Aesthetic Outcomes in Multiple Adjacent Gingival Recession Therapy Using Modified Vestibular Incision Subperiosteal Tunnel Access, Modified Coronally Advanced Tunnel, and a Combination – A Case Series

A BSTRACT Multiple adjacent gingival recession (MAGR) presents unique clinical challenges due to multifactorial etiology. A variety of surgical techniques have been proposed, including the use of autologous regenerative materials such as advanced platelet-rich fibrin (A-PRF). This case series presents three clinical scenarios managed with modified vestibular incision subperiosteal tunnel access technique (M-VISTA), Modified Coronally Advanced Tunnel (MCAT), and a combination of both. Each case presented with similar recession classifications and received adjunctive A-PRF application. Partial to complete root coverage was achieved in all cases. Comparative outcomes suggest that the combination approach demonstrated enhanced adaptability, versatility and outcomes in complex anatomical situations. M-VISTA, MCAT, and their combination are effective surgical options for managing MAGR. The combined technique may offer clinical adaptability in specific clinical scenarios requiring greater access and precision.