{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T20:07:09Z","timestamp":1785528429422,"version":"3.56.0"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T00:00:00Z","timestamp":1689724800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aap.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Adv Periodontics"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The study was aimed to assess and compare hard and soft tissue augmentation clinicoradiographically with and without advanced platelet\u2010rich fibrin + (A\u2010PRF+) block for the treatment of multiple gingival recession using vestibular incision subperiosteal tunnel access (VISTA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 24 patients, exhibiting multiple Miller's Class I or II recessions in the maxillary esthetic zone were included. Participants were divided into two groups, Group 1 was treated with VISTA &amp; A\u2010PRF+ block whereas Group 2 was with VISTA technique alone. Clinical parameters probing depth, width of keratinized gingiva, gingival biotype, recession depth, and clinical attachment level were recorded at baseline and the end of 6 months. The radiographic cone beam computed tomography measurements of labial plate thickness were taken at baseline and 6 months postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From baseline to 6 months both the groups showed a clinical and statistical improvement in the parameters. However, a statistically significant difference between the treatment modalities was not observed. In the inter\u2010group comparison radiographically, labial plate thickness was statistically significant at the end of 6 months when compared to the baseline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A\u2010PRF+ block along with the VISTA technique can be an alternative effective root coverage procedure for the management of multiple gingival recessions in the maxillary esthetic zone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key points<\/jats:title><jats:p><jats:bold>Why is this study new information?<\/jats:bold><\/jats:p><jats:p>To the best of our knowledge, this is the first study using advanced platelet\u2010rich fibrin plus block for the treatment of multiple gingival recession with a thin labial plate.<\/jats:p><jats:p><jats:bold>What are the keys to the successful management of these types of cases?<\/jats:bold><\/jats:p><jats:p>Minimally invasive vestibular incision subperiosteal tunnel access technique, and avoidance of second surgical site morbidity are important factors for treatment and for patient compliance.<\/jats:p><jats:p><jats:bold>What are the primary limitations of this study?<\/jats:bold><\/jats:p><jats:p>Short study duration, small sample size, and no histological correlation can be considered as limitations of the study.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cap.10257","type":"journal-article","created":{"date-parts":[[2023,7,7]],"date-time":"2023-07-07T08:15:27Z","timestamp":1688717727000},"page":"63-69","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Novel biomaterial advanced platelet\u2010rich fibrin plus block for multiple gingival recession"],"prefix":"10.1002","volume":"14","author":[{"given":"Jayasheela","family":"Mallappa","sequence":"first","affiliation":[{"name":"Department Of Periodontics Bapuji Dental College And Hospital Davangere 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