Authors : Dr. Neha Patle; Dr. Neta Samnam; Dr. Nilakshi Trivedi; Dr. Madhu S. Ratre

Volume/Issue : Volume 11 - 2026, Issue 8 - August

Google Scholar : https://tinyurl.com/5ehhpafk

DOI : https://doi.org/10.38124/ijisrt/26aug1082

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Abstract : This case report describes the management of multiple adjacent gingival recession defects in the maxillary anterior region using the Vestibular Incision Subperiosteal Tunnel Access (VISTA) technique in combination with a subepithelial connective tissue graft (SCTG). VISTA is a minimally invasive periodontal plastic surgery approach that enables subperiosteal tunnel preparation and coronal advancement of the gingival tissues through a remote vestibular access incision, thereby preserving the integrity of the interdental papillae. In the present case, an autogenous SCTG was incorporated to enhance soft-tissue thickness and improve the quality and stability of the augmented gingival tissue. The combined approach was selected to minimize surgical trauma while providing predictable root coverage and satisfactory esthetic outcomes across multiple contiguous recession defects. Healing was uneventful, and favorable clinical results were observed during postoperative follow-up. Nevertheless, longer-term clinical evaluation and further studies involving larger patient populations are required to establish the predictability and applicability of this technique across different clinical presentations.

Keywords : Gingival Recession, VISTA Technique, Subepithelial Connective Tissue Graft, Root Coverage, Minimally Invasive Periodontal Surgery, Cairo Classification, Miller Classification.

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