Abstract
BackgroundGingival recession is a common finding in the adult population. It is considered a challenge for clinicians to obtain a complete root coverage of Miller class III recession. The aim of this case series was to assess the outcomes achieved with the use of modified VISTA technique (m-VISTA) in patients having multiple Miller class III recessions after 6 months.MethodsTen patients (six women and four men; mean age: 53 years), who showed multiple Miller class III recessions (depth ≥ 2 mm) and who met the established inclusion and exclusion criteria, were treated by postgraduate students with the use of m-VISTA technique.ResultsA total of 38 recessions were performed. The recessions were mainly located in the mandible (80%), which included six molars. The mean baseline recession was 3.12 mm. Post the intervention, a mean root coverage of 58.72% was achieved, with complete root coverage observed in 29% of the recessions.Conclusionsm-VISTA may offer several advantages in the treatment of Miller class III gingival recession. Nevertheless, more clinical trials with a longer follow-up period are needed to arrive at a concrete conclusion about its advantages.Trial registration: NCT03258996.Data registration: 08/18/2017.
Highlights
Gingival recession is a common finding in the adult population
These patients were a part of an ongoing Randomized clinical trial (RCT), in which m-vestibular incision subperiosteal tunnel access (VISTA) was compared to coronally advanced flap (CAF) for the treatment of multiple Miller class III recessions [4]
Four men and six women participated in this case series, with the average age of patients being 53.68 years [41– 61]
Summary
Gingival recession is a common finding in the adult population It is considered a challenge for clini‐ cians to obtain a complete root coverage of Miller class III recession. The aim of this case series was to assess the outcomes achieved with the use of modified VISTA technique (m-VISTA) in patients having multiple Miller class III recessions after 6 months. Over the last few decades, multiple surgical approaches have been described for the treatment of this type of recession [8, 9] These techniques are similar to those used for Miller class I/II [4] recessions. The literature fails to define the principal parameter to assess the success of the treatment, or fails to answer if the success rate should be determined by a single or a combination of various parameters
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