<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-199X</journal-id>
<journal-title><![CDATA[Revista odontológica mexicana]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Odont. Mex]]></abbrev-journal-title>
<issn>1870-199X</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Facultad de Odontología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-199X2018000100046</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tratamiento de recesiones gingivales múltiples clase I y III de Miller combinando injerto de tejido conectivo sub-epitelial con técnica en túnel]]></article-title>
<article-title xml:lang="en"><![CDATA[Treatment of multiple Miller class I and III gingival recessions by means of sub-epithelial connective tissue graft and tunnel technique]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lino Aguilar]]></surname>
<given-names><![CDATA[Vianey]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Estrella]]></surname>
<given-names><![CDATA[Ivonne Zuly]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Hernández]]></surname>
<given-names><![CDATA[Rosalía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hurtado Sánchez]]></surname>
<given-names><![CDATA[Araceli]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Benemérita Universidad Autónoma de Puebla Facultad de Estomatología ]]></institution>
<addr-line><![CDATA[Puebla Puebla]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional Autónoma de México Facultad de Odontología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional Autónoma de México Facultad de Odontología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<volume>22</volume>
<numero>1</numero>
<fpage>46</fpage>
<lpage>50</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-199X2018000100046&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-199X2018000100046&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-199X2018000100046&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  La recesión gingival puede estar relacionada con la enfermedad periodontal o condiciones mucogingivales ocasionando hipersensibilidad, caries radicular y problemas estéticos. La combinación de la técnica en túnel y el injerto de tejido conectivo subepitelial puede considerarse una opción para el tratamiento de recesiones gingivales múltiples.  Presentación del caso:  Paciente de sexo femenino de 38 años de edad, al interrogatorio refiere tener hipersensibilidad dentaria en los dientes superiores (13, 14, 22, 23, 24) que presentan recesión gingival. A la valoración periodontal se observan recesiones gingivales clase I y III de Miller en cuadrante I y II, el diagnóstico periodontal es periodonto sano. Para realizar la cobertura radicular se planea combinar la colocación de injerto de tejido conectivo subepitelial con técnica en túnel, siendo un procedimiento adecuado cuando las papilas interdentales son amplias, además de ser una técnica de alta predictibilidad para lograr la cobertura radicular. En este caso, se decidió iniciar por el segundo cuadrante, ya que eran los sitios con mayor hipersensibilidad dentaria y un mes después realizar el tratamiento en el primer cuadrante.  Conclusiones:  La técnica que se aplicó permitió eliminar la hipersensibilidad dentaria en un 100% considerando como única desventaja el doble sitio quirúrgico del sitio donador. Es importante mencionar que además de lograr mejoría en la hipersensibilidad dentaria, se mejoraron las condiciones estéticas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Gingival recession can be associated to periodontal disease or muco-gingival conditions causing hypersensitivity, root caries and esthetic problems. A combination of the tunneling technique with sub-epithelial connective tissue graft can be considered an option for multiple gingival recession treatment.  Case presentation:  A 38 year old female patient who informed of suffering hypersensitivity in upper teeth (13, 14, 22, 23, 24), exhibiting gingival recession. Periodontal evaluation revealed Miller class I and III gingival recessions in quadrants I and II. Periodontal diagnosis was healthy periodontium. In order to achieve root coverage, placement of sub-epithelial connective tissue graft with tunneling was planned. This represents a suitable procedure in cases when interdental papillae are wide, moreover, it constitutes a high predictability technique in order to achieve root coverage. In the present case, it was decided to initiate treatment on the second quadrant since it lodged sites with greater dental hypersensitivity, to be followed a month later by treatment on the first quadrant.  Conclusions: This applied technique allowed for 100% elimination of tooth hypersensitivity, only considering a disadvantage the double surgical site of the donor site. It is important to mention that, in addition to achieving improvement in tooth hypersensitivity, esthetic appearance was improved.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Injerto de tejido conectivo]]></kwd>
<kwd lng="es"><![CDATA[recesión gingival]]></kwd>
<kwd lng="es"><![CDATA[técnica en túnel]]></kwd>
<kwd lng="es"><![CDATA[hipersensibilidad dental]]></kwd>
<kwd lng="en"><![CDATA[Connective tissue graft]]></kwd>
<kwd lng="en"><![CDATA[gingival recession]]></kwd>
<kwd lng="en"><![CDATA[tunneling technique]]></kwd>
<kwd lng="en"><![CDATA[tooth hypersensitivity]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Niklaus]]></surname>
<given-names><![CDATA[PL]]></given-names>
</name>
<name>
<surname><![CDATA[Lindhe]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Clinical periodontology and implant dentistry]]></source>
<year>2015</year>
<edition>6</edition>
<page-range>1002</page-range><publisher-name><![CDATA[Wiley Blackwell]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chaparro]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[De la Fuente]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Albers]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Hernandez]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Villalobos]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Gaedechens]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Root coverage of multiple Miller Class I and II recession defects using acellular dermal matrix and tunneling technique in maxilla and mandible a 1-year report]]></article-title>
<source><![CDATA[Int J Periodontics Restorative Dent]]></source>
<year>2015</year>
<volume>35</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>639-45</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Singh]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Bharti]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment of multiple gingival recessions adopting modified tunnel subepithelial connective tissue graft technique]]></article-title>
<source><![CDATA[Indian J Dent Res]]></source>
<year>2014</year>
<volume>25</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>816-20</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pini-Prato]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Magnani]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Zaheer]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Rotundo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Buti]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Influence of inter-dental tissues and root surface condition on complete root coverage following treatment of gingival recessions a 1-year retrospective study]]></article-title>
<source><![CDATA[J Clin Periodontol]]></source>
<year>2015</year>
<volume>42</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>567-74</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mitrea]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Rusu]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Calin]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Palatal connective tissue grafting through tunnel technique in anterior mandible: a case report]]></article-title>
<source><![CDATA[Revista Româna de Anatomie Functionala si Clinica, Macro si Microscopica si de Antropologie]]></source>
<year>2014</year>
<volume>13</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>540-7</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nart]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Valles]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Subepithelial connective tissue graft in combination with a tunnel technique for the treatment of Miller class II and III gingival recessions in mandibular incisors clinical and esthetic results]]></article-title>
<source><![CDATA[Int J Periodontics Restorative Dent]]></source>
<year>2016</year>
<volume>36</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>591-8</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zucchelli]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Stefanini]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ganz]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Mazzotti]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Mounssif]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Mazzotti]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Coronally advanced flap with different designs in the treatment of gingival recession a comparative controlled randomized clinical trial]]></article-title>
<source><![CDATA[Int J Periodontics Restorative Dent]]></source>
<year>2016</year>
<volume>36</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>319-27</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dani]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Dhage]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gundannavar]]></surname>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The pouch and tunnel technique for management of multiple gingival recession defects]]></article-title>
<source><![CDATA[J Indian Soc of Periodontol]]></source>
<year>2014</year>
<volume>18</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>776-80</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Allen]]></surname>
<given-names><![CDATA[EP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Subpapillary continuous sling suturing method for soft tissue grafting with the tunneling technique]]></article-title>
<source><![CDATA[Int J Periodontics Restorative Dent]]></source>
<year>2010</year>
<volume>30</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>479-85</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pini-Prato]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Magnani]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Zaheer]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Buti]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rotundo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Critical evaluation of complete root coverage as a successful endpoint of treatment for gingival recessions]]></article-title>
<source><![CDATA[Int J Periodontics Restorative Dent]]></source>
<year>2015</year>
<volume>35</volume>
<page-range>655-63</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Deliberador]]></surname>
<given-names><![CDATA[TM]]></given-names>
</name>
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[FR]]></given-names>
</name>
<name>
<surname><![CDATA[Bosco]]></surname>
<given-names><![CDATA[AF]]></given-names>
</name>
<name>
<surname><![CDATA[Furlaneto]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
<name>
<surname><![CDATA[Messora]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
<name>
<surname><![CDATA[Giovanini]]></surname>
<given-names><![CDATA[AF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Simultaneous application of combination of three surgical techniques for treatment of gingival recession a case report]]></article-title>
<source><![CDATA[Bull Tokyo Dent Coll]]></source>
<year>2010</year>
<volume>51</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>201-5</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mahn]]></surname>
<given-names><![CDATA[DH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Use of the tunnel technique and an acellular dermal matrix in the treatment of multiple adjacent teeth with gingival recession in the esthetic zone]]></article-title>
<source><![CDATA[Int J Periodontics Restorative Dent]]></source>
<year>2010</year>
<volume>30</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>593-9</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Modarressi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[HL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tunneling procedure for root coverage using acellular dermal matrix a case series]]></article-title>
<source><![CDATA[Int J Periodontics Restorative Dent]]></source>
<year>2009</year>
<volume>29</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>395-403</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pini-Prato]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Magnani]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Zaheer]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Rotundo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Buti]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Influence of inter-dental tissues and root surface condition on complete root coverage following treatment of gingival recessions a 1-year retrospective study]]></article-title>
<source><![CDATA[J Clin Periodontol]]></source>
<year>2015</year>
<volume>42</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>567-74</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lops]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Gobbato]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Nart]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Guazzo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Ho]]></surname>
<given-names><![CDATA[DK]]></given-names>
</name>
<name>
<surname><![CDATA[Bressan]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluation of root coverage with and without connective tissue graft for the treatment of single maxillary gingival recession using an image analysis system a randomized controlled clinical trial]]></article-title>
<source><![CDATA[Int J Periodontics Restorative Dent]]></source>
<year>2015</year>
<volume>35</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>247-54</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
