Introduction: The root surface and cementoenamel junction are exposed due
to gingival recession, which is caused by the apical migration of the gingival tissue
edge. Periodontitis, mechanical trauma (such vigorous tooth cleaning), malocclusion,
or iatrogenic factors are possible causes. Clinically, it presents with root sensitivity,
esthetic concerns, and increased susceptibility to root decay. Aim of the study: to
evaluate and compare the esthetic outcomes of Vestibular Incision Subperiosteal Tunnel
Access (VISTA) technique, with connective tissue graft; versus Coronally Advanced
Flap (CAF) technique; with connective tissue graft, in treating gingival recession in
esthetic zone. Patients and Methods: Thirty patients, with Miller class I or class II
gingival recession, were included in the current study, with age range from 18 to 55
years. Defects were treated using either VISTA combined with connective tissue graft
technique, or CAF combined with connective tissue technique. At three, six and nine
months, total root esthetic (RES)score were measured using. Results: Results of the
present study showed no significant difference in terms of RES between test and control
group. Conclusions: Based on the results of the current study, it can be concluded that
the RES revealed no significant difference between both surgical techniques.