The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  25 (2024)
Volume  24 (2023)
Volume  23 (2022)
Volume  22 (2021)
Volume  21 (2020)
Volume  20 (2019)
Volume  19 (2018)
Volume  18 (2017)
Volume  17 (2016)
Volume  16 (2015)
Volume  15 (2014)
Volume  14 (2013)
Volume  13 (2012)
Volume  12 (2011)
Volume  11 (2010)
Volume  10 (2009)
Volume  9 (2008)
Volume  8 (2007)
Volume  7 (2006)
Volume  6 (2005)
Volume  5 (2004)
Volume  4 (2003)
Volume  3 (2002)
Volume  2 (2001)
Volume  1 (1999)
Related articles

VOLUME 20 , ISSUE 9 ( September, 2019 ) > List of Articles

ORIGINAL RESEARCH

Less Invasive Vestibule Access Tunneling with Platelet-rich Fibrin Membrane for the Treatment of Gingival Recession

Agung Krismariono

Keywords : Gingival recession, Platelet-rich fibrin, Tunnel technique, Vestibule

Citation Information : Krismariono A. Less Invasive Vestibule Access Tunneling with Platelet-rich Fibrin Membrane for the Treatment of Gingival Recession. J Contemp Dent Pract 2019; 20 (9):1024-1028.

DOI: 10.5005/jp-journals-10024-2638

License: CC BY-NC 4.0

Published Online: 01-12-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Aim: The aim of this study was to introduce the less invasive vestibule access tunneling in combination with platelet-rich fibrin (PRF) membrane for gingival recession treatment. Materials and methods: Seven subjects with Miller's class I or II buccal gingival recession were selected for this study. All subjects were treated with mucogingival surgery using the less invasive vestibule access tunneling in combination with PRF membrane. Clinical examination performed on each subject and the height of gingival recession was recorded preoperatively (baseline), and at 1 and 3 months postoperatively. The data were statistically analyzed using analysis of variance (ANOVA) with post hoc Tukey's LSD test to determine the significant difference between groups. Statistical significance level was set at 0.05. Results: The results showed that there were significant differences in recession height between baseline and both 1 month and 3 months postoperatively (p < 0.05). Nevertheless, there was no significant difference between 1 and 3 months postoperatively (p > 0.05). All patients reported satisfactory esthetic results both at 1 and 3 months postoperatively. Conclusion: Mucogingival surgery using the less invasive vestibule access tunneling in combination with PRF membrane for gingival recession treatment provided optimal root coverage. Clinical significance: This article introduces a new tunnel technique in combination with PRF membrane for gingival recession treatment. Previous studies tried to make access using the tunnel technique performed through gingival sulcus. In this study, the access is performed through the vestibule region. Access from the vestibule can minimize the damage of gingival margin integrity, especially in patients with thin gingival biotype.

HTML PDF Share
  1. Gulati M, Saini A, et al. Esthetic dentistry for multiple gingival recession cases: Coronally advanced flap with bracket application. J Indian Soc Periodontol 2016 Mar–Apr;20(2):207–210. DOI: 10.4103/0972-124X.175178.
  2. Masud M, Al-Bayaty FH, et al. Gingival recession and dentine hypersensitivity in periodontal patients: Is it affecting their oral health related quality of life? J Int Dent Med Res 2017;10(3):909–914.
  3. Jati AS, Furquim LZ, et al. Gingival recession: its causes and types, and the importance of orthodontic treatment. Dental Press J Orthod 2016 Jun;21(3):18–29. DOI: 10.1590/2177-6709.21.3.018-029.oin.
  4. Balasubramanian K, Arshad LM, et al. Reconstruction of pink esthetics: The periodontal way. Contemp Clin Dent 2015 Jan–Mar;6(1):84–87. DOI: 10.4103/0976-237X.149298.
  5. Heasman PA, Ritchie M, et al. Gingival recession and root caries in the ageing population: A critical evaluation of treatments. J Clin Periodontol 2017;44(Suppl 18):S178–S193. DOI: 10.1111/jcpe.12676.
  6. Ronco V, Dard M. Esthetic and functional treatment of gingival recessions in the mandible: A micro-surgical and mini-invasive concept based on tunneling procedure and controlled connective tissue graft exposure: case reports. J Clin Med Case Rep 2017 Mar;4(1):01–07.
  7. Allen AL. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. I. Rationale and technique. Int J Periodontics Restorative Dent 1994 Jun;14(3):216–227.
  8. Saadoun AP. Current trends in gingival recession coverage. Part I: The tunnel connective tissue graft. Pract Proced Aesthet Dent 2006;18(7):433–438.
  9. Choukroun J, Diss A, et al. Platelet-rich fibrin (PRF): A second-generation platelet concentrate. Part IV: Clinical effects on tissue healing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006 Mar;101(3):e56–e60. DOI: 10.1016/j.tripleo.2005.07.011.
  10. Reddy S, Prasad MGS, et al. Vestibular incision subperiosteal tunnel access (VISTA) with platelet-rich fibrin (PRF) and connective tissue graft (CTG) in the management of multiple gingival recession- A case series. Int J Appl Dent Sci 2016;2(4):34–37.
  11. Oncu E. The use of platelet-rich fibrin vs subepithelial connective tissue graft in treatment of multiple gingival recessions: A randomized clinical trial. Int J Periodontics Restorative Dent 2017 Mar/Apr;37(2):265–271. DOI: 10.11607/prd.2741.
  12. Chang YC, Zhao JH. Effects of platelet-rich fibrin on human periodontal ligament fibroblasts and application for periodontal infrabony defects. Aust Dent J 2011 Dec;56(4):365–371. DOI: 10.1111/j.1834-7819.2011.01362.x.
  13. Krismariono A. Basic principal in the treatment of gingival recession. Dentika Dent J 2014;18(1):96–100.
  14. Pradeep K, Rajababu P, et al. Gingival recession: Review and strategies in treatment of recession. Case Rep Dent 2012;1–6. DOI: 10.1155/2012/563421.
  15. Moussa EW, Bissada NF. Comparative outcomes of Miller class III gingival recession treatment using the tunnel or coronally advanced flap approach: a case report. Clin Adv Periodontics 2017 Feb;7(1): 35–41. DOI: 10.1902/cap.2016.160023.
  16. Newman MG, Takei HH, et al. Carranza's clinical periodontology, 12th ed., Philadelphia: WB Saunders; 2015. pp. 21–22.
  17. Santarelli GA, Ciancaglini R, et al. Connective tissue grafting employing the tunnel technique. A case report of complete root coverage in anterior maxilla. Int J Periodontics Restorative Dent 2001 Feb;21(1):77–83.
  18. Pawar B, Bhuse K, et al. A fantastic approach for multiple recession coverage: Vestibular incision subperiosteal tunnel access technique (vista) - A case report. IOSR J Dent Med Sci 2016 Feb;15(2): 52–56.
  19. Garg S, Arora SA, et al. Multiple gingival recession coverage treated with vestibular incision subperiosteal tunnel access approach with or without platelet-rich fibrin - A case series. Contemp Clin Dent 2017 Jul–Sep;8(3):464–468. DOI: 10.4103/ccd.ccd_142_17.
  20. Arunachalam M, Pulikkotil SJ, et al. Platelet-rich fibrin in periodontal regeneration. Open Dent J 2016;10:174–181. DOI: 10.2174/1874210601610010174.
  21. Dohan DM, Choukroun J, et al. Platelet-rich fibrin (PRF): A second-generation platelet concentrate. Part II: Platelet-related biologic features. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006 Mar;101(3):e45–e50. DOI: 10.1016/j.tripleo.2005.07.009.
  22. Choukroun J, Diss A, et al. Platelet-rich fibrin (PRF): A second-generation platelet concentrate. Part IV: Clinical effects on tissue healing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006 Mar;101(3):e56–e60. DOI: 10.1016/j.tripleo.2005.07.011.
  23. Pierce GE, Mustoe TA, et al. Platelet-derived growth factor and transforming growth factor enhance tissue repair activities by unique mechanisms. J Cell Biol 1989 Jul;109:429–440. DOI: 10.1083/jcb.109.1.429.
  24. Tomar N, Dureja D, et al. Inclusion of guided tissue regeneration membrane for the management of multiple gingival recession. Int J Health Allied Sci 2017 Jan–Mar;6(1):50–52.
  25. Patel J, Rai J, et al. Panoramic view of junctional epithelium and biologic width around teeth and implant. IOSR J Dent Med Sci 2017 Sep;16(9):61–70.
  26. Emilov D, Deliverska E. Surgical treatment of gingival recession with soft tissue graft procedure. J IMAB 2018 Jul–Sep;24(3):2149–2159. DOI: 10.5272/jimab.2018243.2149.
  27. Dohan DM, De Peppo GM, et al. Slow release of growth factors and thrombospondin-1 in Choukroun's platelet-rich fibrin (PRF): A gold standard to achieve for all surgical platelet concentrates technologies. Growth Factors 2009 Feb;27(1):63–69. DOI: 10.1080/08977190802636713.
  28. Preeja C, Arun S. Platelet-rich fibrin: Its role in periodontal regeneration. Saudi J Dent Res 2014;5:117–122. DOI: 10.1016/j.ksujds.2013.09.001.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.