TY - JOUR
T1 - The management of Miller's class I gingival recession
T2 - Vestibular incision subperiosteal tunnel access (VISTA) in combination with acellular dermal matrix: A case report
AU - Komang Evan Wijaksana, I.
AU - Wiyono, Novia
AU - Ulfah, Noer
AU - Rubianto, Muhammad
N1 - Publisher Copyright:
© 2022 Journal of Research in Medical Sciences | Published by Wolters Kluwer - Medknow.
PY - 2022/7/1
Y1 - 2022/7/1
N2 - The vestibular incision subperiosteal tunnel access (VISTA) has many advantages for successfully treating multiple recession defects. Soft-tissue regeneration is generally achieved by either free gingival or connective tissue grafts. In recent years, various investigations have evaluated the outcome of acellular dermal matrix (ADM) for mucogingival surgery with encouraging outcomes. A 26-year-old male presented with a chief complaint of unattractive appearance in the upper left teeth. Miller's class I gingival recession presented in 23, 24, and 25 teeth. The VISTA approach combined with ADM affords a number of unique advantages to the successful treatment of multiple recession defects on this case report. The VISTA method was selected to manage this condition. During coronal advancement, subperiosteal dissection reduces gingival margin tension while maintaining blood flow to the interdental papillae. The increase of keratinized gingiva is notable, and after 1 year, soft tissue stability is apparent. The management of Miller class I gingival recession with the VISTA could achieve a commendatory result. ADM (Mucoderm) is a suitable alternative for connective tissue graft to augment gingival thickness.
AB - The vestibular incision subperiosteal tunnel access (VISTA) has many advantages for successfully treating multiple recession defects. Soft-tissue regeneration is generally achieved by either free gingival or connective tissue grafts. In recent years, various investigations have evaluated the outcome of acellular dermal matrix (ADM) for mucogingival surgery with encouraging outcomes. A 26-year-old male presented with a chief complaint of unattractive appearance in the upper left teeth. Miller's class I gingival recession presented in 23, 24, and 25 teeth. The VISTA approach combined with ADM affords a number of unique advantages to the successful treatment of multiple recession defects on this case report. The VISTA method was selected to manage this condition. During coronal advancement, subperiosteal dissection reduces gingival margin tension while maintaining blood flow to the interdental papillae. The increase of keratinized gingiva is notable, and after 1 year, soft tissue stability is apparent. The management of Miller class I gingival recession with the VISTA could achieve a commendatory result. ADM (Mucoderm) is a suitable alternative for connective tissue graft to augment gingival thickness.
KW - Acellular Dermal Matrix
KW - Gingival Recession
KW - Health Outcomes
KW - VISTA
UR - http://www.scopus.com/inward/record.url?scp=85138252429&partnerID=8YFLogxK
U2 - 10.4103/JIOH.JIOH_43_22
DO - 10.4103/JIOH.JIOH_43_22
M3 - Article
AN - SCOPUS:85138252429
SN - 0976-7428
VL - 14
SP - 427
EP - 431
JO - Journal of International Oral Health
JF - Journal of International Oral Health
IS - 4
ER -