{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T05:58:53Z","timestamp":1778047133229,"version":"3.51.4"},"reference-count":27,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T00:00:00Z","timestamp":1766448000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"\n Objectives<\/jats:title>\n In order to treat MAGRD in the maxillary anterior region, the VISTA approach was evaluated and compared with and without A-PRF.<\/jats:p>\n <\/jats:sec>\n \n Materials and methods<\/jats:title>\n A split mouth RCT was designed with 216 MAGRD that were assigned to VISTA alone and VISTA with A-PRF. The complete root coverage (CRC) and gingival thickness (GT) were measured using CBCT at baseline and 12 months post-operatively, while the clinical parameters of probing depth (PD), clinical attachment level (CAL), width of keratinized gingival (WKG), gingival recession depth (GRD), and gingival recession width (GRW) were recorded at baseline, 6 months, and 12 months.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n From baseline to 12 months, there was a significant decrease in the mean values of GRD and GRW with an increase in WKG. CBCT scans showed a significant increase in GT mean values. According to these results, the Test group\u2019s CRC was higher (95.92%) than the Control\u00a0groups\u00a0(85.02%).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n In contrast to the Control group, the Test group demonstrated superior MAGRD resolution in achieving a decrease in GRD and GRW as well as a higher increase in WKG and GT. These findings resulted into a substantially more CRC for the Test group.<\/jats:p>\n <\/jats:sec>\n \n Trial registration<\/jats:title>\n Registration no. CTRI\/2022\/09\/045845.<\/jats:p>\n Registered on: 26\/09\/2022<\/jats:p>\n <\/jats:sec>","DOI":"10.1371\/journal.pone.0338823","type":"journal-article","created":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T18:22:28Z","timestamp":1766514148000},"page":"e0338823","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effectiveness of vestibular incision subperiosteal tunnel access (VISTA) technique with or without A-PRF in treatment of multiple adjacent gingival recession defects (MAGRD): A 12 months CBCT study"],"prefix":"10.1371","volume":"20","author":[{"given":"Prabhnoor","family":"Tuli","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5735-5908","authenticated-orcid":true,"given":"Abhay P.","family":"Kolte","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajashri A.","family":"Kolte","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vrushali N.","family":"Lathiya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinisha A.","family":"Bajaj","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahabe Saquib","family":"Abullais","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manea M.","family":"Alahmari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,12,23]]},"reference":[{"issue":"2","key":"pone.0338823.ref001","first-page":"184","article-title":"Assessment of tooth and gingival display in maxillary anterior teeth and premolars relative to gingival and interdental smile lines","volume":"15","author":"A Kolte","year":"2020","journal-title":"Int J Esthet Dent"},{"issue":"6","key":"pone.0338823.ref002","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1902\/jop.2013.130361","article-title":"Dimensional influence of interproximal areas on existence of interdental papillae","volume":"85","author":"AP Kolte","year":"2014","journal-title":"J Periodontol"},{"issue":"4","key":"pone.0338823.ref003","doi-asserted-by":"crossref","first-page":"533","DOI":"10.4103\/0972-124X.106897","article-title":"An evaluation of a periodontal plastic surgical procedure for the reconstruction of interdental papillae in maxillary anterior region: A clinical study","volume":"16","author":"ML Sawai","year":"2012","journal-title":"J Indian Soc Periodontol"},{"issue":"6","key":"pone.0338823.ref004","doi-asserted-by":"crossref","first-page":"671","DOI":"10.4103\/0972-124X.156881","article-title":"Etiology and occurrence of gingival recession - 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