Increase of Width of Attached Gingiva and Root Coverage Using Single Incision Technique (original) (raw)
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The International Journal of Periodontics & Restorative Dentistry
This study sought to evaluate gingival volume changes following root coverage with the vestibular incision subperiosteal tunnel access (VISTA) procedure. Pre-and postoperative surface scans of 21 patients (154 teeth) treated with VISTA using various graft materials were digitally superimposed to quantify volumetric changes. A linear gingival thickness gain of approximately 1 mm and volumetric gain of 5.47 mm 3 were achieved. A negative correlation was found between linear thickness gain and root prominence. The thickness achieved was not different with various graft materials. Since gingival thickness has been identified as an important predictor of periodontal root coverage, the methodology described in the present study, along with the identification of predictors of outcome, has important therapeutic implications. Int J
https://www.ijhsr.org/IJHSR\_Vol.7\_Issue.7\_July2017/IJHSR\_Abstract.049.html, 2017
Gingival recession is referred as apical shift of the gingival margin leading to the exposure of root surface to oral cavity. AAP defines marginal tissue recession as displacement of soft tissue margin apical to CEJ. It is considered a mucogingival condition that can constitute important aesthetic and functional problems and its treatment is a major challenge in periodontal therapy. A variety of therapeutic options are available for the treatment of such gingival recession, however, the primary indications of root coverage by surgery are mainly esthetic. Limitations of the currently available techniques include the need for harvesting of autogenous donor tissues and their associated morbidity, as well as scar formation at the recipient site resulting from surface incisions. Moreover, muscle pull during healing often leads to incomplete coverage or relapse of the recession. The vestibular incision subperiosteal tunnel access (VISTA) technique offers a minimally invasive approach for the treatment of multiple recession defects, also it allows for the fixation of gingival margins, thereby preventing its apical relapse in the initial stages of healing. This case report describes the VISTA technique for the treatment of Millers Class I recession defects.
IP innovative publication pvt ltd, 2020
Gingival recession, defined as the apical migration of gingival margin possesses great degree of functional and aesthetic problems. Recently new techniques for root coverage have been proposed for treating multiple teeth recession. Keeping in mind the limitations of the conventional techniques, a minimally invasive approach for the recipient site in the aesthetic zone, Vestibular Incision Subperiosteal Tunnel Access (VISTA) technique had been introduced. Since the connective tissue graft is the proven gold standard, it is combined with the minimally invasive technique to achieve the best possible result. Here, a series of such cases are discussed and the 6 months post operative follow up is hence analysed to assess the root coverage.
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH
Gingival recession which is described as the loss of gingival attachment due to apical migration of the gingival margin from the cementoenamel junction leading to the exposure of the root surface, is one of the most prevalent diseases in the world. The treatment of gingival recession is therefore essential to achieve good aesthetics, relieve root hypersensitivity, prevent root caries and cervical abrasions. Till date, many root coverage techniques have been implicated for the coverage of recession defect. This case report focuses on the Vestibular Incision Subperiosteal Tunnel Access (VISTATM) technique for the root coverage procedure and simultaneous application of the microsurgical principles helps in executing the procedure in the most minimally invasive manner. Here, this technique has been accomplished in a 24-year-old female, with the chief complaint of poor aesthetics in the region of maxillary central incisors due to recession defects. Furthermore with the use of microsurgic...
International Journal of Advanced Research (IJAR), 2019
Aim of study: To assess effect of non-pedicledbuccal fat pad graft (NPBFP) versus subepithelial connective tissue graft (SCTG) in management of of gingival recessions (GRs) using vestibular incision subperiosteal tunnel access technique (VISTA). Patients and methods: Twenty patients with Miller Class I or II (GRs) recessions were randomly assigned to receive SCTG (group I) or NPBFP (groupII) using (VISTA) technique. The clinical parameters evaluated at baseline, 3 and 6 months postoperatively included gingival index (GI), plaque index (PI), clinical attachment level (CAL), and gingival recessions (GRs). Results: Both groups exhibited statistically significant differences in all clinical parameters when compering baseline to 3 and 6 months after surgery. Upon comparing the results of both groups, no statistically significant difference was detected regarding all clinical parameters. However, there was more improvement in group I than group II. Conclusion: The results presented indicate that both NPBFP and SCTG considered as clinically successful methods for treating Miller Class I and Class II GRs.
Journal of Advanced Periodontology & Implant Dentistry
Background and aims. This study aimed to compare the clinical efficacy of vestibular incisional subperiosteal tunnel access (VISTA) with subepithelial connective tissue graft versus a coronally advanced flap (CAF) with subepithelial connective tissue graft for the treatment of gingival recession defects. Materials and methods. This randomized clinical trial was performed on 24 recession defects that were bilaterally Miller’s class I or II in the maxillary canine and premolar area. One quadrant in each patient was selected randomly to receive VISTA (test group) or CAF (control group) with connective tissue graft. Clinical parameters measured at baseline and at 3- and 6- month postoperative intervals included recession width (RW), recession depth (RD), keratinized tissue width (KTW), clinical attachment level (CAL) and probing depth (PD). Results. Healing was uneventful in both the test and control groups. At the 6-month follow-up, there was a significant decrease in RD, RW and CAL an...
World Journal of Dentistry
Aim: The aim of this trial was to compare the semilunar coronally position flap (SCPF) and the conventional coronally advanced flap (CAF) regarding the applied modifications in treating gingival recession. Materials and methods: Sample consisted of 16 patients with bilateral class I gingival recessions, they were treated with SCPF or CAF. Two modifications were applied: a root surface biomodification with tetracycline (TTC) and suture anchors on the contact points of the tooth. Clinical parameters and a questionnaire were used as measures to evaluate the trial. Wilcoxon test was used for statistical analysis. Results: The mean percentage of root coverage (RC) and complete RC (CRC) was 82.3 ± 15.6% (31.3%, n = 5/16) and 79.8 ± 27.7% (43.8%, n = 7/16), respectively, using SCPF and CAF. Statistically significant differences were observed in the intergroup width of keratinized tissue (WKT), thickness of keratinized tissue (TKT), vestibular depth (VD), and position of the mucogingival junction (MGJ). A significant difference was observed in wound healing index (WHI) 1 week postoperative. Full root coverage esthetic score (RES) was achieved in four teeth using SCPF and in two teeth using CAF. No statistically significant differences were observed in the intergroup in the postoperative pain and root sensitivity during the follow-up. Conclusion: Both SCPF and CAF with the mentioned modifications were effective in managing shallow gingival recessions. However, SCPF's results showed a significant gain in WKT, TKT, and VD. Clinical significance: Our findings confirm that both procedures with the mentioned modifications can be used to treat gingival recession with effectively and satisfied results for periodontist and patient. Our results suggest it is preferable to use the SCPF in case of a shallow oral vestibulum and high demanded for esthetic.
Surgical management of gingival recession: A clinical update
The Saudi Dental Journal, 2009
Hamdan Alghamdi, Nadir Babay, Anil Sukumaran , Surgical management of gingival recession: A clinical update Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia Received 19 July 2008; revised 4 March 2009; Accepted 23 May 2009. Available online 5 August 2009. Abstract Gingival recession is defined as the apical migration of the junctional epithelium with exposure of root surfaces. It is a common condition seen in both dentally aware populations and those with limited access to dental care. The etiology of the condition is multifactorial but is commonly associated with underlying alveolar morphology, tooth brushing, mechanical trauma and periodontal disease. Given the high rate of gingival recession defects among the general population, it is imperative that dental practitioners have an understanding of the etiology, complications and the management of the condition. The following review describes the surgical techniques to treat gingival recession.