Effectiveness of vestibular incision subperiosteal tunnel access technique in the treatment of multiple adjacent gingival recession defects: A systematic review
Objective: To investigate the effectiveness of Vestibular Incision Subperiosteal Tunnel Access (VISTA) technique over other root coverage (RC) procedures for treating Millers Class I and II multiple adjacent gingival recession defects (MAGRD). Methods: Patient, Intervention, Comparison, and Outcome...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-07-01
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| Series: | Journal of Indian Society of Periodontology |
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| Online Access: | https://journals.lww.com/10.4103/jisp.jisp_66_24 |
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| author | Prabhnoor Tuli Abhay Pandurang Kolte Rajashri Abhay Kolte Vrushali Nilesh Lathiya |
| author_facet | Prabhnoor Tuli Abhay Pandurang Kolte Rajashri Abhay Kolte Vrushali Nilesh Lathiya |
| author_sort | Prabhnoor Tuli |
| collection | DOAJ |
| description | Objective:
To investigate the effectiveness of Vestibular Incision Subperiosteal Tunnel Access (VISTA) technique over other root coverage (RC) procedures for treating Millers Class I and II multiple adjacent gingival recession defects (MAGRD).
Methods:
Patient, Intervention, Comparison, and Outcome question was established, and a literature review was carried out across PubMed, Cochrane Libraries, EMBASE, and hand-searched journals till April 2023 to identify the clinical research on the effectiveness of the VISTA Technique for RC procedures. Only randomized controlled trials (RCTs) with a minimum of 6 months’ follow-up were considered. The outcomes assessed were complete RC (CRC), width of keratinized gingiva, and gingival thickness.
Results:
A total of 30 articles were retrieved and ultimately 7 RCTs that met the inclusion criteria were incorporated into the systematic review. VISTA with biomaterials showed significant improvements in all the treatment outcomes over other RC procedures. Specifically, VISTA + subepithelial connective tissue graft (CTG)/CTG achieved an average CRC of 93.95%, along with significant increase in other parameters. In addition, biomaterials such as platelet concentrates, collagen membrane, Bioguide enhanced GEM21S, and Acellular dermal matrix proved viable alternatives producing similar outcomes.
Conclusion:
VISTA technique is an effective procedure for treating MAGRD in terms of achieving CRC over other RC procedures. In addition, the use of biomaterials further enhances the treatment outcomes. |
| format | Article |
| id | doaj-art-4d2e26c1f2f64b61b1a4aef6eb2f27ce |
| institution | Kabale University |
| issn | 0972-124X 0975-1580 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Society of Periodontology |
| spelling | doaj-art-4d2e26c1f2f64b61b1a4aef6eb2f27ce2025-02-06T07:19:22ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Periodontology0972-124X0975-15802024-07-0128440741610.4103/jisp.jisp_66_24Effectiveness of vestibular incision subperiosteal tunnel access technique in the treatment of multiple adjacent gingival recession defects: A systematic reviewPrabhnoor TuliAbhay Pandurang KolteRajashri Abhay KolteVrushali Nilesh LathiyaObjective: To investigate the effectiveness of Vestibular Incision Subperiosteal Tunnel Access (VISTA) technique over other root coverage (RC) procedures for treating Millers Class I and II multiple adjacent gingival recession defects (MAGRD). Methods: Patient, Intervention, Comparison, and Outcome question was established, and a literature review was carried out across PubMed, Cochrane Libraries, EMBASE, and hand-searched journals till April 2023 to identify the clinical research on the effectiveness of the VISTA Technique for RC procedures. Only randomized controlled trials (RCTs) with a minimum of 6 months’ follow-up were considered. The outcomes assessed were complete RC (CRC), width of keratinized gingiva, and gingival thickness. Results: A total of 30 articles were retrieved and ultimately 7 RCTs that met the inclusion criteria were incorporated into the systematic review. VISTA with biomaterials showed significant improvements in all the treatment outcomes over other RC procedures. Specifically, VISTA + subepithelial connective tissue graft (CTG)/CTG achieved an average CRC of 93.95%, along with significant increase in other parameters. In addition, biomaterials such as platelet concentrates, collagen membrane, Bioguide enhanced GEM21S, and Acellular dermal matrix proved viable alternatives producing similar outcomes. Conclusion: VISTA technique is an effective procedure for treating MAGRD in terms of achieving CRC over other RC procedures. In addition, the use of biomaterials further enhances the treatment outcomes.https://journals.lww.com/10.4103/jisp.jisp_66_24biomaterialsgingival recessionminimally invasive surgeryroot coveragevestibular incision subperiosteal tunnel access |
| spellingShingle | Prabhnoor Tuli Abhay Pandurang Kolte Rajashri Abhay Kolte Vrushali Nilesh Lathiya Effectiveness of vestibular incision subperiosteal tunnel access technique in the treatment of multiple adjacent gingival recession defects: A systematic review Journal of Indian Society of Periodontology biomaterials gingival recession minimally invasive surgery root coverage vestibular incision subperiosteal tunnel access |
| title | Effectiveness of vestibular incision subperiosteal tunnel access technique in the treatment of multiple adjacent gingival recession defects: A systematic review |
| title_full | Effectiveness of vestibular incision subperiosteal tunnel access technique in the treatment of multiple adjacent gingival recession defects: A systematic review |
| title_fullStr | Effectiveness of vestibular incision subperiosteal tunnel access technique in the treatment of multiple adjacent gingival recession defects: A systematic review |
| title_full_unstemmed | Effectiveness of vestibular incision subperiosteal tunnel access technique in the treatment of multiple adjacent gingival recession defects: A systematic review |
| title_short | Effectiveness of vestibular incision subperiosteal tunnel access technique in the treatment of multiple adjacent gingival recession defects: A systematic review |
| title_sort | effectiveness of vestibular incision subperiosteal tunnel access technique in the treatment of multiple adjacent gingival recession defects a systematic review |
| topic | biomaterials gingival recession minimally invasive surgery root coverage vestibular incision subperiosteal tunnel access |
| url | https://journals.lww.com/10.4103/jisp.jisp_66_24 |
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