{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:40:31Z","timestamp":1786650031963,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,3]]},"abstract":"\n Background:<\/jats:title>\n Gingival recession requires root coverage to address esthetics and dentinal hypersensitivity, prevent root caries and abrasion, and improve plaque control. The coronally advanced flap (CAF) with subepithelial connective tissue graft (SCTG) is a widely accepted gold standard but is technique sensitive and less predictable. The vestibular incision subperiosteal tunnel access (VISTA) technique is a minimally invasive alternative that yields more predictable results and better patient compliance. Platelet-rich fibrin (PRF) as a membrane for covering defects is less technique sensitive and improves patient comfort compared to SCTG. This study aims to compare the effectiveness of VISTA and CAF, both combined with PRF, in treating maxillary gingival recession.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n This randomized controlled trial involved 30 sites (15 in each group) in patients with Cairo\n et<\/jats:italic>\n al<\/jats:italic>\n . recession type 1 (RT1) recession. Sites were assigned to the test group (VISTA + PRF) or the control group (CAF + PRF). Primary outcomes, including probing depth (PD), clinical attachment level (CAL), width of keratinized tissue, thickness of attached gingiva (TAG), vertical depth of recession (VDR), gingival recession width (GRW), and percentage root coverage (%RC), were assessed at baseline and 3 months. Secondary outcomes included postsurgical discomfort, evaluated immediately after surgery and at 1 week.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n On comparison of the groups, statistically more significant results in terms of PD, CAL, TAG, VDR, GRW, percentage root coverage, and postsurgical discomfort level were seen in the test group compared to the control group.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n \n Both VISTA + PRF and CAF + PRF effectively treat maxillary anterior gingival recession (Cairo\n et al.<\/jats:italic>\n RT1), but VISTA + PRF shows superior outcomes.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jisp.jisp_490_24","type":"journal-article","created":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T11:00:55Z","timestamp":1755774055000},"page":"116-122","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Comparative evaluation of vestibular incision subperiosteal tunnel access and coronally advanced flap in adjunction with platelet-rich fibrin for maxillary gingival recession \u2013 A randomized controlled study"],"prefix":"10.4103","volume":"29","author":[{"given":"Megha Ellu","family":"Poojary","sequence":"first","affiliation":[{"name":"Department of Periodontology, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth, Vadodara, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monali","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Periodontology, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth, Vadodara, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richa","family":"Saroj","sequence":"additional","affiliation":[{"name":"Department of Periodontology, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth, Vadodara, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,8,19]]},"reference":[{"key":"R1-20260421","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1902\/jop.1992.63.6.489","article-title":"The natural history of periodontal disease in man: prevalence, severity, and extent of gingival recession","volume":"63","author":"L\u00f6e","year":"1992","journal-title":"J Periodontol"},{"key":"R2-20260421","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1111\/idj.12617","article-title":"Treatment of gingival recession: When and how?","volume":"71","author":"Imber","year":"2021","journal-title":"Int Dent J"},{"key":"R3-20260421","first-page":"7","article-title":"Comparative Evaluation of Coronally Advanced Flap with and without Bioactive Glass Putty in the Management of Gingival Recession Defects: A Randomized Controlled Clinical Trial","volume":"18","author":"Bansal","year":"2016","journal-title":"J Int Acad Periodontol"},{"issue":"Suppl 15","key":"R4-20260421","first-page":"S44","article-title":"Efficacy of periodontal plastic surgery procedures in the treatment of localized facial gingival recessions. A systematic review","volume":"41","author":"Cairo","year":"2014","journal-title":"J Clin Periodontol"},{"key":"R5-20260421","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2023\/8671484","article-title":"Efficacy of tunnel technique (TUN) versus coronally advanced flap (CAF) in the management of multiple gingival recession defects: A meta-analysis","volume":"2023","author":"Mayta-Tovalino","year":"2023","journal-title":"Int J Dent"},{"key":"R6-20260421","first-page":"653","article-title":"Minimally invasive treatment of maxillary anterior gingival recession defects by vestibular incision subperiosteal tunnel access and platelet-derived growth factor BB","volume":"31","author":"Zadeh","year":"2011","journal-title":"Int J Periodontics Restorative Dent"},{"key":"R7-20260421","doi-asserted-by":"crossref","first-page":"232","DOI":"10.4103\/0972-124X.145836","article-title":"Treatment of multiple gingival recessions with vista technique: A case series","volume":"19","author":"Chatterjee","year":"2015","journal-title":"J Indian Soc Periodontol"},{"key":"R8-20260421","doi-asserted-by":"crossref","first-page":"e56","DOI":"10.1016\/j.tripleo.2005.07.011","article-title":"Platelet-rich fibrin (PRF): A second-generation platelet concentrate. Part IV: Clinical effects on tissue healing","volume":"101","author":"Choukroun","year":"2006","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"key":"R9-20260421","first-page":"7922","article-title":"Platelet-rich fibrin application in dentistry: A literature review","volume":"8","author":"Borie","year":"2015","journal-title":"Int J Clin Exp Med"},{"key":"R10-20260421","doi-asserted-by":"crossref","first-page":"1506","DOI":"10.1902\/jop.2000.71.9.1506","article-title":"Treatment of multiple recession-type defects in patients with esthetic demands","volume":"71","author":"Zucchelli","year":"2000","journal-title":"J Periodontol"},{"key":"R11-20260421","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1002\/cre2.461","article-title":"Stability of biomaterials used in adjunct to coronally advanced flap: A systematic review and network meta-analysis","volume":"8","author":"Panda","year":"2022","journal-title":"Clin Exp Dent Res"},{"key":"R12-20260421","doi-asserted-by":"crossref","first-page":"465","DOI":"10.4103\/jisp.jisp_399_21","article-title":"Comparative evaluation of the efficacy of xenogeneic collagen matrix and platelet-rich fibrin in the treatment of gingival recession","volume":"26","author":"Raval","year":"2022","journal-title":"J Indian Soc Periodontol"},{"key":"R13-20260421","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1515\/med-2021-0259","article-title":"Platelet-rich fibrin: Basics of biological actions and protocol modifications","volume":"16","author":"Pavlovic","year":"2021","journal-title":"Open Med (Wars)"},{"key":"R14-20260421","doi-asserted-by":"crossref","first-page":"128","DOI":"10.9790\/0853-15075128133","article-title":"Vista technique and platelet-rich fibrin membrane for treatment of multiple adjacent gingival recessions \u2013 6 month follow-up","volume":"15","author":"Chenchev","year":"2016","journal-title":"IOSR J Dent Med Sci"},{"key":"R15-20260421","doi-asserted-by":"crossref","first-page":"231","DOI":"10.11607\/prd.2533","article-title":"Multiple gingival recession defects treated with coronally advanced flap and either the VISTA technique enhanced with GEM 21S or periosteal pedicle graft: A 9-month clinical study","volume":"36","author":"Dandu","year":"2016","journal-title":"Int J Periodontics Restorative Dent"},{"key":"R16-20260421","doi-asserted-by":"crossref","first-page":"228","DOI":"10.4103\/jisp.jisp_291_20","article-title":"Comparative evaluation of vestibular incision subperiosteal tunnel access with platelet-rich fibrin and connective tissue graft in the management of multiple gingival recession defects: A randomized clinical study","volume":"25","author":"Hegde","year":"2021","journal-title":"J Indian Soc Periodontol"}],"container-title":["Journal of Indian Society of Periodontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jisp.jisp_490_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:01:16Z","timestamp":1786647676000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jisp.jisp_490_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jisp.jisp_490_24","relation":{},"ISSN":["0972-124X","0975-1580"],"issn-type":[{"value":"0972-124X","type":"print"},{"value":"0975-1580","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3]]},"assertion":[{"value":"2024-12-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-20","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}