Multiple Gingival Recession Coverage Treated With Vista Technique Using Acellular Dermal Matrix (Adm) Combined With Platelet Rich Fibrin (Prf): A Case Report

Abstract

Background: Gingival recession is an exposure of the root surface due to migration of the marginal periodontal tissues apical to the cemento enamel junction. There are so many root coverage procedures, among these techniques, VISTA technique combined with ADM and PRF offers minimally invasive approach.Case Management: A-40-year-old male visited Periodontics Clinic of DentalHospital Airlangga University with the chief complaint of poor aesthetic resulting from exposed root surfaces in upper right front region of the jaw. Root coverage by VISTA technique using ADM combined with PRF was planned to this case.Discussion: The minimal invasive VISTA technique approach, combined with ADMand PRF has a number of advantages for successful treatment of multiple recession defects. VISTA technique was used because it can maintain better blood supply and maintain critical papillary integrity. ADM works like an autogenous graft by providing a bioactive matrix consisting of collagen, elastin, blood vessel channels, and bioactive protein that support natural revascularization, cell repopulation, and tissue remodeling. Growth factors present in PRF plays a crucial role in hard and soft tissue repair.Conclusion: VISTA technique together with ADM and PRF membrane can besuccessfully used as a treatment method for multiple gingival recessions of Miller’s class I defects

Comparative clinical study between Tunnel and VISTA approaches for the treatment of multiple gingival recessions with acellular dermal matrix allograft

“…This result was compatible with our study suggesting the use of VISTA technique with ADM. Gupta et al 2015, 33 found that using VISTA technique along with plateletrich fibrin provided optimal esthetic results and perfect soft tissue biotype. Also Pratiwi & Setiawatie 2019 34 , in a case report used minimal invasive VISTA technique with ADM and platelet rich fibrin in treatment of multiple gingival recessions. They found that VISTA technique was effective in maintaining vascularity and papillary integrity.…”