Comparison of Coronally Advanced Flap with Semilunar Coronally Repositioned Flap with Sutures for the Treatment of Gingival Recession

Introduction: The surgical correction of shallow gingival recession by coronally advanced flap (CAF) and its variant semilunar coronally repositioned flap (SLF) offers the advantage of a single surgical site, less patient discomfort and predictable root coverage with good colour match. This study aims to compare and evaluate the predictability and reliability of the two types of flaps.Methods: In 20 Miller’s Class I recession defects, 10 sites each were treated with either SLF or CAF. Recession height, recession width, clinical attachment loss, width of keratinized gingiva, Plaque Index and Gingival Index were assessed at baseline, 1, 3 and 6 months. The intra-group comparison was done using paired t-test and the inter-group comparison using independent t-test with statistical p value set at <0.05.Results: Average root coverage seen with Group I (SLF) at 1 month was 51.67% and with Group II (CAF) was 62.5% and at 6 months the root coverage was 42.5% for both the groups. In both Groups, statistically significant changes in recession width and recession height were seen from baseline to 6 months. No statistically significant difference was seen between the two groups at any time period.Conclusions: The coronally advanced flap is predictable in the treatment of gingival recessions. However the semilunar flap with additional stabilizing suture may also be beneficial in treating gingival recessions and further research is needed in this technique.

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Pengembangan Lembar Kegiatan Siswa (LKS) Berbasis Inkuiri Terbimbing Pada Materi Teks Diskusi Siswa SMP Kelas IX

JINoP (Jurnal Inovasi Pembelajaran) ◽

10.22219/jinop.v4i1.5939 ◽

2018 ◽

Vol 4 (1) ◽

pp. 47

Author(s):

Indah Naryati

Keyword(s):

Degrees Of Freedom ◽

Formative Evaluation ◽

Cognitive Learning ◽

T Test ◽

P Value ◽

Group Comparison ◽

Guided Inquiry ◽

Teaching Materials ◽

Significant Difference ◽

Static Group

ABSTRAKLembar Kegiatan Siswa (LKS) adalah salah satu bagian dari bahan ajar. Sebagai salah satu bagian dari bahan ajar, LKS merupakan komponen yang penting dalam pembelajaran. Berdasarkan hasil penelitian pendahuluan, LKS yang digunakan masih belum mengarah pada pola pembelajaran yang mengeksplorasi pengetahuan siswa. Penelitian ini bertujuan untuk menghasilkan LKS hasil pengembangan berbasis inkuiri terbimbing pada materi teks diskusi siswa SMP kelas IX yang valid dan efektif. Jenis penelitian ini merupakan penelitian dan pengembangan, kolaborasi model Borg & Gall dan Dick & Carey. Metode yang digunakan adalah kuasi eksperimen (static group comparison design). Sampel penelitian adalah siswa SMP kelas IX, 30 siswa sebagai kelas pembanding, 33 siswa sebagai kelas eksperimen. Alat ukur berupa tes pilihan ganda pada evaluasi formatif sebagai posttest. Analisis data digunakan uji-t untuk sampel berpasangan pada taraf signifikan 5 % (p<0,05). Hasil penelitian menunjukkan LKS tergolong valid berdasarkan rata-rata penilaian pakar sebesar 74,7% dengan kategori cukup valid. Efektif berdasarkan 1) hasil belajar kognitif, rata-rata kelas 90,42 dan melebihi batas ketuntasan (KKM) yang ditetapkan yaitu 80. Hasil uji-t diperoleh nilai t = -9,574 dengan derajat kebebasan (dk) sebesar 61. Sedangkan p-value (2-tailed)= 0,0000, karena p-value = 0,0000 lebih kecil dari α = 0,05 maka H0 : µ1 = µ2 ditolak, sehingga dapat disimpulkan bahwa ada perbedaan yang signifikan antara posttest kelompok eksperimen dengan kelompok pembanding. Kata Kunci: LKS, inkuiri terbimbing, materi tek diskusi.ABSTRACTStudent Activity Sheet (LKS) is one part of teaching materials. As one part of teaching materials, LKS is an important component in learning. Based on preliminary research results, LKS used still not lead to learning patterns that explore students' knowledge. This study aims to produce LKS based on guided inquiry based on the discussion material of students of SMP class IX class that is valid and effective. This type of research is a research and development, collaboration models Borg & Gall and Dick & Carey. The method used is quasi experiment (static group comparison design). The sample of the research is the students of SMP class IX, 30 students as the comparison class, 33 students as the experimental class. Measurers are multiple choice tests on formative evaluation as posttest. Data analysis used t-test for paired samples at 5% significant level (p <0,05). The result of the research shows that LKS is valid based on the average expert rating of 74.7% with the category is quite valid. Effective on the basis of 1) cognitive learning outcomes, grade averages 90.42 and beyond the defined limit of (KKM) which is defined as 80. T-test results obtained t value = -9.574 with degrees of freedom (dk) of 61. While p-value (2-tailed) = 0,0000, since p-value = 0,0000 is smaller than α = 0.05 then H0: μ1 = μ2 is rejected, so it can be concluded that there is a significant difference between the experimental group posttest and the comparison group. Keywords: LKS, guided inquiry, discussion material.

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Patient-centered evaluation of microsurgical management of gingival recession using coronally advanced flap with platelet-rich fibrin or amnion membrane: A comparative analysis

European Journal of Dentistry ◽

10.4103/1305-7456.175686 ◽

2016 ◽

Vol 10 (01) ◽

pp. 121-133 ◽

Cited By ~ 23

Author(s):

Sumit Kumar Agarwal ◽

Rajesh Jhingran ◽

Vivek Kumar Bains ◽

Ruchi Srivastava ◽

Rohit Madan ◽

...

Keyword(s):

Gingival Recession ◽

Root Coverage ◽

Platelet Rich Fibrin ◽

Group Iii ◽

Coronally Advanced Flap ◽

Group I ◽

Microsurgical Approach ◽

Amnion Membrane ◽

Group Ii ◽

Experimental Group

ABSTRACT Objective: To evaluate the efficacy of coronally advanced flap (CAF) procedure under microsurgical approach for the management of Miller's Class I and II gingival recession defects with the use of either platelet-rich fibrin (PRF) or amnion membrane (AM) in comparison to CAF alone. Materials and Methods: A total of 45 sites with Miller's Class I or II gingival recession defect were randomly distributed for: Experimental Group I (CAF with PRF) sites (n = 15) which were treated with the microsurgical approach using CAF along with PRF; experimental Group II (CAF with AM) sites (n = 15) were treated with the microsurgical approach using CAF along with AM; control Group III (CAF alone) sites (n = 15) were treated with the microsurgical approach using CAF alone. Vertical gingival recession (VGR), horizontal gingival recession (HGR), gingival thickness (GT) (using transgingival probing [TGP] and ultrasonography [USG]) and patients’ response and acceptance were documented at baseline, 3 months and 6 months after surgical interventions. Results: CAF alone and in combination with PRF or AM, were effective techniques for root coverage with average VGR values of 1.47 ± 0.92 mm (56%), 0.67 ± 1.23 mm (36%) and 0.60 ± 1.06 mm (33%) in Group I (CAF with PRF), Group II (CAF with AM), and Group III (CAF alone), respectively. Complete coverage (100%) was obtained in 33.3% sites of Group I (CAF with PRF), 26.6% sites of Group II (CAF with AM) and 13.3% in Group III (CAF alone). Patients’ response and acceptance for surgical treatment modality in terms of patient esthetic score and decrease in hypersensitivity score was highest for Group I (CAF with PRF), whereas patient comfort score was highest for Group II (CAF with AM). At 6 months follow-up, significant increase in GT measurements (using TGP and USG) in Group I (CAF with PRF), whereas, nonsignificant increase for Group II (CAF with AM) and no change or decrease for Group III (CAF alone) as compared to baseline was observed. Conclusion: The present study observed enhancement in root coverage when PRF or AM are used in conjunction with CAF as compared to CAF alone. These results are based on 6-month followup. Therefore, the long-term evaluation may be necessary to appreciate the clinical effect of autologous PRF and AM.

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KOMBINASI CAUDAL TRACTION DAN MOBILIZATION WITH MOVEMENT LEBIH BAIK DARIPADA KOMBINASI CAUDAL TRACTION DAN SCAPULAR STABILITY EXERCISE DALAM MENINGKATKAN KEMAMPUAN FUNGSIONAL PADA EXTERNAL SHOULDER IMPINGEMENT SYNDROME

Sport and Fitness Journal ◽

10.24843/spj.2018.v06.i02.p05 ◽

2018 ◽

Author(s):

Prima Krishna Dharmawan ◽

Ketut Tirtayasa ◽

Wahyuddin ◽

Ida Bagus Ngurah ◽

I Nengah Sandi ◽

...

Keyword(s):

Functional Ability ◽

Comparative Test ◽

T Test ◽

Impingement Syndrome ◽

P Value ◽

Shoulder Impingement Syndrome ◽

Shoulder Impingement ◽

Group I ◽

Significant Difference ◽

Group Ii

Shoulder impingement syndrome (SIS) occurs due to the mechanical traumaric from the rotator cuff tendon located in the antero-inferior part of the acromion and clamping due to the shoulder movement position of flexion and internal shoulder rotation. This study aims to prove the enhancement of functional ability by providing combination of caudal traction and mobilization with movement compared with caudal traction and scapular stability exercise. The design of this study is pre test-post test group design. The number of group I sample of 8 patients was given intervention with caudal traction and mobilization with movement combination 3 times a week for 2 weeks, then in group II 8 patients were given combination of caudal traction and scapular stability exercise also performed 3 times a week for 2 week. Functional capacity improvement tests using Shoulder Pain and Disability Index (SPADI). Data were analyzed using statistical program for social science (SPSS) version 18.0. The results showed: (1) There was improvement of functional ability in group I, mean (%) pre 70.352 ± 5.132, and post 10.466 ± 0.517. The result of t-test related shows p value =< 0.001 (p <0,05). (2) There is improvement of functional ability in group II, mean (%) pre 69.727 ± 2.212, and post 21.961 ± 4.251. The result of t-test related shows p value = <0.001 (p <0.05). (3) There are significant differences in Group I and Group II. The result of pre-pre comparative test with independent t-test show p value = 0,605. And result of post-post comparative test with independent t-test shows p value = <0.001 (p <0.05). It was concluded that the combination of caudal traction and mobilization with movement with caudal traction and scapular stability exercise could improve functional ability in external impingement syndrome. There is a significant difference in functional enhancement between caudal traction and mobilization with movement combinations with a combination of caudal traction and scapular stability exercise.

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ACTIVE ONE LEG STANDING EXERCISE LEBIH EFEKTIF DARIPADA CONTACTUAL HAND ORIENTATING RESPONSE (CHOR)EXERCISE UNTUK MENINGKATKAN KEMAMPUAN MOBILITAS PASIEN PASCA STROKE

Sport and Fitness Journal ◽

10.24843/spj.2017.v05.i03.p15 ◽

2017 ◽

Author(s):

Bambang Widayanto ◽

Alex Pangkahila ◽

Muh Irfan ◽

Ida Bagus Ngurah ◽

I Putu Adiartha Griadhi ◽

...

Keyword(s):

Clinical Manifestations ◽

T Test ◽

Control Group ◽

P Value ◽

Mobility Impairment ◽

Control Group Design ◽

Group I ◽

Significant Difference ◽

Post Test ◽

Group Ii

Stroke is a syndrome caused by circulatory disorders of the brain (CVA) with acute onset, accompanied by clinical manifestations in the form of neurological deficit and not as a result of tumor, trauma or infection of the central nervous system. Perfomance Mobility impairment is the consequences caused by stroke. The purpose of this study was to compare a Active One Leg Standing and Contactual Hand Orientating Response (CHOR) Exercise in order to improve performance mobility instroke patients. This research used experimental methods with pre-test and post-test control group design. The number of samples per group is 7 people. Group I was gaveActive One Leg Standing Exercise, group II was gaveContactual Hand Orientating Response (CHOR) Exercise. Each group is given an exercise with an hour duration, 3 times a week for 6 weeks. Mobility perfomance measured using POMA-TinettiTest. It was concluded that Active One Leg Standing and contactual Hand orientating Response (CHOR) exercise can improve perfomance mobility in post-stroke patients. There is a significant difference in perfomance mobility level between Active One Leg Standing and contactual Hand orientating Response (CHOR) exercise.Result: (1) The result of t-test related showed mean ± SB pre test (15.57 ± 2.29) and post test (21.42 ± 2.50) with p value <0.05. (2) The result of t-test related showed mean ± SB pre test (13.85 ± 3.93) and post test (18.14 ± 3.89) with p value <0.05. (3) The result of comparation test showed the mean ± SB group I (6.85 ± 1.06) and group II (4.28 ± 0.75) with p value <0.05.

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INTERVENSI DUMBBELL LUNGES DAN CORE STABILITY EXERCISE LEBIH BAIK DARIPADA INTERVENSI ELASTIC BAND DAN CORE STABILITY EXERCISE TERHADAP PENINGKATAN KESEIMBANGAN DINAMIS PADA PEMAIN SKATEBOARD DENGAN KONDISI CHRONIC ANKLE INSTABILITY

Sport and Fitness Journal ◽

10.24843/spj.2017.v05.i03.p12 ◽

2017 ◽

Author(s):

I Dewa Gede Alit Kamayoga ◽

Nyoman Adiputra ◽

Syahmirza Indra Lesmana ◽

Ketut Tirtayasa ◽

Ida Bagus Ngurah ◽

...

Keyword(s):

Treatment Group ◽

Dynamic Balance ◽

T Test ◽

Core Stability ◽

P Value ◽

Elastic Band ◽

Group I ◽

Significant Difference ◽

Group Ii ◽

Difference Test

Among skateboarders frequently faced with recurrent injury especially on ankle region. They seldom take attention to their injury and if the condition left untreated, it will turn into chronic ankle instability. This condition will disturb dynamic balance while playing skateboard. The purpose of this research is to find if dumbbell lunges intervention and core stability exercise are more effective than elastic band and core stability exercise for the improvement of dynamic balance. This experimental research using pre and post test two group design. Sample was taken with simple random sampling. Total of 24 samples were divided into 2 groups, each group contain 12 samples. Group I had dumbbell lunges intervention and core stability exercise while Group II had elastic band intervention and core stability exercise. The exercise was done 3 times per week for 6 weeks. Data was taken with measurement dynamic balance using modified bass test of dynamic balance before and after exercise to each group. The mean difference test increasement of dynamic balance with paired sample t-test results p value 0.001 (p<0.05) within treatment Group I and p value 0.001 (p<0.05) within treatment Group II. which mean there is significantly difference of increasing value dynamic balance before and after intervention within both group. Difference test before intervention in treatment Group I and Group II with independent t-test result p value 0.818 (p>0.05) in which there is no significant difference between groups before intervention. and difference test after intervention in treatment Group I and Group II with independent t-test shows significant difference with p value 0.001 (p<0.05). This study shows that dumbbell lunges intervention and core stability exercise result in better improvement of dynamic balance than elastic band intervention and core stability exercise among skateboarders.

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Pattern of symptom improvement following endoscopic sinus surgery for chronic rhinosinusitis

BMC Surgery ◽

10.1186/s12893-021-01269-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Salma S. Al Sharhan ◽

Mohammed H. Al Bar ◽

Shahad Y. Assiri ◽

Assayl R. AlOtiabi ◽

Deemah M. Bin-Nooh ◽

...

Keyword(s):

Surgical Outcomes ◽

Endoscopic Sinus Surgery ◽

T Test ◽

Sinus Surgery ◽

Symptom Improvement ◽

P Value ◽

Psychological Dysfunction ◽

Significant Difference ◽

The Mean ◽

Snot 22

Abstract Background Chronic rhinosinusitis (CRS) is a common inflammation of the nose and the paranasal sinuses. Intractable CRS cases are generally treated with endoscopic sinus surgery (ESS). Although the effect of ESS on CRS symptoms has been studied, the pattern of symptom improvement after ESS for CRS is yet to be investigated. The aim of this study was to determine the magnitude and sequence of symptom improvement after ESS for CRS, and to assess the possible preoperative factors that predict surgical outcomes in CRS patients. Methods This was a longitudinal prospective study of 68 patients who had CRS (with or without nasal polyps). The patients underwent ESS at King Fahd Hospital of the University, Al Khobar, Saudi Arabia. The Sino-nasal Outcome Test-22 (SNOT-22) questionnaire was used for assessment at four time points during the study: pre-ESS, 1-week post-ESS, 4 weeks post-ESS, and 6 months post-ESS. Results The difference between the mean scores recorded for the five SNOT-22 domains pre-ESS and 6 months post-ESS were as follows: rhinologic symptoms (t-test = 7.22, p-value = < 0.001); extra-nasal rhinologic symptoms (t-test = 4.87, p-value = < 0.001); ear/facial symptoms (t-test = 6.34, p-value = < 0.001); psychological dysfunction (t-test = 1.99, p-value = 0.049); and sleep dysfunction (t-test = 5.58, p-value = < 0.001). There was a significant difference between the mean scores recorded for the five domains pre-ESS and 6 months post-ESS. Rhinologic symptoms had the largest effect size (d = 1.12), whereas psychological dysfunction had the least effect size (d = 0.24). The only statistically significant difference in the SNOT-22 mean scores recorded 4 weeks post-ESS was observed between allergic and non-allergic patients (t = − 2.16, df = 66, p = 0.035). Conclusion Understanding the pattern of symptom improvement following ESS for CRS will facilitate patient counselling and aid the optimization of the current treatment protocols to maximize surgical outcomes and quality of life. Level of evidence Prospective observational.

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Comparison of Human Thymus Gland between Young and Old Age

10.53350/pjmhs211561907 ◽

2021 ◽

Vol 15 (6) ◽

pp. 1907-1909

Author(s):

Faiza Mehboob ◽

Ponum Mirani ◽

M. Kamran Ameer ◽

Khurram Shabeer ◽

Muhammad Ali Qamar ◽

...

Keyword(s):

Connective Tissue ◽

Old Age ◽

Age Groups ◽

Young Age ◽

University Hospital ◽

P Value ◽

Old Patients ◽

Human Thymus ◽

Group I ◽

Significant Difference

Aim: Study was conducted to examine the different parameters of human thymus glands of young and old patients and compare the findings between both age groups. Study Design: Comparative/observational study Place and Study: Study was conducted at Anatomy department of Nishtar Medical University Hospital, Multan for duration of six months from 15th January 2020 to 15th July 2020. Methods: Total 54 specimens of human thymus of 54 patients were enrolled in this study. All specimens were divided in to two groups I and II, Group I contains 27 patients with ages <30 years and group II with 27 patients having ages 45 to 60 years. All specimens were fixed in 10% formalin solution and then processed for paraffin embedding. Compare the different parameters such as thickness of interlobular connective tissue and thymic capsule, length and number of Hassal’s corpuscles between both groups. Data was analyzed by SPSS 24.0. Results: In group I 12 (44.44%) patients were ages <15 years and 15 (55.56%) patients were ages >15 years. In group 13 (48.15%) and 14 (51.85%) patients were ages <50 years and >50 years. There was a significant difference observed between both groups regarding thickness of interlobular connective tissue and thymic capsule, quantity and length of Hassal’s corpuscles with p-value <0.05. Conclusion: It is to be concluded that patients with young age had significantly less thickness of thymic capsule and interlobular connective tissue with more in number and decreasing size of Hassal’s corpuscles as compared to old age patients. Keywords: Human Thymus Glands, Young Age, Old Age

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EFFECTIVENESS OF GLUTEAL MUSCLE STRENGTHENING ON FLAT FOOT

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2017.v10i6.17719 ◽

2017 ◽

Vol 10 (6) ◽

pp. 219

Author(s):

Pooja A Mulchandani ◽

Trupti Warude ◽

Amrutkuvar Pawar

Keyword(s):

T Test ◽

P Value ◽

Random Allocation ◽

Gluteal Muscle ◽

Flat Foot ◽

Muscle Strengthening ◽

Intrinsic Muscle ◽

Navicular Drop ◽

Significant Difference ◽

Paired T Test

Objectives: To compare the effect of gluteal muscle strengthening along with conventional exercises versus conventional exercises alone on flat foot.Method: An experimental study conducted at Physiotherapy Department of Krishna Institute of Medical Sciences, Karad. A total of 52 subjects were equally divided into two groups using convenient sampling with random allocation (Groups A and B). Baseline treatment was given to both groups (intrinsic muscle strengthening). Group A was given intrinsic muscle strengthening alone while Group B was given gluteal muscle strengthening along with intrinsic muscle strengthening.Result: Statistical analysis was performed using paired t-test and unpaired t-test. In pre-intervention there was no statistically significant difference seen with p values for the navicular drop was 0.3563 and for Ink test was 0.7342. While on comparing the post-interventional values, the results between the two groups using paired t-test revealed that there was extremely significant difference seen with p-value for the navicular drop was <0.0001 and for Ink test was <0.0001.Conclusion: From the study, it can be concluded that there was a significant effect of gluteal muscle strengthening on the flat foot.

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Results of modern tuboperitoneal infertility treatment

Vojnosanitetski pregled ◽

10.2298/vsp0901057t ◽

2009 ◽

Vol 66 (1) ◽

pp. 57-62 ◽

Cited By ~ 1

Author(s):

Drenka Turjacanin-Pantelic ◽

Dragana Bojovic-Jovic ◽

Biljana Arsic ◽

Eliana Garalejic

Keyword(s):

Statistical Analysis ◽

Surgical Treatment ◽

Infertility Treatment ◽

P Value ◽

Modern Approach ◽

Vitro Fertilization ◽

Group I ◽

Significant Difference ◽

Group Ii

Background/Aim. A modern approach to surgical treatment of tuboperitoneal infertility is based on laporascopic techniques. The aim of this study was to compare results of tuboperitoneal infertility treatment by the use of laparoscopy and classical laparotomy. Methods. A retrospectiveprospective study on 66 women treated operatively form tuboperitoneal infertility was performed. Data from patient's anamnesis and those related to the surgical treatment results, obtained by the use of an inquiry, were used in retrospective and prospective analysis, respectively. Chi-square test was used in statistical analysis. P value < 0.05 was considered significant. Results. Classical laparotomy was used on 34 women in a period from 1996 to 1997, while 32 women were operated laparoscopically in a period from 1999 to 2000. The results were as follows: a total number of conceived women was 16 (24%), seven in the group I (20.6%) and nine in the group II (28.1%); 13 women were with one pregnancy, six in the group I (17.6%) and seven in the group II (22%). Twice pregnant were three women, one in the group I (2.9%) and two in the group II (6.2%). The resulting pregnancies were: five women with abortion spontaneous, two in the group I (5.9%) and three in the group II (9.4%); two women with extrauterine pregnancy in the group I (5.9%); three with pretemporal birth, one in the group I (2.9%) and two in the group II (6.2%), while six women were with the temporal birth, two in the group I (5.9%) and four in the group II (12.5%). Statistical analysis showed that there was no significant difference in the results between these two groups. Conclusion. Surgical treatment of tubeperitoneal infertility, regardless of the used methods (classical laparotomy or laparoscopy) was successful in a great number of women. These methods have a great advantage over in vitro fertilization, and they should not be ignored.

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Vestibular incisional subperiosteal tunnel access versus coronally advanced flap with connective tissue graft for root coverage of Miller’s class I and II gingival recession: A randomized clinical trial

Journal of Advanced Periodontology & Implant Dentistry ◽

10.15171/japid.2019.003 ◽

2019 ◽

Vol 11 (1) ◽

pp. 12-20

Author(s):

Saeed Sadat Mansouri ◽

Omid Moghaddas ◽

Narjes Torabi ◽

Katayoun Ghafari

Keyword(s):

Connective Tissue ◽

Gingival Recession ◽

Control Group ◽

Root Coverage ◽

Control Groups ◽

Coronally Advanced Flap ◽

Connective Tissue Graft ◽

Tissue Graft ◽

Subepithelial Connective Tissue Graft ◽

And Control

Background and aims. This study aimed to compare the clinical efficacy of vestibular incisional subperiosteal tunnel access (VISTA) with subepithelial connective tissue graft versus a coronally advanced flap (CAF) with subepithelial connective tissue graft for the treatment of gingival recession defects. Materials and methods. This randomized clinical trial was performed on 24 recession defects that were bilaterally Miller’s class I or II in the maxillary canine and premolar area. One quadrant in each patient was selected randomly to receive VISTA (test group) or CAF (control group) with connective tissue graft. Clinical parameters measured at baseline and at 3- and 6- month postoperative intervals included recession width (RW), recession depth (RD), keratinized tissue width (KTW), clinical attachment level (CAL) and probing depth (PD). Results. Healing was uneventful in both the test and control groups. At the 6-month follow-up, there was a significant decrease in RD, RW and CAL and an increase in KTW in both the test and control groups. The PD remained unchanged. At 3 and 6 months, no statistically significant differences were found between VISTA and CAF for root coverage and clinical attachment gain. Mean root coverage (MRC) was 70.69% and 67.22% in the test and control group, respectively. VISTA demonstrated higher frequency of complete root coverage (CRC) compared to CAF: 50% vs. 33% (P<0.05). The mean KTW was 2.4±0.7 mm at the test and 2.7±0.8 mm at the control sites (P>0.05) Conclusion. VISTA, as a minimally invasive approach, can enhance root coverage, KTW and clinical attachment gain; therefore, it can be used as a substitute for CAF with connective tissue graft as a gold standard for root coverage.

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