title: Minimally invasive treatment of soft tissue deficiency around an implant-supported restoration in the esthetic zone: modified VISTA technique case report.
abstract: The horizontal and vertical soft tissue dimension around an implant-supported restoration in the maxillary anterior is one of the determining factors for achieving an esthetic result. In this case report, the patient presented with a deficiency in both dimensions around a single-tooth implanted-supported restoration in the anterior maxilla. The soft tissue defects were augmented with a connective tissue graft that was placed underneath the buccal peri-implant tissue using a frenum access incision and a supraperiosteal tunneling approach (modified vestibular Incision supraperiosteal tunnel access [VISTA] technique). This novel technique resulted in an increase in tissue height and width, which suggests its potential use around implant-supported restorations.
authors.affiliation: 1  Division of Periodontology, Department of Oral Medicine, Infection and Immunity, Harvard School of Dental Medicine, Boston, Mass.
authors.forename: Chun-Teh
authors.initials: CT
authors.lastname: Lee
authors.forename: Techkouhie
authors.initials: T
authors.lastname: Hamalian
authors.forename: Ulrike
authors.initials: U
authors.lastname: Schulze-Späte
mesh_terms: D000328:Adult; D003238:Connective Tissue / Q000637:transplantation; D003442:Crowns; D019250:Dental Implants, Single-Tooth; D019094:Dental Prosthesis, Implant-Supported; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D005881:Gingiva / Q000637:transplantation; D005889:Gingival Recession / Q000601:surgery; D005893:Gingivoplasty / Q000379:methods*; D006801:Humans; D007742:Labial Frenum / Q000601:surgery; D008437:Maxilla / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures; D013524:Surgical Flaps / Q000601:surgery
keywords: dental implant; recession; soft tissue augmentation; soft tissue deficiency