{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T10:24:36Z","timestamp":1769509476638,"version":"3.49.0"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,12,6]],"date-time":"2020-12-06T00:00:00Z","timestamp":1607212800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aap.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Adv Periodontics"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>The increasing esthetic demands from patients have required that clinicians sharpen their skills and adopt newer and more novel techniques to satisfy these demands. In periodontal therapy, periodontal plastic surgery poses a substantial challenge to the clinician, both because it is technique sensitive and also because it includes a wide array of procedures and their variations. Conventional plastic procedures have provided satisfactory results in the treatment of gingival recession but there is, presently, a greater need for more advanced procedures that cause less surgical morbidity as also provide improved results. Minimally invasive surgery has been harnessed in periodontics for this purpose and has been extensively used in multiple indications, including root coverage. Modified\u2010Vestibular Incision Supra\u2010periosteal Tunnel Access (M\u2010VISTA) applies the principles of minimally invasive surgery to provide satisfactory results in root coverage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Presentation<\/jats:title><jats:p>A 28\u2010year\u2010old male patient presented with multiple Miller Class I\/II buccal recession defects and associated high labial frenum on right maxillary anterior teeth. M\u2010VISTA technique allowed coronal repositioning of gingival margin, which was then stabilized by orthodontics bracket assisted suturing technique. The V\u2010shaped incision in the region of the frenal attachment allowed for conducting both the M\u2010VISTA and frenectomy techniques simultaneously. Connective tissue graft was inserted in the supra\u2010periosteal tunnel and vertical incision was sutured. Complete root coverage was achieved and maintained at 9 months with excellent esthetic outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The use of connective tissue graft along with M\u2010VISTA technique allows the clinician to successfully treat multiple recession defects.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cap.10135","type":"journal-article","created":{"date-parts":[[2020,11,20]],"date-time":"2020-11-20T17:34:33Z","timestamp":1605893673000},"page":"75-79","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["A Novel Modified\u2010Vista Technique With Connective Tissue Graft in the Treatment of Gingival Recession: A Case Report"],"prefix":"10.1002","volume":"12","author":[{"given":"P. Charishma","family":"Chowdary","sequence":"first","affiliation":[{"name":"Department of Periodontics and Oral Implantology GITAM Dental College and Hospital  Visakhapatnam Andhra Pradesh India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y. Sandhya","family":"Pavan Kumar","sequence":"additional","affiliation":[{"name":"Department of Periodontics and Oral Implantology GITAM Dental College and Hospital  Visakhapatnam Andhra Pradesh India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. Raja V.","family":"Murthy","sequence":"additional","affiliation":[{"name":"Department of Periodontics and Oral Implantology GITAM Dental College and Hospital  Visakhapatnam Andhra Pradesh India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. Trinath","family":"Kishore","sequence":"additional","affiliation":[{"name":"Department of Periodontics and Oral Implantology GITAM Dental College and Hospital  Visakhapatnam Andhra Pradesh India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2015.130674"},{"key":"e_1_2_10_3_1","first-page":"471","article-title":"Treatment of multiple adjacent gingival recessions with the tunnel subepithelial connective tissue graft: A clinical report","volume":"19","author":"Zabelgui I","year":"1999","journal-title":"Int J Periodontics Restorative Dent."},{"key":"e_1_2_10_4_1","first-page":"7","article-title":"Treatment of adjacent gingival recessions with sub\u2010epithelial connective tissue grafts and the modified tunnel technique","volume":"34","author":"T\u00f6z\u00fcm TF","year":"2003","journal-title":"Quintessence Int."},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1563\/AAID-JOI-D-13-00043"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2002.73.9.1054"},{"key":"e_1_2_10_7_1","first-page":"303","article-title":"Surgical therapies for the treatment of gingival recession. A systematic review","volume":"3","author":"Oates T","year":"2002","journal-title":"Ann Periodontol."},{"key":"e_1_2_10_8_1","first-page":"255","article-title":"Editorial: The American Society of Anesthesiologists (ASA) physical status classification system and its utilization for dental patient evaluation","volume":"49","author":"Mupparapu M","year":"2018","journal-title":"Quintessence Int."},{"key":"e_1_2_10_9_1","first-page":"279","article-title":"A single\u2010incision technique to harvest subepithelial connective tissue grafts from the palate","volume":"19","author":"Hurzeler MB","year":"1999","journal-title":"Int J Periodontics Restorative Dent."},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.080565"},{"key":"e_1_2_10_11_1","first-page":"653","article-title":"Minimally invasive treatment of maxillary anterior gingival recession defects by vestibular incision subperiosteal tunnel access and platelet\u2010derived growth factor BB","volume":"31","author":"Zadeh HH.","year":"2011","journal-title":"Int J Periodontics Restorative Dent."},{"key":"e_1_2_10_12_1","first-page":"216","article-title":"Use of the supraperiosteal envelope in soft tissue grafting for root coverage. 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Rationale and technique","volume":"14","author":"Allen AL.","year":"1994","journal-title":"Int J Periodontics Restorative Dent."},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2010.01658.x"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1979.50.11.586"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0765.1975.tb00001.x"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1878-3317(10)60011-3"}],"container-title":["Clinical Advances in Periodontics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cap.10135","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cap.10135","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cap.10135","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:49:11Z","timestamp":1760057351000},"score":1,"resource":{"primary":{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/10.1002\/cap.10135"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,6]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1002\/cap.10135"],"URL":"https:\/\/doi.org\/10.1002\/cap.10135","archive":["Portico"],"relation":{},"ISSN":["2573-8046","2163-0097"],"issn-type":[{"value":"2573-8046","type":"print"},{"value":"2163-0097","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,6]]},"assertion":[{"value":"2020-06-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}