Abstract
This case report describes the management of multiple adjacent gingival recession defects in the maxillary
anterior region using the Vestibular Incision Subperiosteal Tunnel Access (VISTA) technique in combination with a
subepithelial connective tissue graft (SCTG). VISTA is a minimally invasive periodontal plastic surgery approach that
enables subperiosteal tunnel preparation and coronal advancement of the gingival tissues through a remote vestibular
access incision, thereby preserving the integrity of the interdental papillae. In the present case, an autogenous SCTG was
incorporated to enhance soft-tissue thickness and improve the quality and stability of the augmented gingival tissue. The
combined approach was selected to minimize surgical trauma while providing predictable root coverage and satisfactory
esthetic outcomes across multiple contiguous recession defects. Healing was uneventful, and favorable clinical results were
observed during postoperative follow-up. Nevertheless, longer-term clinical evaluation and further studies involving larger
patient populations are required to establish the predictability and applicability of this technique across different clinical
presentations.