Dallas, Texas, USA.
J Esthet Restor Dent. 2021 Jan;33(1):152-157. doi: 10.1111/jerd.12712. Epub 2021 Jan 18.
To address the myths and realities of soft tissue grafting with the tunnel technique in the mandibular anterior region.
Myths associated with use of the tunnel technique for soft tissue grafting in the mandibular anterior region are identified and examined. Explanations for the misunderstandings are presented and documented with case examples and evidence from scientific studies.
Six myths are described and the realities are presented.
This report demonstrates that the tunnel technique can be successfully used in the mandibular anterior region in the presence of anatomic features thought to favor the use of more invasive surgical methods.
Soft tissue grafting in the mandibular anterior region has complicating anatomical features including a strong frenal attachment, shallow vestibule and thin tissue. These features may be successfully managed with a free gingival graft, but that procedure results in an uncomfortable experience for the patient. The tunnel technique, especially when combined with an acellular dermal matrix, dramatically improves the patient experience and esthetic outcome without compromising the clinical outcome.
探讨下颌前牙区隧道技术软组织移植的误区与真相。
识别并检查与下颌前牙区隧道技术软组织移植相关的误区，用病例示例和科学研究证据对误解进行解释和记录。
描述了 6 个误区，并呈现了真相。
本报告表明，在解剖结构被认为有利于使用更具侵袭性的手术方法的情况下，隧道技术可成功应用于下颌前牙区。
下颌前牙区软组织移植存在复杂的解剖特征，包括强的系带附着、浅的前庭和薄的组织。这些特征可以通过游离龈移植来有效处理，但该手术会给患者带来不适。隧道技术，特别是与脱细胞真皮基质联合使用时，可在不影响临床效果的情况下，显著改善患者的体验和美观效果。
