Tunneling flap procedures in plastic periodontal and peri-implant surgery without papilla incisions
Hands-on Courses
15 Nov 2025, 10:30 – 18:00 CAPP Training Institute | Dubai | UAE Area of interest: General Dentistry, Periodontics
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Abstract

Tunneling flap procedures have become a key technique in plastic periodontal and peri-implant surgery due to their ability to achieve aesthetic outcomes while minimizing patient discomfort. This Hands-On Course focuses on critical aspects of tunneling flap procedures, particularly when performed without papilla incisions. The main objective is to highlight the advantages and challenges of using this technique in the management of soft tissue deficiencies around natural teeth and implants. Key factors influencing the success of tunneling procedures, including surgical access, flap mobilization, tissue handling, and blood supply preservation, will be discussed. Additionally, considerations regarding the choice of graft materials, the management of peri-implant soft tissue, and long-term outcomes will be explored.

Learning Objectives

  • To identify the prognostic factors in plastic periodontal and implant surgery
  • To define critical aspects in flap design with tunneling procedures
  • To demonstrate step-by-step procedures for tunneling techniques with microsurgical instruments
  • To learn the tunneling technique for the treatment of multiple gingival recessions.
  • To learn the tunneling technique for the treatment of gingival augmentation around teeth and implants.
  • To learn incisions, flap mobilization, tissue stabilization and suturing techniques applied to tunneling procedures.

Agenda

10:30 – 10:45
Theory 1: How to perform a tunneling technique around teeth and implants. Donor sites and harvesting techniques.
10:45 – 12:30
Hands On 1: Single recession treatment (#13). Soft tissue harvesting.
12:30 – 13:30
Lunch Break
13:30 – 13:50
Theory 2: Treatment of multiple gingival recessions. Soft tissue augmentation technique.
13:50 – 17:00
Hands On 2: Treatment of multiple gingival recessions (#23-25). Soft tissue augmentation technique around immediate implant (#11).
17:00 – 17:30
Final demonstrations and conclusions.

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