Root coverage using the VISTA technique and acellular dermal matrix via frenectomy access: A case report

Objective: To evaluate the effectiveness of the Vestibular Incision Subperiosteal Tunnel Access (VISTA) technique combined with an acellular dermal matrix (ADM) for the treatment of multiple gingival recessions. Clinical case: A 50-year-old male patient presented to the Periodontics Master's Clinic at FOUAC UT with thermal hypersensitivity. Clinical examination revealed multiple RT1-type gingival recessions (Cairo classification, 2011) from teeth #16 to #25, along with a low-insertion maxillary labial frenum between the upper central incisors. Root coverage was performed using the BIOXILLIUM® ADM via the VISTA technique, with surgical access achieved through a frenectomy incision. Results: Follow-up at one and four months revealed satisfactory root coverage, increased gingival thickness, and a clinically healthy appearance of the tissues. The patient reported complete resolution of sensitivity. Conclusion: The VISTA technique combined with ADM offers a minimally invasive alternative to traditional connective tissue grafts, with reduced morbidity and faster recovery. Frenectomy access may enhance surgical efficiency and patient comfort when both procedures are indicated.