Vista technique and Platelet-Rich Fibrin Membrane for Treatment of Multiple Adjacent Gingival Recessions - 6 month follow-up.

Abstract

Purpose: To do a clinical evaluation of the results of the treatment of multiple adjacent gingival recessions with VISTA technique (Vestibular Incision Subperiostal Tunnel Access) and platelet-rich fibrin membrane (PRF m). Methods and materials: The study included 30 participants (19 women and 11 men) with multiple adjacent gingival recessions on both jaws of Miller's Class I and Class II. The surgical intervention was conducted using the VISTA technique in combination with platelet-rich fibrin membrane and the results were monitored for 6 months after the surgery. A total of 129 teeth with multiple adjacent gingival recessions were treated out of which 42 maxillary and 87 mandibular teeth. Results: The value of the gingival recession depth (GRD) on the 6 th month after the surgery was lowered from 2.94±0.54mm to 0.40±0.30mm. Keratinized gingival width (KGW) was increased from 1.20±0.85mm to 1.77±0.65mm, while the probing pocket depth (PPD) was lowered from 2.27±0.34mm to 2.08±0.24mm. The average value of the clinical attachment level (CAL) was lowered from 5.21±0.75mm to 2.45±0.42mm. The gingival thickness (GTH) was increased from 0.77±0.06mm to 0.86±0.08mm. The mean percent of root coverage (RC %) at the end of the treatment with VISTA technique + PRF m was 87.10±8.92%. Conclusions: Based on the results of our study we can get to the conclusion that the VISTA technique in combination with platelet-rich fibrin membrane can successfully be used as a treatment method of multiple gingival recessions of Miller's Class I and Class II.