Comparative Evaluation of Vestibular Incision Subperiosteal Tunnel Access (VISTA) Technique With and Without Advanced Platelet-Rich Fibrin for Treatment of Maxillary Anterior Gingival Recessions.

IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE International Journal of Periodontics & Restorative Dentistry Pub Date : 2023-11-03 DOI:10.11607/prd.6101
N/A Tejaswi, Vinathi Reddy Kankara, Krishnanjeya Reddy Pathakota, Preethi Krishnan, Aravinda Basireddy, K V Sheethi
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Abstract

Gingival recession is an apical shift of the gingival margin with exposure of the root surface to the oral cavity, which creates an esthetic problem. The present study was attempted to compare vestibular incision subperiosteal tunnel access (VISTA) with and without advanced platelet-rich fibrin (A-PRF) in the treatment of Miller Class I gingival recessions. A total of 24 patients were assigned randomly to either the test group (VISTA with A-PRF) or the control group (VISTA alone). Clinical parameters like recession depth, recession width, clinical attachment loss, width of keratinized gingiva, gingival thickness, and probing depth were recorded at baseline and at 3 and 6 months postoperatively. Intergroup comparison of mean root coverage (RC) in mm, %RC, change in width of keratinized gingiva and clinical attachment gain revealed no statistically significant difference (P > .05). Change in gingival thickness showed statistically significant improvement in test group. Within the limitations of this study, both treatment options (VISTA with A-PRF and VISTA alone) have resulted in predictable and comparable RC, with increased gingival thickness in the test group.

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前庭切口骨膜下隧道入路(VISTA)技术治疗上颌前牙龈凹陷的比较评价。
牙龈退缩是牙龈边缘的顶端移位,根表面暴露在口腔中,这会产生美学问题。本研究试图比较前庭切口骨膜下隧道入路(VISTA)与晚期富血小板纤维蛋白(A-PRF)治疗Miller I级牙龈退缩的疗效。共有24名患者被随机分配到试验组(VISTA和A-PRF)或对照组(单独VISTA)。在基线时以及术后3个月和6个月记录临床参数,如退缩深度、退缩宽度、临床附着丧失、角化牙龈宽度、牙龈厚度和探查深度。平均牙根覆盖率(RC)(单位:mm)、%RC、角化牙龈宽度变化和临床附着增加的组间比较没有统计学显著差异(P>0.05)。测试组牙龈厚度的变化显示出统计学显著改善。在本研究的限制范围内,两种治疗方案(VISTA与A-PRF和VISTA单独治疗)都产生了可预测和可比较的RC,测试组的牙龈厚度增加。
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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
113
审稿时长
6-12 weeks
期刊介绍: The International Journal of Periodontics & Restorative Dentistry will publish manuscripts concerned with all aspects of clinical periodontology, restorative dentistry, and implantology. This includes pertinent research as well as clinical methodology (their interdependence and relationship should be addressed where applicable); proceedings of relevant symposia or conferences; and quality review papers. Original manuscripts are considered for publication on the condition that they have not been published or submitted for publication elsewhere.
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