Management of Multiple Gingival Recessions with the VISTA Technique: An 18-Month Clinical Case Series

The purpose of the present study was to evaluate the efficacy of the vestibular incision subperiosteal tunnel access (VISTA) technique with collagen membrane, bioactive glass, and platelet-rich fibrin. A total of 22 systemically and periodontally healthy subjects with multiple gingival recession defects (Miller Class I and II) in the maxillary esthetic zone were enrolled in the study. The primary outcome measures were mean root coverage and alteration in gingival thickness. There were no surgical complications; however, one patient reported swelling of the upper lip area on the first postoperative day, which resolved spontaneously. A statistically significant increase in gingival thickness (0.45 mm) and 94.17% ± 8.42% mean root coverage was observed at 18 months. Within the limitations of this study, it was concluded that the VISTA technique augmented with collagen membrane, bioactive glass, and plateletrich fibrin is a predictable modality in multiple recession management.