Comparative Evaluation of Coronally Advanced Flap and Vestibular Incision Sub-Periosteal Tunnel Access Technique with Platelet-Rich Fibrin in the Treatment of Gingival Recession Defects- A Clinical Study

Background and Aims: This study aim to treat gingival recession defects in the anterior and premolar teeth of the maxilla and mandible by comparing two methods: the coronally advanced flap (CAF) and the vestibular incision subperiosteal tunnel access (VISTA), both of which involve using platelet-ric...

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Main Authors: Nidhi Yadav, Manini Singh, Amit Wadhawan, Prashant Tyagi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Pharmacy and Bioallied Sciences
Subjects:
Online Access:https://journals.lww.com/10.4103/jpbs.jpbs_766_24
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author Nidhi Yadav
Manini Singh
Amit Wadhawan
Prashant Tyagi
author_facet Nidhi Yadav
Manini Singh
Amit Wadhawan
Prashant Tyagi
author_sort Nidhi Yadav
collection DOAJ
description Background and Aims: This study aim to treat gingival recession defects in the anterior and premolar teeth of the maxilla and mandible by comparing two methods: the coronally advanced flap (CAF) and the vestibular incision subperiosteal tunnel access (VISTA), both of which involve using platelet-rich fibrin (PRF). Materials and Methods: An age range of 18 to 50 years was examined for the study, which included twenty-four participants. The patients were chosen at random from the Outpatient Department of Periodontology at Shree Bankey Bihari Dental College and Research Centre in Masuri-Ghaziabad, U.P. They were divided into two groups of twelve each, and they were all diagnosed with isolated gingival recession defects on human maxillary and mandibular anterior teeth and premolars. Both Group A and Group B had recession defects covered with PRF membranes; however, Group A had a CAF and Group B underwent VISTA. Clinical parameters measured at baseline, 1-month, 3-months, and 6-months postoperative intervals included recession length, recession width, probing depth, width of keratinized tissue, clinical attachment level, and percentage of root coverage. Result: Both groups demonstrated notable enhancements in clinical parameters. However, the values of Group B were more statistically significant (P < 0.05) by showing a reduction in probing depth, recession length, recession width, clinical attachment level, and gain in width of keratinized tissue, as well as a percentage of root coverage, as compared to Group A. Conclusion: The VISTA technique was considered a more conservative approach for treating gingival recession defects with PRF membrane that showed good clinical outcomes and better results.
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spelling doaj-art-54f9bff2471b4656bff8f9ba1c4bef342025-01-12T14:14:32ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062024-12-0116Suppl 4S3275S327710.4103/jpbs.jpbs_766_24Comparative Evaluation of Coronally Advanced Flap and Vestibular Incision Sub-Periosteal Tunnel Access Technique with Platelet-Rich Fibrin in the Treatment of Gingival Recession Defects- A Clinical StudyNidhi YadavManini SinghAmit WadhawanPrashant TyagiBackground and Aims: This study aim to treat gingival recession defects in the anterior and premolar teeth of the maxilla and mandible by comparing two methods: the coronally advanced flap (CAF) and the vestibular incision subperiosteal tunnel access (VISTA), both of which involve using platelet-rich fibrin (PRF). Materials and Methods: An age range of 18 to 50 years was examined for the study, which included twenty-four participants. The patients were chosen at random from the Outpatient Department of Periodontology at Shree Bankey Bihari Dental College and Research Centre in Masuri-Ghaziabad, U.P. They were divided into two groups of twelve each, and they were all diagnosed with isolated gingival recession defects on human maxillary and mandibular anterior teeth and premolars. Both Group A and Group B had recession defects covered with PRF membranes; however, Group A had a CAF and Group B underwent VISTA. Clinical parameters measured at baseline, 1-month, 3-months, and 6-months postoperative intervals included recession length, recession width, probing depth, width of keratinized tissue, clinical attachment level, and percentage of root coverage. Result: Both groups demonstrated notable enhancements in clinical parameters. However, the values of Group B were more statistically significant (P < 0.05) by showing a reduction in probing depth, recession length, recession width, clinical attachment level, and gain in width of keratinized tissue, as well as a percentage of root coverage, as compared to Group A. Conclusion: The VISTA technique was considered a more conservative approach for treating gingival recession defects with PRF membrane that showed good clinical outcomes and better results.https://journals.lww.com/10.4103/jpbs.jpbs_766_24cafprfrecessionvista
spellingShingle Nidhi Yadav
Manini Singh
Amit Wadhawan
Prashant Tyagi
Comparative Evaluation of Coronally Advanced Flap and Vestibular Incision Sub-Periosteal Tunnel Access Technique with Platelet-Rich Fibrin in the Treatment of Gingival Recession Defects- A Clinical Study
Journal of Pharmacy and Bioallied Sciences
caf
prf
recession
vista
title Comparative Evaluation of Coronally Advanced Flap and Vestibular Incision Sub-Periosteal Tunnel Access Technique with Platelet-Rich Fibrin in the Treatment of Gingival Recession Defects- A Clinical Study
title_full Comparative Evaluation of Coronally Advanced Flap and Vestibular Incision Sub-Periosteal Tunnel Access Technique with Platelet-Rich Fibrin in the Treatment of Gingival Recession Defects- A Clinical Study
title_fullStr Comparative Evaluation of Coronally Advanced Flap and Vestibular Incision Sub-Periosteal Tunnel Access Technique with Platelet-Rich Fibrin in the Treatment of Gingival Recession Defects- A Clinical Study
title_full_unstemmed Comparative Evaluation of Coronally Advanced Flap and Vestibular Incision Sub-Periosteal Tunnel Access Technique with Platelet-Rich Fibrin in the Treatment of Gingival Recession Defects- A Clinical Study
title_short Comparative Evaluation of Coronally Advanced Flap and Vestibular Incision Sub-Periosteal Tunnel Access Technique with Platelet-Rich Fibrin in the Treatment of Gingival Recession Defects- A Clinical Study
title_sort comparative evaluation of coronally advanced flap and vestibular incision sub periosteal tunnel access technique with platelet rich fibrin in the treatment of gingival recession defects a clinical study
topic caf
prf
recession
vista
url https://journals.lww.com/10.4103/jpbs.jpbs_766_24
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AT maninisingh comparativeevaluationofcoronallyadvancedflapandvestibularincisionsubperiostealtunnelaccesstechniquewithplateletrichfibrininthetreatmentofgingivalrecessiondefectsaclinicalstudy
AT amitwadhawan comparativeevaluationofcoronallyadvancedflapandvestibularincisionsubperiostealtunnelaccesstechniquewithplateletrichfibrininthetreatmentofgingivalrecessiondefectsaclinicalstudy
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