Case Report
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Diş Eti Çekilmesinde Minimal İnvaziv Yaklaşım

Year 2025, Volume: 11 Issue: 2, 171 - 177, 31.08.2025

Abstract

Diş eti çekilmesi, diş eti kenarının apikal yönde göç etmesi ve kök yüzeyinin açığa çıkması olarak tanımlanır. Diş eti çekilmesinin tedavisi için birçok teknik tavsiye edilmiştir. m-VISTA, kök yüzeyi kapatma işlemlerinde tatmin edici sonuçlar elde etmek için minimal invaziv cerrahi prensiplerine uygun, güncel bir tekniktir, ancak cerrahi aşamaları oldukça hassastır. Kliniğimize 23 yaşında kadın hasta sol alt lateral, kanin ve premolar dişlerindeki diş eti çekilmesi şikayeti ile başvurdu. Bölge değerlendirildikten sonra tedavisi için m-VISTA tekniğine karar verildi. Operasyon sonrası ve 18 aylık takip döneminde 3 dişte de tam kök kapatma elde edildi.

References

  • Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. J Am Dent Assoc. 2003;134(2):220-5.
  • Ribeiro FS, Zandim DL, Pontes AEF, Mantovani RV, Sampaio JEC, Marcantonio Jr E. Tunnel technique with a surgical maneuver to increase the graft extension: case report with a 3-year follow-up. J Periodontol. 2008;79(4):753-8.
  • Yadav AP, Kulloli A, Shetty S, Ligade SS, Martande SS, Gholkar MJ, et al. Sub-epithelial connective tissue graft for the management of Miller's class I and class II isolated gingival recession defect: A systematic review of the factors influencing the outcome. J Investig Clin Dent. 2018;9(3): e12325.
  • Allen AL. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. I. Rationale and technique. Int J Periodontics Restorative Dent. 1994;14(3):216-27.
  • Zabalegui I, Sicilia A, Cambra J, Gil J, Sanz M. Treatment of multiple adjacent gingival recessions with the tunnel subepithelial connective tissue graft: a clinical report. Int J Periodontics Restorative Dent. 1999;19(2):199-206.
  • Sculean A, Cosgarea R, Stähli A, Katsaros C, Arweiler NB, Miron RJ, et al. Treatment of multiple adjacent maxillary Miller Class I, II, and III gingival recessions with the modified coronally advanced tunnel, enamel matrix derivative, and subepithelial connective tissue graft: a report of 12 cases. J Clin Periodontol. 2016;47(8):653-9.
  • Aroca S, Keglevich T, Nikolidakis D, Gera I, Nagy K, Azzi R, et al. Treatment of class III multiple gingival recessions: a randomized-clinical trial. J Clin Periodontol. 2010;37(1):88-97.
  • Barootchi S, Tavelli L. Tunneled coronally advanced flap for the treatment of isolated gingival recessions with deficient papilla. Int J Esthet Dent. 2022;17(1):14-26.
  • Lee C-T, Hamalian T, Schulze-Späte U. Minimally invasive treatment of soft tissue deficiency around an implant-supported restoration in the esthetic zone: modified VISTA technique case report. J Oral Implantol. 2015;41(1):71-6.
  • Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, et al. Periodontitis: consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Clin Periodontol. 2018;45(Suppl 20):173-S82.
  • Zadeh HH. Minimally invasive treatment of maxillary anterior gingival recession defects by vestibular incision subperiosteal tunnel access and platelet-derived growth factor BB. Int J Periodontics Restorative Dent. 2011;31(6):653.
  • Abdelhaleem M, Saleh W, Elmeadawy S. Treatment of gingival recession with vestibular incision subperiosteal tunnel access and advanced plateletrich fibrin. BMC Oral Health. 2025;25(1):63.
  • Pilloni A, Dell'Olmo F. The mucosal releasedcoronally advanced flap: a novel surgical approach—A case report. Clin Adv Periodontics. 2025;15(2):105- 10.
  • Cheriyan SR, Ravindran S, Devi S, Rajeevan S. Management of Miller’s Class I gingival recession using Zucchelli’s modified coronally advanced flap technique: a case report. Cell Free DNA. 2024;16(2):73-6.
  • Vincent-Bugnas S, Borie G, Charbit Y. Treatment of multiple maxillary adjacent class I and II gingival recessions with modified coronally advanced tunnel and a new xenogeneic acellular dermal matrix. J Esthet Restor Dent. 2018;30(2):89-95.
  • Najafi B, Kheirieh P, Torabi A, Cappetta EG. Periodontal regenerative treatment of intrabony defects in the esthetic zone using modified vestibular incision subperiosteal tunnel access (M-VISTA). Int J Periodontics Restorative Dent. 2018;38(Suppl):e9– e16.
  • Caffesse RG, Burgett FG, Nasjleti CE, Castelli WA. Healing of free gingival grafts with and without periosteum: Part I. Histologic evaluation. J Periodontol. 1979;50(6):347-56.
  • Ko H-Y, Lu H-K. Systematic review of the clinical performance of connective tissue graft and guided tissue regeneration in the treatment of gingival recessions of Miller's classification grades I and II. J Evid Med Clin. 2010;2(2):63-71.

Minimally Invasive Approach to Gingival Recession

Year 2025, Volume: 11 Issue: 2, 171 - 177, 31.08.2025

Abstract

Gingival recession is defined as the gingival margin migrating apically and exposing the root surface. Many techniques have been recommended for the treatment of gingival recession. The m-VISTA is an up-to-date technique that complies with the principles of minimally invasive surgery to provide satisfactory results in root coverage procedures, but its surgical stages are very sensitive. A 23-year-old female patient applied to our clinic with complaints of gingival recession in her lower left lateral, canine and premolar teeth. After the area was evaluated, the m-VISTA technique was decided for treatment. After the operation and during the 18-month follow-up period, complete root coverage was achieved in all 3 teeth.

References

  • Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. J Am Dent Assoc. 2003;134(2):220-5.
  • Ribeiro FS, Zandim DL, Pontes AEF, Mantovani RV, Sampaio JEC, Marcantonio Jr E. Tunnel technique with a surgical maneuver to increase the graft extension: case report with a 3-year follow-up. J Periodontol. 2008;79(4):753-8.
  • Yadav AP, Kulloli A, Shetty S, Ligade SS, Martande SS, Gholkar MJ, et al. Sub-epithelial connective tissue graft for the management of Miller's class I and class II isolated gingival recession defect: A systematic review of the factors influencing the outcome. J Investig Clin Dent. 2018;9(3): e12325.
  • Allen AL. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. I. Rationale and technique. Int J Periodontics Restorative Dent. 1994;14(3):216-27.
  • Zabalegui I, Sicilia A, Cambra J, Gil J, Sanz M. Treatment of multiple adjacent gingival recessions with the tunnel subepithelial connective tissue graft: a clinical report. Int J Periodontics Restorative Dent. 1999;19(2):199-206.
  • Sculean A, Cosgarea R, Stähli A, Katsaros C, Arweiler NB, Miron RJ, et al. Treatment of multiple adjacent maxillary Miller Class I, II, and III gingival recessions with the modified coronally advanced tunnel, enamel matrix derivative, and subepithelial connective tissue graft: a report of 12 cases. J Clin Periodontol. 2016;47(8):653-9.
  • Aroca S, Keglevich T, Nikolidakis D, Gera I, Nagy K, Azzi R, et al. Treatment of class III multiple gingival recessions: a randomized-clinical trial. J Clin Periodontol. 2010;37(1):88-97.
  • Barootchi S, Tavelli L. Tunneled coronally advanced flap for the treatment of isolated gingival recessions with deficient papilla. Int J Esthet Dent. 2022;17(1):14-26.
  • Lee C-T, Hamalian T, Schulze-Späte U. Minimally invasive treatment of soft tissue deficiency around an implant-supported restoration in the esthetic zone: modified VISTA technique case report. J Oral Implantol. 2015;41(1):71-6.
  • Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, et al. Periodontitis: consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Clin Periodontol. 2018;45(Suppl 20):173-S82.
  • Zadeh HH. Minimally invasive treatment of maxillary anterior gingival recession defects by vestibular incision subperiosteal tunnel access and platelet-derived growth factor BB. Int J Periodontics Restorative Dent. 2011;31(6):653.
  • Abdelhaleem M, Saleh W, Elmeadawy S. Treatment of gingival recession with vestibular incision subperiosteal tunnel access and advanced plateletrich fibrin. BMC Oral Health. 2025;25(1):63.
  • Pilloni A, Dell'Olmo F. The mucosal releasedcoronally advanced flap: a novel surgical approach—A case report. Clin Adv Periodontics. 2025;15(2):105- 10.
  • Cheriyan SR, Ravindran S, Devi S, Rajeevan S. Management of Miller’s Class I gingival recession using Zucchelli’s modified coronally advanced flap technique: a case report. Cell Free DNA. 2024;16(2):73-6.
  • Vincent-Bugnas S, Borie G, Charbit Y. Treatment of multiple maxillary adjacent class I and II gingival recessions with modified coronally advanced tunnel and a new xenogeneic acellular dermal matrix. J Esthet Restor Dent. 2018;30(2):89-95.
  • Najafi B, Kheirieh P, Torabi A, Cappetta EG. Periodontal regenerative treatment of intrabony defects in the esthetic zone using modified vestibular incision subperiosteal tunnel access (M-VISTA). Int J Periodontics Restorative Dent. 2018;38(Suppl):e9– e16.
  • Caffesse RG, Burgett FG, Nasjleti CE, Castelli WA. Healing of free gingival grafts with and without periosteum: Part I. Histologic evaluation. J Periodontol. 1979;50(6):347-56.
  • Ko H-Y, Lu H-K. Systematic review of the clinical performance of connective tissue graft and guided tissue regeneration in the treatment of gingival recessions of Miller's classification grades I and II. J Evid Med Clin. 2010;2(2):63-71.
There are 18 citations in total.

Details

Primary Language English
Subjects Periodontics
Journal Section Case Report
Authors

Burak Arda Önder 0009-0007-0872-2373

Resül Çolak 0000-0001-5210-1119

Publication Date August 31, 2025
Submission Date January 23, 2025
Acceptance Date April 3, 2025
Published in Issue Year 2025 Volume: 11 Issue: 2

Cite

Vancouver Önder BA, Çolak R. Minimally Invasive Approach to Gingival Recession. Aydin Dental Journal. 2025;11(2):171-7.

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