Modified Vestibular Incision Supraperiosteal Tunnel Access in Recession Type 2 with Thin Phenotype: A Report of Two Cases
Gingival Recession Type 2 (RT2) presents complexity in achieving complete Root Coverage (RC) and associated parameters such as interproximal attachment loss and bone loss further have a negative influence on the stability of achieved RC. Complete RC might be attainable in RT2, though certain factors...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2023-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/17955/64327_CE[Ra1]_F(IS)_PF1(PS_KM)_PFA(PS_KM)_PN(KM).pdf |
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| author | Sakshi Malhotra Shikha Tewari Rajinder Kumar Sharma Nishi Tanwar Ritika Arora |
| author_facet | Sakshi Malhotra Shikha Tewari Rajinder Kumar Sharma Nishi Tanwar Ritika Arora |
| author_sort | Sakshi Malhotra |
| collection | DOAJ |
| description | Gingival Recession Type 2 (RT2) presents complexity in achieving complete Root Coverage (RC) and associated parameters such as interproximal attachment loss and bone loss further have a negative influence on the stability of achieved RC. Complete RC might be attainable in RT2, though certain factors like tooth malposition, avascular root surface area, frenal pull, and thin Periodontal Phenotype (PP) may limit the amount of RC. Vestibular Incision Subperiosteal Tunnel Access (VISTA) technique proposed in the last decade has been promising in the maxillary anterior region in the management of Miller Class I/ RT1 and even some RT2 gingival recession. In this case report, two systemically healthy female patients, having RT2 gingival recession in mandibular incisors labially positioned/rotated with thin PP were treated with Modified-vestibular incision supraperiosteal tunnel access (m-VISTA) along with Subepithelial Connective Tissue Graft (SCTG). Fifty percent RC was achieved in case-1 and 100% in case 2. The results were maintained during the follow-up period of nine months in case 1, and one year in case 2. Gingival RT2 with malpositioned tooth may be successfully treated with m-VISTA and SCTG as demonstrated in achieving stability of percentage RC and patients’ satisfaction in terms of aesthetics and resolution of hypersensitivity in the present case report. |
| first_indexed | 2024-04-09T12:36:20Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-09T12:36:20Z |
| publishDate | 2023-05-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-4a69308a844e4910bddbba429d4ff50a2023-05-15T11:49:26ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-05-01175ZD09ZD1210.7860/JCDR/2023/64327.17955Modified Vestibular Incision Supraperiosteal Tunnel Access in Recession Type 2 with Thin Phenotype: A Report of Two CasesSakshi Malhotra0Shikha Tewari1Rajinder Kumar Sharma2Nishi Tanwar3Ritika Arora4Ex Post Graduate Student, Department of Periodontics, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India.Senior Professor, Department of Periodontics, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India.Senior Professor and Head, Department of Periodontics, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India.Professor, Department of Periodontics, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India.Associate Professor, Department of Periodontics, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India.Gingival Recession Type 2 (RT2) presents complexity in achieving complete Root Coverage (RC) and associated parameters such as interproximal attachment loss and bone loss further have a negative influence on the stability of achieved RC. Complete RC might be attainable in RT2, though certain factors like tooth malposition, avascular root surface area, frenal pull, and thin Periodontal Phenotype (PP) may limit the amount of RC. Vestibular Incision Subperiosteal Tunnel Access (VISTA) technique proposed in the last decade has been promising in the maxillary anterior region in the management of Miller Class I/ RT1 and even some RT2 gingival recession. In this case report, two systemically healthy female patients, having RT2 gingival recession in mandibular incisors labially positioned/rotated with thin PP were treated with Modified-vestibular incision supraperiosteal tunnel access (m-VISTA) along with Subepithelial Connective Tissue Graft (SCTG). Fifty percent RC was achieved in case-1 and 100% in case 2. The results were maintained during the follow-up period of nine months in case 1, and one year in case 2. Gingival RT2 with malpositioned tooth may be successfully treated with m-VISTA and SCTG as demonstrated in achieving stability of percentage RC and patients’ satisfaction in terms of aesthetics and resolution of hypersensitivity in the present case report.https://www.jcdr.net/articles/PDF/17955/64327_CE[Ra1]_F(IS)_PF1(PS_KM)_PFA(PS_KM)_PN(KM).pdfaestheticsconnective tissuedentin hypersensitivitygingival recessionregeneration |
| spellingShingle | Sakshi Malhotra Shikha Tewari Rajinder Kumar Sharma Nishi Tanwar Ritika Arora Modified Vestibular Incision Supraperiosteal Tunnel Access in Recession Type 2 with Thin Phenotype: A Report of Two Cases Journal of Clinical and Diagnostic Research aesthetics connective tissue dentin hypersensitivity gingival recession regeneration |
| title | Modified Vestibular Incision Supraperiosteal Tunnel Access in Recession Type 2 with Thin Phenotype: A Report of Two Cases |
| title_full | Modified Vestibular Incision Supraperiosteal Tunnel Access in Recession Type 2 with Thin Phenotype: A Report of Two Cases |
| title_fullStr | Modified Vestibular Incision Supraperiosteal Tunnel Access in Recession Type 2 with Thin Phenotype: A Report of Two Cases |
| title_full_unstemmed | Modified Vestibular Incision Supraperiosteal Tunnel Access in Recession Type 2 with Thin Phenotype: A Report of Two Cases |
| title_short | Modified Vestibular Incision Supraperiosteal Tunnel Access in Recession Type 2 with Thin Phenotype: A Report of Two Cases |
| title_sort | modified vestibular incision supraperiosteal tunnel access in recession type 2 with thin phenotype a report of two cases |
| topic | aesthetics connective tissue dentin hypersensitivity gingival recession regeneration |
| url | https://www.jcdr.net/articles/PDF/17955/64327_CE[Ra1]_F(IS)_PF1(PS_KM)_PFA(PS_KM)_PN(KM).pdf |
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