Abstract :
Gingival recession presents with breakdown of both soft and hard tissues and can cause major functional and esthetic problems. Many therapeutic options are available for treatment of gingival recession defects with predictable outcomes in isolated defects and especially multiple recession defects, presents a challenge because several recession defects must be treated at a single surgical session to minimize patient discomfort.Current case series introduces a novel, minimally invasive approach, i.e. vestibular incision subperiosteal tunnel access (VISTA)in combination with platelet-rich fibrin (PRF) membrane and collagen membrane inthe treatment of gingival recession. Seven patients with multiple GRs were selected for this case series. The VISTA technique allowed coronalrepositioning of the gingival margin, which was then stabilized by the coronally anchored suturing technique. PRF membranewas inserted inside the subperiosteal tunnel in 4 patients and collagen membrane was inserted in 3 patients, and the vertical incision was sutured. Patients were kept under observation for6 months
Gingival recession is clinically manifested by an apical displacement of gingival tissues, leading to root surface exposure, which often causes poor esthetics, increased susceptibility for root caries and dentinal hypersensitivity. Treatment of gingival recessions has become an important therapeutic issue due to the increasing number of cosmetic requests from patients.
This use of PRF membrane along with the VISTA technique allows clinicians to successfully treat multiple GR defects
Keyword :
Fibrin; gingiva; gingival recession; membranes; sutures; wound healing.