Interdisciplinary approach helps the specialists of contributing disciplines immensely in diagnosis, treatment planning, execution of planned treatment and problem solving for any untoward complication. Orthodontic treatment may be adjunctive to periodontal therapy or vice versa. Periodontal problems might lead to occlusal abnormalities which may require orthodontic correction. Of equal importance is that treatment should not induce damage to the periodontal structures. It is imperative that periodontal tissues are healthy before prosthodontic treatment commences, and additional periodontal treatment is commonly indicated to facilitate improved prosthodontic treatment outcomes.
Background: Both functional and esthetic concerns can result from gingival recession (GR), which manifests as the collapse of both soft and hard tissues. Several recession flaws, in particular, must be addressed within a single surgical session to repair GR, which is difficult to do while minimizing patient suffering. In order to achieve predictable root coverage, new materials and methods are currently being researched. This case report highlights the use of the platelet-rich fibrin (PRF) membrane in conjunction with the vestibular incision subperiosteal tunnel access (VISTA) approach to correct GR abnormalities. Case Presentation: This case report describes the use of the T-PRF membrane and the Vestibular subperiosteal tunnelling access technique (VISTA) to treat a Mandibular Miller Class I recession in a 27-year-old male patient. The gingival margin could be repositioned coronally using the VISTA technique, and was afterwards stabilized using the coronally anchored suturing method. The subperiosteal tunnel was lined with T-PRF membrane, and the vertical incision was stitched. Patients were monitored for a period of three months. Conclusion: Activation of platelets with titanium compared with activation with silica particles provided the distinctive characteristics of T-PRF, including its increased biocompatibility and growth factors in it helped in periodontal healing. This use of T-PRF membrane along with the VISTA technique seems to be a novel approach in managing gingival recession defects with satisfactory results. Key words: [Recession Coverage, Vestibular Incision Subperiosteal Tunneling Access, Growth factors, T-PRF.]
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