Treating Gingival Recession using the VISTA Technique

Since esthetics represents an inseparable part of successful implant therapy, treatment of gingival recessions is an important topic to understand. An array of treatment options exists for treatment of gingival recession, such as a coronally advanced flap (CAF) combined with connective tissue graft (CTG). However, this technique is susceptible to flap retraction, which can result in incomplete root coverage. As such other methods have been suggested, such as the use of CTG with envelopes and tunnels, which reduces the risk of tissue retraction during healing. However these techniques, can be very challenging. The two videos show the application of a novel minimally invasive surgical approach utilizing the vestibular incision subperiosteal tunnel access (VISTA) technique. The first video shows its use to bulk the buccal implant, while the second displays the technique to manage of multiple areas of gingival recession.

“VISTA entails making an access incision in the maxillary anterior frenum, followed by elevation of a subperiosteal tunnel. VISTA allows for both access as well as an opportunity to coronally reposition the gingival margins of all involved teeth. The VISTA approach overcomes some of the short-comings of intrasulcular tunneling techniques used for periodontal root coverage. The remote incision reduces the possibility of traumatizing the gingiva of the teeth being treated. Critical to the success of VISTA is a careful subperiosteal dissection that reduces the tension of the gingival margin during coronal advancement while at the same time maintaining the anatomical integrity of the interdental papillae by avoiding papillary reflection.” VISTA is most advantageous in the esthetic zone.1

The origional study by Zadeh1, used Bioguide®2 as a membrane in the VISTA technique. Our Neomem FlexPlus Membrane compares to Bioguide. Suture pullout testing has shown this membrane to be biomechanically strong yet conformability evaluations demonstrate the ability to adapt to the contour of the surgical site. Learn More and Save!


1. Minimally invasive treatment of maxillary anterior gingival recession defects by vestibular incision subperiosteal tunnel access and platelet-derived growth factor BB., Int J Periodontics Restorative Dent. 2011 Nov-Dec;, Zadeh, et al.

2.BioGideĀ® is a registered trademark of Geistlich



2 thoughts on “Treating Gingival Recession using the VISTA Technique

Leave a Comment:

Comment Guidelines: Be Yourself. Be Respectful. Add Value. For more details, read our comment guidelines. Though we require an email to comment, we will NEVER publish your email.
Required fields are marked *

This entry was posted in Regenerative, Videos and tagged .

Videos to Watch:

Titanium Mesh for Ridge Augmentation

The use of titanium mesh is a reliable method for ridge augmentation to provide adequate[...]

2 Comments

Watch Now!
Implant Grafting Techniques: Demineralized Sponge Strip and Tunneling

This video reviews several unique grafting and surgical techniques, including the use of demineralized cancellous[...]

Watch Now!
Mandibular Fixed Screw Retained Restoration

This video shows the use of a surgical guide for a mandibular fixed screw retained[...]

1 Comment

Watch Now!
Clinical Tip for Fixation of a Collagen Membrane

This video provides a clinical tip with regards to the fixation of a collagen membrane.[...]

Watch Now!
Lower Molar Extraction with Graft

Video showing lower left first molar extraction, followed by a socket graft, and then immediate[...]

3 Comments

Watch Now!
Maxillary Bone Reconstruction

This video demonstrations Maxillary Bone Reconstruction using Subnasal Floor Elevation and an Osteotome Closed Approach[...]

Watch Now!
Infection of Lower Premolar: Extract and Place Implant

In this video, the lower left 2nd premolar was extracted due to infection, and implants[...]

Watch Now!
Flapless Immediate Implant and Provisional

This video shows a technique showing using the patient's own tooth as a provisional at[...]

Watch Now!
Extraction and Immediate Implant with Luxator LX

Extraction of tooth #8, using Luxator LX, and then an immediate implant and provisional.[...]

3 Comments

Watch Now!
Dealing with the Implant Gap

This short video discusses how to best deal with the gap after immediate implant insertion[...]

1 Comment

Watch Now!
Lower Right Molar Extraction & Immediate Implant Placement Using i-PRF

In this video, the lower right second molar was extracted and grafted with i-PRF and[...]

13 Comments

Watch Now!
Maxillary Implantation with Treatment of Chronic Sinusitis

This video shows two cases where implants were placed following treatment of Sinusitis. [...]

3 Comments

Watch Now!