Vestibular Incision Subperiosteal Tunnel Access (VISTA) Technique Versus Coronally Advanced Flap (CAF) Combined With a Connective Tissue Graft for the Treatment of Maxillary Gingival Recessions

Vestibular Incision Subperiosteal Tunnel Access (VISTA) Technique Versus Coronally Advanced Flap (CAF) Combined With a Connective Tissue Graft for the Treatment of Maxillary Gingival Recessions: a Randomized Clinical Trial

Gingival recession (GR) is a common oral health problem that causes sensitivity, esthetic concerns and hygiene problems. Successful root coverage can be achieved by various surgical techniques. The VISTA technique may overcome some of the limitations of other techniques and present equal results to techniques that are considered the "Gold Standard" in this area of periodontology.

The objective of the research is to study the VISTA technique in terms of complete root coverage, % root coverage, gingival thickness gain, bleeding on probing, keratinized gingival width, PROMS, vestibular depth and esthetic results.

Inclusion Criteria:

• Healthy adults: men and women between 18 and 75 years of age.
• Accepts and signs informed consent.
• Systemically healthy patients with periodontal health or controlled periodontitis.
• Presence of at least two maxillary Cairo Type I or II (RT1/2) recessions > 2 mm deep on buccal aspect.
• Plaque index ≤20%
• No previous periodontal surgeries performed.
• Presence of the cementoenamel junction (CEJ), a 1 mm step in the CEJ and/or presence of root abrasion, but with an identifiable CEJ will be accepted.

Exclusion Criteria:

• Smoker of 10 ≥ cigarettes per day.
• Contraindications to periodontal surgery.
• Medications that affect the gingiva or their healing.
• Active orthodontic treatment.
• Pregnant women
• Caries or restorations in the area to be treated.
• Patients who cannot follow the post-surgical medication adequately