Platelet‐Rich Fibrin–Reinforced Vestibular Incision Subperiosteal Tunnel Access Technique for Recession Coverage

Abstract

Introduction: Gingival recession (GR) presents with breakdown of both soft and hard tissues and can cause major functional and esthetic problems. Treatment of GR, especially multiple recession defects, presents a challenge because several recession defects must be treated at a single surgical session to minimize patient discomfort. New materials and techniques are currently being developed to obtain predictable root coverage. This case series describes the use of the vestibular incision subperiosteal tunnel access (VISTA) technique in combination with platelet‐rich fibrin (PRF) membrane in the treatment of GR defects. To the best of the authors’ knowledge, this is the first report on the use of the PRF membrane–reinforced VISTA technique.Case Series: Four patients with multiple GRs were selected for this case series. The VISTA technique allowed coronal repositioning of the gingival margin, which was then stabilized by the coronally anchored suturing technique. PRF membrane was inserted inside the subperiosteal tunnel, and the vertical incision was sutured. Patients were kept under observation for 6 months.Conclusion: This use of PRF membrane along with the VISTA technique allows clinicians to successfully treat multiple GR defects.