Modified Vestibular Incision Subperiosteal Tunnel access technique using advanced Platelet rich fibrin membrane for the treatment of Miller's Class II/ III Gingival Recession: A Case Report

AbstractGingival recession presents a major problem in clinical practice due to jeopardized root coverage outcomes. The Modified Vestibular Incision Subperiosteal Tunnel Access (Modified VISTA) technique offers a minimally invasive solution for enhancing soft tissue. Incorporating autologous materials like Advanced Platelet Rich Fibrin (A-PRF) may enhance regenerative potential. This case report describes the management of Miller's Class II/ III gingival recession defects in the lower anterior region in a 25-year-old patient. The Modified VISTA method was used to create a subperiosteal tunnel through vestibular incisions, into which an A-PRF membrane was inserted to improve soft tissue regeneration. Healing progressed smoothly, with notable root coverage and increased gingival thickness observed after one month. Combining the Modified VISTA technique with A-PRF appears effective for addressing complex gingival recession cases. This method results in improved patient comfort with acceptable aesthetic outcomes. However, more clinical research is required to establish long-term success.