The management of Miller's class I gingival recession: Vestibular incision subperiosteal tunnel access (VISTA) in combination with acellular dermal matrix: A case report

The vestibular incision subperiosteal tunnel access (VISTA) has many advantages for successfully treating multiple recession defects. Soft-tissue regeneration is generally achieved by either free gingival or connective tissue grafts. In recent years, various investigations have evaluated the outcome of acellular dermal matrix (ADM) for mucogingival surgery with encouraging outcomes. A 26-year-old male presented with a chief complaint of unattractive appearance in the upper left teeth. Miller's class I gingival recession presented in 23, 24, and 25 teeth. The VISTA approach combined with ADM affords a number of unique advantages to the successful treatment of multiple recession defects on this case report. The VISTA method was selected to manage this condition. During coronal advancement, subperiosteal dissection reduces gingival margin tension while maintaining blood flow to the interdental papillae. The increase of keratinized gingiva is notable, and after 1 year, soft tissue stability is apparent. The management of Miller class I gingival recession with the VISTA could achieve a commendatory result. ADM (Mucoderm) is a suitable alternative for connective tissue graft to augment gingival thickness.