Description of the modified vestibular incision subperiosteal tunnel access (m-VISTA) technique in the treatment of multiple Miller class III gingival recessions: a case series

• Published in: BMC oral health Vol. 21; no. 1; pp. 142 - 11
• Main Authors: Fernández-Jiménez, Aitziber, Estefanía-Fresco, Ruth, García-De-La-Fuente, Ana-María, Marichalar-Mendia, Xabier, Aguirre-Zorzano, Luis-Antonio
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 20.03.2021; BioMed Central; BMC
• Subjects: Adult; Care and treatment; Clinical trials; Connective Tissue; Connective tissue graft; Female; Gingiva; Gingival recession; Gingival Recession - surgery; Humans; Male; Mandible; Methods; Middle Aged; Molars; Mucogingival surgery; Oral surgery; Pain; Patient outcomes; Patients; Periodontal disease; Periodontal plastic surgery; Surgery; Surgical Flaps; Teeth; Tooth Root; Transplantation of organs, tissues, etc; Treatment Outcome; Vestibular system; Spain; United States > US; Chicago Illinois; Periodontal plastic surgery; Connective tissue graft; Mucogingival surgery; Gingival recession
• ISSN: 1472-6831; 1472-6831
• DOI: 10.1186/s12903-021-01511-5

Gingival recession is a common finding in the adult population. It is considered a challenge for clinicians to obtain a complete root coverage of Miller class III recession. The aim of this case series was to assess the outcomes achieved with the use of modified VISTA technique (m-VISTA) in patients having multiple Miller class III recessions after 6 months. Ten patients (six women and four men; mean age: 53 years), who showed multiple Miller class III recessions (depth ≥ 2 mm) and who met the established inclusion and exclusion criteria, were treated by postgraduate students with the use of m-VISTA technique. A total of 38 recessions were performed. The recessions were mainly located in the mandible (80%), which included six molars. The mean baseline recession was 3.12 mm. Post the intervention, a mean root coverage of 58.72% was achieved, with complete root coverage observed in 29% of the recessions. m-VISTA may offer several advantages in the treatment of Miller class III gingival recession. Nevertheless, more clinical trials with a longer follow-up period are needed to arrive at a concrete conclusion about its advantages. NCT03258996. Data registration: 08/18/2017.