Keywords
Periodontal diseases
Surgery oral
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Abstract
Objective: To report a clinical case of root coverage in the anterior mandible of a patient with gingival recession associated with tooth mobility and severe bone loss, using the VISTA technique combined with a connective tissue graft, while evaluating its efficacy regarding keratinized tissue gain, root coverage, and periodontal stability. Case details: This is a descriptive clinical case report conducted following a preliminary periodontal treatment protocol to stabilize inflammation and tooth mobility. The VISTA surgical technique was employed; a connective tissue graft was harvested from the palate and inserted into a subepithelial tunnel, followed by coronal repositioning of the flap and a suspension suture. The patient was clinically monitored at various postoperative intervals, with a descriptive analysis of root coverage, keratinized gingiva gain, and periodontal stability parameters. The case demonstrated that the VISTA technique combined with a subepithelial connective tissue graft is an effective approach for treating gingival recession associated with severe bone loss and tooth mobility. Final considerations: The use of the VISTA technique combined with a connective tissue graft represents a viable and more conservative surgical option for managing gingival recession in cases with advanced periodontal compromise.
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