Creeping attachment post-gingival recession treatment using a vestibular incision subperiosteal tunneling access technique combined with a connective tissue graft
Downloads
Background: The exposed roots of teeth due to gingival recession can generate dentin hypersensitivity and esthetic problems because a patient feels that the teeth, especially the anterior teeth, look long. Recession in thin anterior gingiva often brings unsatisfactory treatment results, so mucogingival surgery, such as vestibular incision subperiosteal tunneling access (VISTA) with the addition of a connective tissue graft (CTG), can be chosen as an appropriate treatment technique. Purpose: This case report describes the creeping attachment phenomenon after treatment of anterior gingival recession with VISTA and CTG techniques. Case: A 28-year-old female patient came with Miller Class I gingival recession in thin anterior gingiva and malposition teeth, complaining about pain and esthetic problems. Case management: The patient was treated with a VISTA technique combined with CTG. The creeping attachment phenomenon seen at three months postoperatively obtained good root coverage so that the patient's complaints were resolved even though periodic control was needed to evaluate oral hygiene. Conclusion: VISTA and CTG techniques are appropriate for treating anterior mandibular gingival recession with minimal trauma and provide significant results.
Downloads
Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, Demirel K, de Sanctis M, Ercoli C, Fan J, Geurs NC, Hughes FJ, Jin L, Kantarci A, Lalla E, Madianos PN, Matthews D, McGuire MK, Mills MP, Preshaw PM, Reynolds MA, Sculean A, Susin C, West NX, Yamazaki K. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018; 89(Suppl 1): S237–48. doi: https://doi.org/10.1002/JPER.17-0733
Dörfer CE, Staehle HJ, Wolff D. Three-year randomized study of manual and power toothbrush effects on pre-existing gingival recession. J Clin Periodontol. 2016; 43(6): 512–9. doi: https://doi.org/10.1111/jcpe.12518
Heasman PA, Holliday R, Bryant A, Preshaw PM. Evidence for the occurrence of gingival recession and non-carious cervical lesions as a consequence of traumatic toothbrushing. J Clin Periodontol. 2015; 42(Suppl 1): S237-55. doi: https://doi.org/10.1111/jcpe.12330
Seong J, Bartlett D, Newcombe RG, Claydon NCA, Hellin N, West NX. Prevalence of gingival recession and study of associated related factors in young UK adults. J Dent. 2018; 76: 58–67. doi: https://doi.org/10.1016/j.jdent.2018.06.005
Changi KK, Greenstein G, Tarnow D, Royzman D, Kang P. Creeping clinical attachment after acellular dermal matrix augmentation to attain root coverage. Clin Adv periodontics. 2020; 10(2): 75–80. doi: https://doi.org/10.1002/cap.10078
CieÅ›lik-Wegemund M, Wierucka-MÅ‚ynarczyk B, Tanasiewicz M, Gilowski Å. Tunnel technique with collagen matrix compared with connective tissue graft for treatment of periodontal recession: a randomized clinical trial. J Periodontol. 2016; 87(12): 1436–43. doi: https://doi.org/10.1902/jop.2016.150676
Cosgarea R, Juncar R, Arweiler N, Lascu L, Sculean A. Clinical evaluation of a porcine acellular dermal matrix for the treatment of multiple adjacent class I, II, and III gingival recessions using the modified coronally advanced tunnel technique. Quintessence Int. 2016; 47(9): 739–47. doi: https://doi.org/10.3290/j.qi.a36565
Abraham S, Deepak KT, Ambili R, Preeja C, Archana V. Gingival biotype and its clinical significance – a review. Saudi J Dent Res. 2014; 5(1): 3–7. doi: https://doi.org/10.1016/j.ksujds.2013.06.003
Manjunath RGS, Rana A, Sarkar A. Gingival biotype assessment in a healthy periodontium: transgingival probing method. J Clin diagnostic Res. 2015; 9(5): ZC66-9. doi: https://doi.org/10.7860/JCDR/2015/13759.5956
Reddy S, Prasad MGS, Bhowmik N, Singh S, Pandit HR, Vimal SK. Vestibular incision subperiosteal tunnel access (VISTA) with platelet rich fibrin (PRF) and connective tissue graft (CTG) in the management of multiple gingival recession- A case series. Int J Appl Dent Sci. 2016; 2(4): 34–7. web: https://www.oraljournal.com/vol2issue4/2-3-8.1.html
Agudio G, Chambrone L, Pini Prato G. Biologic remodeling of periodontal dimensions of areas treated with gingival augmentation procedure: a 25-year follow-up observation. J Periodontol. 2017; 88(7): 634–42. doi: https://doi.org/10.1902/jop.2017.170010
Meza-mauricio J, Tavelli L, Marx M, Maximiano H, Mafra IJ, Garcia JP. Creeping attachment following treatment of multiple gingival recession defects with xenogeneic collagen matrix: two case reports. J Int Acad Periodontol. 2021; 23(3): 253–8. web: https://www.perioiap.org/publications/55-july-2021/243-creeping-attachment-following-treatment-of-multiple-gingival-recession-defects-with-xenogeneic-collagen-matrix-two-case-reports
Graziani F, Gennai S, Roldán S, Discepoli N, Buti J, Madianos P, Herrera D. Efficacy of periodontal plastic procedures in the treatment of multiple gingival recessions. J Clin Periodontol. 2014; 41(Suppl 1): S63-76. doi: https://doi.org/10.1111/jcpe.12172
Suhasini J, Valiathan M. Brushing techniques. Eur J Mol Clin Med. 2020; 7(2): 6601–11. web: https://ejmcm.com/article_3962.html
Imber J-C, Kasaj A. Treatment of gingival recession: when and how? Int Dent J. 2021; 71(3): 178–87. doi: https://doi.org/10.1111/idj.12617
Mohamed A, Marssafy L. Comparative clinical study between Tunnel and VISTA approaches for the treatment of multiple gingival recessions with acellular dermal matrix allograft. Egypt Dent J. 2020; 66(1): 247–59. doi: https://doi.org/10.21608/edj.2020.77540
Hämmerle CHF, Giannobile W V, Working Group 1 of the European Workshop on Periodontology. Biology of soft tissue wound healing and regeneration--consensus report of Group 1 of the 10th European Workshop on Periodontology. J Clin Periodontol. 2014; 41(Suppl 1): S1-5. doi: https://doi.org/10.1111/jcpe.12221
Wan W, Zhong H, Wang J. Creeping attachment: A literature review. J Esthet Restor Dent. 2020; 32(8): 776–82. doi: https://doi.org/10.1111/jerd.12648
Soldatos NK, Font K, Powell CA. Creeping attachment after xenogenic collagen matrix placement for multiple recessions treatment: a discussion of two case reports. J Implant Adv Clin Dent. 2016; 8(6): 6–14. web: https://www.researchgate.net/publication/309483785
Gul SS, Zardawi FM, Sha AM, Rauf AM. Assessment of creeping attachment after free gingival graft in treatment of isolated gingival recession. J Int Acad Periodontol. 2019; 21(3): 125–31. pubmed: https://pubmed.ncbi.nlm.nih.gov/31473705/
Zuhr O, Bäumer D, Hürzeler M. The addition of soft tissue replacement grafts in plastic periodontal and implant surgery: critical elements in design and execution. J Clin Periodontol. 2014; 41(Suppl 1): S123-42. doi: https://doi.org/10.1111/jcpe.12185
Bautista CA, Cafferata EA, Vernal R, Cárdenas AM. Treatment of a single gingival recession with a subepithelial connective tissue graft with a double papilla flap: A case report. SAGE open Med case reports. 2022; 10: 2050313X221078706. doi: https://doi.org/10.1177/2050313X221078706
Copyright (c) 2023 Dental Journal (Majalah Kedokteran Gigi)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
- Every manuscript submitted to must observe the policy and terms set by the Dental Journal (Majalah Kedokteran Gigi).
- Publication rights to manuscript content published by the Dental Journal (Majalah Kedokteran Gigi) is owned by the journal with the consent and approval of the author(s) concerned.
- Full texts of electronically published manuscripts can be accessed free of charge and used according to the license shown below.
- The Dental Journal (Majalah Kedokteran Gigi) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License
