Treatment of gingival recession with vestibular incision subperiosteal tunnel access and advanced platelet-rich fibrin

Abstract Objectives The current literature about the effect of advanced platelet rich fibrin(A-PRF) with vestibular incision subperiosteal tunnel access (VISTA) technique in treating gingival recession is scarce. Therefore, the aim of the current randomized clinical trial is to evaluate the effect o...

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Main Authors: Marwa Abdelhaleem, Wafaa Saleh, Samah Elmeadawy
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-024-05398-w
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author Marwa Abdelhaleem
Wafaa Saleh
Samah Elmeadawy
author_facet Marwa Abdelhaleem
Wafaa Saleh
Samah Elmeadawy
author_sort Marwa Abdelhaleem
collection DOAJ
description Abstract Objectives The current literature about the effect of advanced platelet rich fibrin(A-PRF) with vestibular incision subperiosteal tunnel access (VISTA) technique in treating gingival recession is scarce. Therefore, the aim of the current randomized clinical trial is to evaluate the effect of A-PRF with VISTA technique in the treatment of Cairo class 1 gingival recession (RT1). Methods Twenty-four patients who met the eligibility criteria were randomly allocated into two groups. VISTA + A-PRF was the treatment of the study group, while VISTA + collagen matrix was performed for the control group. The clinical outcomes were assessed by a single-blind assessor at baseline, three months, and six months. They were divided into primary and secondary outcomes. The primary outcomes included recession depth (RD), recession width (RW), gingival thickness (GT), mean of root coverage % (MRC%), and width of attached gingiva (WAG) while the secondary outcome included clinical attachment level (CAL). Results The primary outcomes analysis demonstrated statistically significant improvements in RD, RW, MRC%, GT, and WAG after 3 and 6 months in both groups (p < 0.001). However, the study group demonstrated a significantly greater improvement than the control group in RD, RW, and MRC%. No significant differences were observed between the two groups regarding GT and WAG. Conclusions Both treatment approaches were effective in the treating of RT1 adjacent gingival recessions. A-PRF showed promising results compared to collagen matrix. Trial registration The current randomized clinical trial was registered at ClinicalTrials.gov (Registration number: NCT06357351) and it was released on 10/04/2024.
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spelling doaj-art-3158ce6d58a64a2aa04486cfc26fe26e2025-01-19T12:41:23ZengBMCBMC Oral Health1472-68312025-01-0125111010.1186/s12903-024-05398-wTreatment of gingival recession with vestibular incision subperiosteal tunnel access and advanced platelet-rich fibrinMarwa Abdelhaleem0Wafaa Saleh1Samah Elmeadawy2Oral Medicine, Periodontology, Diagnosis and Oral Radiology Department, Faculty of Dentistry, Horus UniversityOral Medicine, Periodontology, Diagnosis and Oral Radiology Department, Faculty of Dentistry, Mansoura UniversityOral Medicine, Periodontology, Diagnosis and Oral Radiology Department, Faculty of Dentistry, Mansoura UniversityAbstract Objectives The current literature about the effect of advanced platelet rich fibrin(A-PRF) with vestibular incision subperiosteal tunnel access (VISTA) technique in treating gingival recession is scarce. Therefore, the aim of the current randomized clinical trial is to evaluate the effect of A-PRF with VISTA technique in the treatment of Cairo class 1 gingival recession (RT1). Methods Twenty-four patients who met the eligibility criteria were randomly allocated into two groups. VISTA + A-PRF was the treatment of the study group, while VISTA + collagen matrix was performed for the control group. The clinical outcomes were assessed by a single-blind assessor at baseline, three months, and six months. They were divided into primary and secondary outcomes. The primary outcomes included recession depth (RD), recession width (RW), gingival thickness (GT), mean of root coverage % (MRC%), and width of attached gingiva (WAG) while the secondary outcome included clinical attachment level (CAL). Results The primary outcomes analysis demonstrated statistically significant improvements in RD, RW, MRC%, GT, and WAG after 3 and 6 months in both groups (p < 0.001). However, the study group demonstrated a significantly greater improvement than the control group in RD, RW, and MRC%. No significant differences were observed between the two groups regarding GT and WAG. Conclusions Both treatment approaches were effective in the treating of RT1 adjacent gingival recessions. A-PRF showed promising results compared to collagen matrix. Trial registration The current randomized clinical trial was registered at ClinicalTrials.gov (Registration number: NCT06357351) and it was released on 10/04/2024.https://doi.org/10.1186/s12903-024-05398-wGingival recessionA-PRFVISTA technique
spellingShingle Marwa Abdelhaleem
Wafaa Saleh
Samah Elmeadawy
Treatment of gingival recession with vestibular incision subperiosteal tunnel access and advanced platelet-rich fibrin
BMC Oral Health
Gingival recession
A-PRF
VISTA technique
title Treatment of gingival recession with vestibular incision subperiosteal tunnel access and advanced platelet-rich fibrin
title_full Treatment of gingival recession with vestibular incision subperiosteal tunnel access and advanced platelet-rich fibrin
title_fullStr Treatment of gingival recession with vestibular incision subperiosteal tunnel access and advanced platelet-rich fibrin
title_full_unstemmed Treatment of gingival recession with vestibular incision subperiosteal tunnel access and advanced platelet-rich fibrin
title_short Treatment of gingival recession with vestibular incision subperiosteal tunnel access and advanced platelet-rich fibrin
title_sort treatment of gingival recession with vestibular incision subperiosteal tunnel access and advanced platelet rich fibrin
topic Gingival recession
A-PRF
VISTA technique
url https://doi.org/10.1186/s12903-024-05398-w
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AT wafaasaleh treatmentofgingivalrecessionwithvestibularincisionsubperiostealtunnelaccessandadvancedplateletrichfibrin
AT samahelmeadawy treatmentofgingivalrecessionwithvestibularincisionsubperiostealtunnelaccessandadvancedplateletrichfibrin