Vol. 11, Issue 3, Part E (2025)
Root coverage using the VISTA technique and acellular dermal matrix via frenectomy access: A case report
María de los Ángeles Pietschmann Santamaría, Martha Margarita Aguado Arzola, Jorge Eduardo Aguirre Juárez, Lizeth Alejandra Reyes Alvarado, Dora María López Trujillo, Cristina Bermúdez Rentería and Alexa Valeria Castellanos Ortiz
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.
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