Current Soft Tissue Grafting Techniques Soft tissue grafting techniques have become less invasive with the development of the tunnel technique and the use of alternatives to palatal tissue. These advances have resulted in a more stable surgical wound, reduced the risks associated with surgery, and improved esthetics. This lecture will present recent modifications in the tunnel technique for the treatment of both shallow and deep recession sites in the mandibular anterior region as well as special considerations for the treatment of soft tissue problems at implant sites. Learning Objectives: Describe how the tunnel technique can be used in sites with minimal keratinized tissue, aberrant frenal attachment, and shallow vestibule. Describe the modifications for the treatment of isolated deep recession sites. List the special pre-surgical and surgical considerations unique to soft tissue problems involving implants. List the limitations of the tunnel technique at implant sites.