614653
Pages (from-to)	1-10
Journal	Case Reports in Dentistry
Volume	2023
Early online date	3 May 2023
DOIs	https://doi.org/10.1155/2023/6614653
Publication status	Published - 2023

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10.1155/2023/6614653Licence: CC BY

Modified Tunnel Procedure to Facilitate Ridge Reconstruction of an Extraction Socket Associated with Buccal Dehiscence and Gingival Recession: A Case Report with a 6-year Follow-UpFinal published version, 3.63 MBLicence: CC BY

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title = "Modified Tunnel Procedure to Facilitate Ridge Reconstruction of an Extraction Socket Associated with Buccal Dehiscence and Gingival Recession: A Case Report with a 6-year Follow-Up",

abstract = "Introduction. Extraction sockets associated with buccal dehiscences and gingival recessions pose particular surgical and restorative challenges. In these cases, unassisted healing following flapless tooth extraction results in severe bone and soft tissue deformities and an aesthetic compromise. Root coverage procedures prior to ridge reconstruction may enable predictable alveolar augmentation. Case Presentation. This is the first case report describing the utilisation of modified tunnel procedure to facilitate ridge reconstruction consisting of ovate pontic and xenograft, of tooth #25 in a 38-year-old-male. The 6 months and 1-year reviews showed optimal soft tissue aesthetics, 100% root coverage of the tooth #25, and bone augmentation, which enabled placement of 10.0 mm×4.0 mm (3i) implant in a prosthetically driven position. The 6-year review continued to show favourable clinical outcomes. Conclusion. Compromised extraction sockets containing buccal dehiscence and associated with gingival recessions may benefit from soft tissue augmentation procedures to enhance the clinical outcome of ridge reconstruction.",

author = "Felice Ascenzi and Andrell Hosein and Lu, {Emily Ming-chieh} and Kevin Seymour",

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Modified Tunnel Procedure to Facilitate Ridge Reconstruction of an Extraction Socket Associated with Buccal Dehiscence and Gingival Recession : A Case Report with a 6-year Follow-Up. / Ascenzi, Felice; Hosein, Andrell; Lu, Emily Ming-chieh et al.

In: Case Reports in Dentistry, Vol. 2023, 6614653, 2023, p. 1-10.

Research output: Contribution to journal › Article › peer-review

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N2 - Introduction. Extraction sockets associated with buccal dehiscences and gingival recessions pose particular surgical and restorative challenges. In these cases, unassisted healing following flapless tooth extraction results in severe bone and soft tissue deformities and an aesthetic compromise. Root coverage procedures prior to ridge reconstruction may enable predictable alveolar augmentation. Case Presentation. This is the first case report describing the utilisation of modified tunnel procedure to facilitate ridge reconstruction consisting of ovate pontic and xenograft, of tooth #25 in a 38-year-old-male. The 6 months and 1-year reviews showed optimal soft tissue aesthetics, 100% root coverage of the tooth #25, and bone augmentation, which enabled placement of 10.0 mm×4.0 mm (3i) implant in a prosthetically driven position. The 6-year review continued to show favourable clinical outcomes. Conclusion. Compromised extraction sockets containing buccal dehiscence and associated with gingival recessions may benefit from soft tissue augmentation procedures to enhance the clinical outcome of ridge reconstruction.

AB - Introduction. Extraction sockets associated with buccal dehiscences and gingival recessions pose particular surgical and restorative challenges. In these cases, unassisted healing following flapless tooth extraction results in severe bone and soft tissue deformities and an aesthetic compromise. Root coverage procedures prior to ridge reconstruction may enable predictable alveolar augmentation. Case Presentation. This is the first case report describing the utilisation of modified tunnel procedure to facilitate ridge reconstruction consisting of ovate pontic and xenograft, of tooth #25 in a 38-year-old-male. The 6 months and 1-year reviews showed optimal soft tissue aesthetics, 100% root coverage of the tooth #25, and bone augmentation, which enabled placement of 10.0 mm×4.0 mm (3i) implant in a prosthetically driven position. The 6-year review continued to show favourable clinical outcomes. Conclusion. Compromised extraction sockets containing buccal dehiscence and associated with gingival recessions may benefit from soft tissue augmentation procedures to enhance the clinical outcome of ridge reconstruction.

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Modified Tunnel Procedure to Facilitate Ridge Reconstruction of an Extraction Socket Associated with Buccal Dehiscence and Gingival Recession: A Case Report with a 6-year Follow-Up

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