Abstract

Gingival recession, defined as the apical migration of gingival margin possesses great degree of functional and aesthetic problems. Recently new techniques for root coverage have been proposed for treating multiple teeth recession. Keeping in mind the limitations of the conventional techniques, a minimally invasive approach for the recipient site in the aesthetic zone, Vestibular Incision Subperiosteal Tunnel Access (VISTA) technique had been introduced. Since the connective tissue graft is the proven gold standard, it is combined with the minimally invasive technique to achieve the best possible result. Here, a series of such cases are discussed and the 6 months post operative follow up is hence analysed to assess the root coverage. Keywords: Gingival recession, Minimally invasive, Root coverage, VISTA, Connective tissue graft.

Highlights

  • IntroductionGingival recession is a common feature affecting the population leading to functional and esthetic problems

  • Gingival recession is a common feature affecting the population leading to functional and esthetic problems. It is defined as the apical migration of the gingival margin below the cemento-enamel junction (CEJ), leading to root exposure.[1]

  • Etiological factors such as faulty tooth brushing, malalignment of teeth, periodontal disease, high frenal attachment, traumatic occlusion and iatrogenic factors related to restorative and periodontal treatment procedures are the possible cause for the development of gingival recession.[2]. It is a cause of concern for both the clinician and the patients as it may predispose to further attachment loss, dentinal hypersensitivity and root caries and appears to be esthetically unpleasant.[3]

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Summary

Introduction

Gingival recession is a common feature affecting the population leading to functional and esthetic problems It is defined as the apical migration of the gingival margin below the cemento-enamel junction (CEJ), leading to root exposure.[1] Etiological factors such as faulty tooth brushing, malalignment of teeth, periodontal disease, high frenal attachment, traumatic occlusion and iatrogenic factors related to restorative and periodontal treatment procedures are the possible cause for the development of gingival recession.[2] It is a cause of concern for both the clinician and the patients as it may predispose to further attachment loss, dentinal hypersensitivity and root caries and appears to be esthetically unpleasant.[3] An array of treatment modalities are available for the treatment with the objective of root coverage. The purpose of this case series is to evaluate clinically, the efficacy of the novel and minimally invasive VISTA in combination with CTG in the treatment of multiple gingival recession defects

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