Platelet-rich fibrin-reinforced periosteal pedicle graft with vestibular incision subperiosteal tunnel access technique for the coverage of exposed root surface

Singh, Awadhesh Kumar; Gautam, Abhisek

doi:10.4103/2229-5194.188167

Cited by 6 publications

(8 citation statements)

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“…They concluded PRF reinforced PPG with VISTA technique had successful results in the treatment of gingival defects. [ 1 ] The PET was reported by Singh and Kiran for the coverage of denuded root surface. In the PET, the periosteum is separated from the mucoperiosteal flap after baseline incision, so that the basal part of periosteum is used for eversion on denuded root surface for root coverage.…”

Section: Discussionmentioning

confidence: 99%

“…Gingival recession is defined as the exposure of root surface in the oral cavity, resulting from the detachment and migration of junctional epithelium toward the apex of the root. [ 1 ] Plaque-induced inflammation and toothbrush trauma have been proposed as etiologic factors[ 2 3 ] even though this point still needs elucidation. [ 4 ] Different surgical techniques have been proposed for the treatment of the gingival recessions.…”

Section: Introductionmentioning

confidence: 99%

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Periosteum eversion technique versus subpedicle connective tissue graft technique for root coverage of gingival recessions: A randomized split-mouth study

Singh¹,

Mali²

2020

Natl J Maxillofac Surg

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Introduction: The connective tissue graft (CTG) with pedicle flap as subpedicle CTG technique (SPCTGT) is considered the gold standard technique in the treatment of gingival recessions. The aim of this study was to compare periosteum eversion technique (PET) with SPCTGT for root coverage of gingival recessions. Materials and Methods: Ten patients having bilateral gingival recessions of Miller class I and II were selected. The left or right side was randomly assigned into PET group and SPCTGT group. Before and after 1 year of surgery, depth of gingival recession (DGR), width of keratinized gingiva (WKG), width of attached gingiva (WAG), and probing depth (PD) were measured and compared. Pre- and post-groups were compared by paired t -test. Two independent groups were compared by independent Student's t -test. A two-tailed (α =2) P < 0.05 was considered statistically significant. Results: Comparing the pre to post mean of PET and SPCTGT showed decrease (net improvement) in DGR (−5.80 ± 0.42 vs. −4.65 ± 0.39, mean difference = −1.15 ± 0.57, t = 2.02, P = 0.058) and in PD (−1.05 ± 0.12 vs. −0.60 ± 0.12, mean difference = −0.45 ± 0.17, t = 2.64, P = 0.017); and increase (net improvement) in WKG (5.80 ± 0.42 vs. 4.80 ± 0.41, mean difference = 1.00 ± 0.58, t = 1.71, P = 0.104) and in WAG (5.60 ± 0.32 vs. 4.90 ± 0.24, mean difference = 0.70 ± 0.41, t = 1.73, P = 0.101). PET showed 19.8% and 42.9% higher decrease in DGR and PD; and 17.2% and 12.5% higher increase in WKG and WAG, respectively, than SPCTGT. Conclusions: The study found that both the modalities were effective in the management of root coverage of gingival recessions. However, PET was found more effective than SPCTGT.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Periosteum eversion technique versus subpedicle connective tissue graft technique for root coverage of gingival recessions: A randomized split-mouth study

Singh¹,

Mali²

2020

Natl J Maxillofac Surg

Self Cite

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“…There are various technique employed for root coverage procedure such as free gingival autograft, pedicle graft, coronally advanced flap, semilunar flap, subepithelial connective tissue graft, guided tissue regeneration technique, pouch and tunnel technique, etc. 4 These techniques employ intrasulcular incisions which causes tissue trauma to the sulcular epithelium and leads to unfavorable healing and it is also technique sensitive. 5 So in order to overcome the shortcoming of those techniques, a minimally invasive technique called" vestibular incision subperiosteal tunnel access (VISTA) "is presented in this case report which affords a number of advantages in treating gingival recession defects.…”

Section: Case Reportmentioning

confidence: 99%

“…3 Different surgical techniques are suggested to treat gingival recession and each technique has its pros and cons. 4 Surgical treatment in multiple recession defects can be done but they are technique sensitive and wound healing is unfavourable. 5 To avoid these complications in treatment procedures, the vestibular incision subperiosteal tunnel access (VISTA) approach has been introduced.…”

Section: Introductionmentioning

confidence: 99%

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Vista Technique with Platelet Rich Fibrin – A Case Report

Gs¹,

Verma²,

Brar³

et al. 2018

IJCMR

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Introduction: Gingival recession (GR) is clinically manifested by an apical migration of gingival margin which if left untreated leads to root hypersensitivity, erosion, root caries, and esthetics. Recently, various techniques have been employed to treat multiple recession site. Case report: In the present case report, minimally invasive approach "vestibular incision subperiosteal tunnel access (VISTA) technique in combination with platelet-rich fibrin (PRF) membrane is used in the treatment of GR defects. Conclusion: Clearly, long-term follow-up with clinical and histological studies will be required to obtain more information about the PRF-reinforced VISTA technique for the coverage of exposed root surface and to obtain the predictability of this technique.

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Treatment of Gingival Recession by a Novel Pinhole Technique- A Report of Two Cases

Anuroopa¹,

Ambadi²,

Naidu³

et al. 2018

JDODT

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Background: The concept of minimal invasive technique has gained importance in the recent years and is replacing the open surgical procedures in the field of periodontology too. The treatment of gingival recession has always been technique sensitive with it's associated morbidity and discomfort because of the invasive nature. This article presents a report of two cases treated with a minimally invasive Pinhole Surgical Technique, which is a modern marvel, gradually taking over the open surgical procedures, resulting in a near overall root coverage, especially in multiple recession defects. Keywords: Pinhole technique; PRF; Recession; Root coverage;

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Platelet-rich fibrin-reinforced periosteal pedicle graft with vestibular incision subperiosteal tunnel access technique for the coverage of exposed root surface

Cited by 6 publications

References 1 publication

Periosteum eversion technique versus subpedicle connective tissue graft technique for root coverage of gingival recessions: A randomized split-mouth study

Periosteum eversion technique versus subpedicle connective tissue graft technique for root coverage of gingival recessions: A randomized split-mouth study

Vista Technique with Platelet Rich Fibrin – A Case Report

Treatment of Gingival Recession by a Novel Pinhole Technique- A Report of Two Cases

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