Treatment of peri-implant mucosal fenestration with m-VISTA technique– a 2-year follow-up case report

Authors

  • Gustavo Macedo Pereira São Paulo State University (Unesp), Institute of Science and Technology, Department of Prosthodontics, São José dos Campos, Brazil https://orcid.org/0000-0003-2629-0707
  • Victoria Geisa Brito de Oliveira São Paulo State University (Unesp), Institute of Science and Technology, Department of Diagnosis and Surgery , São José dos Campos, Brazil https://orcid.org/0009-0008-4894-0655
  • Sérgio Lucio Pereira de Castro Lopes São Paulo State University (Unesp), Institute of Science and Technology, Department of Diagnosis and Surgery , São José dos Campos, Brazil https://orcid.org/0000-0002-0882-5862
  • Marcela Iunes da Silveira São Paulo State University (Unesp), Institute of Science and Technology, Department of Diagnosis and Surgery , São José dos Campos, Brazil https://orcid.org/0009-0006-1028-3245
  • Emanuel da Silva Rovai São Paulo State University (Unesp), Institute of Science and Technology, Department of Diagnosis and Surgery , São José dos Campos, Brazil https://orcid.org/0000-0002-5044-0368

DOI:

https://doi.org/10.4322/bds.2024.e4434

Abstract

The modified VISTA technique (modified Vestibular Incision Subperiosteal Tunnel Access) has been introduced as a minimally invasive approach for the treatment of gingival recessions. This technique could also be applied to managing peri-implant soft tissue defects (PSTD). This case report presents a 2-year follow-up case in which the m-VISTA technique was used in the treatment of a class 1A PSTD. A 66-year-old female patient complained of food accumulation and a non-aesthetic aspect in the peri-implant buccal region of tooth 11. On clinical examination, there was a peri-implant soft tissue defect, with a recession and fenestration of the buccal mucosa. A Cone Beam Computed Tomography (CBCT) was requested to complement the diagnosis, and a buccal bone defect was observed. Before the surgical phase, basic peri-implant therapy was performed. In surgery, the m-VISTA technique was used, seeking the slightest trauma to the soft tissues around the defect, especially the mucosal margin. The patient returned for suture removal after 14 days. Follow-ups were carried out in the first 14 and 21 days, 2 months, 6 months, and 1 and 2 years after surgery. After two years, there was a complete closure of the peri-implant mucosal fenestration and complete coverage of peri-implant soft tissue recession. This 2-year follow-up case report showed the m-VISTA technique could be a successful approach in the treatment of a peri-implant mucosal fenestration and recession.

Keywords

Case Report; Dental implantation; Gingival recession; Oral Surgery; Periodontics.

 

Published

2024-12-19

Issue

Vol. 27 No. 4 (2024): Oct - Dec / 2024 - Published Oct 2024

Section

Case Report or Clinical Technique