Effectiveness of Vestibular Incision Subperiosteal Tunnel Access Technique in the Treatment of Multiple Adjacent Gingival Recession Defects: A Systematic Review

Overview

Journal J Indian Soc Periodontol

Date 2025 Feb 28

PMID 40018714

Authors

Prabhnoor Tuli

Abhay Pandurang Kolte

Rajashri Abhay Kolte

Vrushali Nilesh Lathiya

Affiliations

Soon will be listed here.

Abstract

Objective: To investigate the effectiveness of Vestibular Incision Subperiosteal Tunnel Access (VISTA) technique over other root coverage (RC) procedures for treating Millers Class I and II multiple adjacent gingival recession defects (MAGRD).

Methods: Patient, Intervention, Comparison, and Outcome question was established, and a literature review was carried out across PubMed, Cochrane Libraries, EMBASE, and hand-searched journals till April 2023 to identify the clinical research on the effectiveness of the VISTA Technique for RC procedures. Only randomized controlled trials (RCTs) with a minimum of 6 months' follow-up were considered. The outcomes assessed were complete RC (CRC), width of keratinized gingiva, and gingival thickness.

Results: A total of 30 articles were retrieved and ultimately 7 RCTs that met the inclusion criteria were incorporated into the systematic review. VISTA with biomaterials showed significant improvements in all the treatment outcomes over other RC procedures. Specifically, VISTA + subepithelial connective tissue graft (CTG)/CTG achieved an average CRC of 93.95%, along with significant increase in other parameters. In addition, biomaterials such as platelet concentrates, collagen membrane, Bioguide enhanced GEM21S, and Acellular dermal matrix proved viable alternatives producing similar outcomes.

Conclusion: VISTA technique is an effective procedure for treating MAGRD in terms of achieving CRC over other RC procedures. In addition, the use of biomaterials further enhances the treatment outcomes.

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