The Art of Subperiosteal Tunneling - VISTA Technique in the Smile Zone: A Case Report

Gingival recession in the anterior esthetic zone presents both functional and cosmetic challenges. Traditional root coverage procedures often involve multiple incisions and limited predictability. The Vestibular Incision Subperiosteal Tunnel Access (VISTA) technique offers a minimally invasive alternative that enhances graft stability and esthetic outcomes. This study explores the effectiveness of the VISTA technique combined with Platelet-Rich Fibrin (PRF) membrane for the treatment of Cairo's RT1 multiple gingival recession. VISTA, a minimally invasive approach, uses a single vestibular incision to create a subperiosteal tunnel, allowing precise placement of PRF membranes. PRF, derived from the patient's own blood which used to enhance healing by promoting tissue regeneration. Clinical outcomes showed significant root coverage, increased gingival thickness, and improved keratinized tissue width. Patients experienced minimal discomfort and high esthetic satisfaction. The combination of VISTA and PRF offers a biologically driven, patient friendly solution for managing recession defects in the esthetic zone with predictable and favorable results.