VISTA Periodontal Plastic Surgery

 
Homa H. Zadeh, DDS, PhD
Tuition: $595

  • 5 hours of on-demand online education
  • Recorded lectures
  • Recorded hands-on workshops
  • Recorded surgery demonstration

Gingival recession defects are often first noted because they compromise aesthetics or dentinal hypersensitivity. Previously, procedures aimed to treat functional soft tissue defects were referred to as mucogingival surgeries. Periodontal plastic surgery is an approach that includes regenerative and reconstructive procedures designed not only to restore form and function but also to enhance aesthetics. One of the major goals of periodontal plastic surgery is to treat gingival recession defects through an array of classic and novel approaches. Another major objective is to change the periodontal phenotype from thin to thick in an effort to reduce the risk of future progression. This course will review the risk factors that influence disease progression and predict therapeutic outcomes. The rationale, scientific evidence and material selection for various therapeutic approaches will be discussed. In particular, vestibular incision subperiosteal tunnel access (VISTA) will be introduced as a predictable technique for periodontal and peri-implant soft tissue regeneration.

Educational Objectives:

  • Diagnosis: Classification of gingival recession defects and relationship to outcome
  • Risk assessment:
    • Patient and site characteristics
    Management of patient/site risks
    Anatomic considerations and risks
  • Evidence-based therapy:
    • Efficacy of periodontal root coverage using various techniques and material
    Long-term outcomes
  • Biology of wound healing using various graft material
  • Material Selection:
    • o Sources of autogenous tissue

    Subepithelial connective tissue graft
    Palate vs. tuberosity
    o Allogenic grafts: Acellular dermal matrix (ADM)
    o Xenograft

    Form-stable, cross-linked collagen matrix
    Native collagen matrix
    o Platelet rich fibrin (PRF)

    Solid matrix PRF
    iPRF: Injectable liquid PRF
    Centrifugation protocol and rationale
  • Surgery:
    • Vestibular incision subperiosteal tunnel access (VISTA) rationale and protocol
    Donor tissue harvesting and processing
  • Orthodontic therapy:
    • Adjunctive orthodontic for gingival margin and interdental embrasure space management
    Orthodontic therapy
    Clear aligner therapy
  • Complications: Prevention and management
  • Pre- and post-operative care
    • Antibiotics and antiseptics
    Anti-inflammatory agents and supplements

On-Demand Simulated Workshop and Live Surgery

  • VISTA for treatment of gingival recession
  • VISTA tunnel elevation step-by-step
  • Coronally anchored suture technique
  • Lateral palate tissue harvesting
  • Tuberosity tissue harvesting and processing
  • Material Selection:
    • VISTA for treatment of gingival recession defect
    Donor tissue harvesting
    o Platelet rich fibrin (PRF)

    Preparation
    Liquid or solid matrix PRF
    PRF-functionalize tissue grafts

Class Brochure
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