NON-PEDICLED BUCCAL FAT PAD GRAFT VERSUS CONNECTIVE TISSUE GRAFT IN MANAGEMENT OF GINGIVAL RECESSIONS USING VESTIBULAR INCISION SUBPERIOSTEAL TUNNEL ACCESS TECHNIQUE.

Aim of study: To assess effect of non-pedicledbuccal fat pad graft (NPBFP) versus subepithelial connective tissue graft (SCTG) in management of of gingival recessions (GRs) using vestibular incision subperiosteal tunnel access technique (VISTA). Patients and methods: Twenty patients with Miller Class I or II (GRs) recessions were randomly assigned to receive SCTG (group I) or NPBFP (groupII) using (VISTA) technique. The clinical parameters evaluated at baseline, 3 and 6 months postoperatively included gingival index (GI), plaque index (PI), clinical attachment level (CAL), and gingival recessions (GRs). Results: Both groups exhibited statistically significant differences in all clinical parameters when compering baseline to 3 and 6 months after surgery. Upon comparing the results of both groups, no statistically significant difference was detected regarding all clinical parameters. However, there was more improvement in group I than group II. Conclusion: The results presented indicate that both NPBFP and SCTG considered as clinically successful methods for treating Miller Class I and Class II GRs.