MULTIPLE GINGIVAL RECESSION COVERAGE TREATED WITH VISTA TECHNIQUE USING ACELLULAR DERMAL MATRIX (ADM) COMBINED WITH PLATELET RICH FIBRIN (PRF): A CASE REPORT

Rosa Pratiwi*  -  Department of Periodontology, Faculty of Dentistry Universitas Islam Sultan Agung, Indonesia
Ernie Maduratna Setiawatie  -  Department of Periodontology, Faculty of Dental Medicine Universitas Airlangga, Indonesia

(*) Corresponding Author

Background: Gingival recession is an exposure of the root surface due to migration of the marginal periodontal tissues apical to the cemento enamel junction. There are so many root coverage procedures, among these techniques, VISTA technique combined with ADM and PRF offers minimally invasive approach.
Case Management: A-40-year-old male visited Periodontics Clinic of Dental
Hospital Airlangga University with the chief complaint of poor aesthetic resulting from exposed root surfaces in upper right front region of the jaw. Root coverage by VISTA technique using ADM combined with PRF was planned to this case.
Discussion: The minimal invasive VISTA technique approach, combined with ADM
and PRF has a number of advantages for successful treatment of multiple recession defects. VISTA technique was used because it can maintain better blood supply and maintain critical papillary integrity. ADM works like an autogenous graft by providing a bioactive matrix consisting of collagen, elastin, blood vessel channels, and bioactive protein that support natural revascularization, cell repopulation, and tissue remodeling. Growth factors present in PRF plays a crucial role in hard and soft tissue repair.
Conclusion: VISTA technique together with ADM and PRF membrane can be
successfully used as a treatment method for multiple gingival recessions of Miller’s class I defects

Keywords: Gingival recessions; Root coverage; VISTA technique; ADM; PRF

  1. Agarwal DR, Gurav AN, Shete AR, Shetgar S. 2015. The VISTA approach to treat gingival recession in esthetic zone: A case report. Int J Health Sci Res. 5(12): 410-4.
  2. Krismariono A. 2014. Prinsip dasar perawatan resesi gingiva (Basic principle in the treatment of gingival recession).Dentika Dent J. 18(1): 96-100.
  3. Rutuja KP, Lisa C, Rakhewar PS, Shah TH. 2017. The vestibular incision subperiosteal tunnel access (VISTA) for treatment of maxillary anterior gingival recession defects: A case report. Int J Health Sci Res. 7(7): 360-5.
  4. Chencev I, Neichev D, Vicheva D, Atanasov D, Noncheva V. 2016. Vista technique and platelet rich fibrin membrane for treatment of multiple adjacent gingival recession: 6 months follow up. Int J Dent Med Sci. 15(7): 128-33.
  5. Modaressi M, Wang HL. 2014. Tunneling procedure for root coverage using acelullar dermal matrix: A case series. Int J Periodontics Restorative Dent. 29(4): 395-403
  6. Reddy S, Prasad MGS, Bhowmik N, Singh S, Pandit HR, Vimal SK. 2016. Vestibular incision subperiosteal tunnel access (VISTA) with platelet rich fibrin (PRF) and connective tissue graft
  7. (CTG) in the management of multiple gingival recession: A case series. Int J Appl Dent Sci. 2(4):
  8. -7.
  9. Pradeep K, Rajabahu P, Satyanarayana D,Pratiwi/Setiawatie
  10. ODONTO Dental Journal. Volume 6. Nomor 1. Juli 2019 61
  11. Sagar V. 2012. Gingival recession: A review and strategies in treatment of recession. Hind J.
  12. Sabarinathan J, Prabhu MN, Lo TzeLui, Chung V, Tan Shiau Lin, Chew V, KhoAik Jin. 2014. Prevalence of gingival recession among the different races of patients reporting to Penang International
  13. Dental College. Int J Dent Sci Res. 2(4A): 1-3.
  14. Shkreta M, Atanasovska-Stojanovska A, Dollaku B, Belazelkoska Z. 2018.Exploring the gingival recession surgical treatment modalities: A literature review. J Med Sci. 6(4): 698-708.
  15. Jasser AR, Alkudmani H, Andreana S. 2017. Platelet rich fibrin as a new approach in treating gingival recession: Systematic review and meta-analysis. J Dent Oral DisordTher. 5(2): 1-12. 11. Gayathri GV, Choundary S, Bharath N, Shilpa E, Mehta DS. 2014. Treatment of gingival recession with coronally advanced flap combined with connective tissue graft/alloderm: A systematic review. Int J Oral Health Sci. 4: 70-80.
  16. Reddy S, Prasad MGS, Agnihotri J. 2013. Management of multiple recession defect using modified coronally advanced flap alone or with PRF. Int J Health Sci. 3(10): 133-8

Lisensi Creative Commons
This work is licensed under a Lisensi Creative Commons Atribusi-BerbagiSerupa 4.0 Internasional.
Contact us: Odonto Dental Journal: Jl. Raya Kaligawe Km.4, PO BOX 1054/SM Semarang, Central Java, Indonesia, 50112. Email: odontodentaljournal@unissula.ac.id
apps