Randomised controlled trial comparing modified VISTA and gum drop techniques in multiple adjacent gingival recession...

Area of Science:

• Periodontal plastic surgery
• Gingival recession treatment
• Minimally invasive dental procedures

Background:

• Gingival recession negatively impacts aesthetics and oral health.
• Treating multiple adjacent gingival defects presents significant clinical challenges.
• Existing treatments vary in efficacy and invasiveness.

Purpose of the Study:

• To compare the effectiveness of Modified VISTA (m-VISTA) and Gum Drop Technique (GDT) for treating multiple Miller's Class I and II gingival recessions.
• To evaluate clinical parameters including recession depth and gingival thickness.
• To determine the optimal minimally invasive surgical approach for these defects.

Main Methods:

• A randomized controlled trial was conducted involving 32 surgical sites.
• Patients with multiple Miller's Class I and II gingival recessions were enrolled.
• Clinical parameters were assessed at baseline and 3 months postoperatively for both m-VISTA and GDT groups.

Main Results:

• Both m-VISTA and GDT demonstrated significant improvements in assessed gingival parameters.
• The Gum Drop Technique (GDT) exhibited a statistically greater reduction in recession depth compared to m-VISTA.
• GDT also showed a more pronounced increase in gingival thickness post-surgery.

Conclusions:

• Modified VISTA (m-VISTA) and Gum Drop Technique (GDT) are both effective, minimally invasive surgical options for multiple gingival recessions.
• The Gum Drop Technique (GDT) provides slightly superior short-term clinical outcomes, particularly in recession depth reduction and gingival thickness.
• Further long-term studies are warranted to compare the sustained efficacy of both techniques.