Effectiveness of vestibular incision subperiosteal tunnel access (VISTA) technique with or without A-PRF in treatment of multiple adjacent gingival recession defects (MAGRD): A 12 months CBCT study

by Prabhnoor Tuli, Abhay P. Kolte, Rajashri A. Kolte, Vrushali N. Lathiya, Vinisha A. Bajaj, Shahabe Saquib Abullais, Manea M. Alahmari

Objectives

In order to treat MAGRD in the maxillary anterior region, the VISTA approach was evaluated and compared with and without A-PRF.

Materials and methods

A split mouth RCT was designed with 216 MAGRD that were assigned to VISTA alone and VISTA with A-PRF. The complete root coverage (CRC) and gingival thickness (GT) were measured using CBCT at baseline and 12 months post-operatively, while the clinical parameters of probing depth (PD), clinical attachment level (CAL), width of keratinized gingival (WKG), gingival recession depth (GRD), and gingival recession width (GRW) were recorded at baseline, 6 months, and 12 months.

Results

From baseline to 12 months, there was a significant decrease in the mean values of GRD and GRW with an increase in WKG. CBCT scans showed a significant increase in GT mean values. According to these results, the Test group’s CRC was higher (95.92%) than the Control groups (85.02%).

Conclusions

In contrast to the Control group, the Test group demonstrated superior MAGRD resolution in achieving a decrease in GRD and GRW as well as a higher increase in WKG and GT. These findings resulted into a substantially more CRC for the Test group.

Trial registration

Registration no. CTRI/2022/09/045845.Registered on: 26/09/2022