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

Overview

Journal BMC Oral Health

Publisher Biomed Central

Specialty Dentistry

Date 2021 Mar 21

PMID 33743644

Citations 6

Authors

Aitziber Fernandez-Jimenez

Ruth Estefania-Fresco

Ana-Maria Garcia-De-La-Fuente

Xabier Marichalar-Mendia

Luis-Antonio Aguirre-Zorzano

Affiliations

Soon will be listed here.

Abstract

Background: 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.

Methods: 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.

Results: 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.

Conclusions: 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.

Trial Registration: NCT03258996. Data registration: 08/18/2017.

Citing Articles

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Importance of pain perception after mucogingival surgery in multiple Miller class III/RT2 gingival recessions: A randomized clinical trial.

Fernandez-Jimenez A, Garcia-De-La-Fuente A, Estefania-Fresco R, Lafuente-Ibanez-de-Mendoza I, Marichalar-Mendia X, Aguirre-Urizar J Med Oral Patol Oral Cir Bucal. 2024; 30(1):e141-e150.

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Comparison of tunnel and VISTA techniques for multiple gingival recession treatment: A systematic literature review.

Matvijenko K, Borusevicius R J Adv Periodontol Implant Dent. 2024; 16(1):49-54.

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Need for additional research on vestibular incision subperiosteal tunnel access (VISTA) technique in India.

Sampoornam Pape Reddy S, Francis D, Manohar B, Krishnan S, Chopra S Lancet Reg Health Southeast Asia. 2024; 21:100339.

PMID: 38361595 PMC: 10866928. DOI: 10.1016/j.lansea.2023.100339.

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