The Bilateral Pedicle Flap-Tunnel Technique: A New Approach to Cover Connective Tissue Grafts

A new surgical technique for the treatment of adjacent soft tissue marginal recession is presented. This technique combines the use of a tunnel procedure with double lateral pedicle flaps to cover a connective tissue graft. This approach combines the advantages of the tunnel technique with the increased blood supply and protection provided by pedicle flaps. Indications include adjacent Class I and II deep, wide recessions; however, the procedure may also be applied to mild Class III recessions. Two case reports are presented to illustrate this new technique.