Advanced Applications of VISTA for Oral Plastic Surgery

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Homa H. Zadeh, DDS, PhD

Educational Format

This course offers flexible educational format to accommodate all clinicians.

All participants will have access to all online course resources, which can be accessed on-demand, including:

  • Lectures on background, scientific evidence and clinical case management
  • Clinical videos demonstrating surgical and prosthetic protocols
  • References: PDF files of publications and manuals
  • Material list

Live In-Person Education: Lectures and Hands-On Workshop

We have taken extraordinary measures to ensure the safety of all participants:

  • Attendance is strictly limited to allow physical distancing
  • “Surgically Clean Air” filtration system available
  • Masks will be required at all times
  • No food or beverage consumption will be allowed within the institute
  • All breaks will take place outside

Remote Live Synchronous Education: Lectures and Hands-On Workshop

Participants will have access to all online educational resources and will participate in all live sessions. Recordings of live lectures will be made available for later reference.

All instruments and workshop material will be shipped to participants to allow completion of all simulated exercises at participants’ homes or offices. The workshops can be completed synchronously during live sessions, where live feedback can be requested from the instructor. Alternatively, recordings can be watched on-demand for completion or repeat of workshop exercises.

Remote Live Synchronous Education: Lecture Only

Participants will have access to all didactic educational material, including live participation in lectures, live surgeries, and watching the hands-on exercises. Recordings of live lectures will be made available for later reference.

Remote Asynchronous Education: Lectures and Hands-On Workshop

Participants will have access to all online educational material and can access the material as on-demand basis.

All instruments and workshop material will be shipped to participants to allow completion of all simulated exercises at participants’ home or office.

Remote Live Asynchronous Education: Lecture Only

Participants will have access to all online educational material and can access the material (lectures, live surgeries and watching the hand-on exercises) as on-demand basis.

Tuition

$895 Live In-Person: Lecture + Workshop

$595 Remote Learning: Lecture + Workshop

$395 Remote Learning: Lectures Only

  • 4 hours of on-demand online education
  • 8 hours of live lecture + hands-on workshop and live surgery demonstration
  • Live event: Sunday, October 25, 2020

Course bundle: Intro and advanced VISTA courses: save 20% off of combined tuition.

Course Description

Vestibular Incision Subperiosteal Tunnel Access (VISTA) can be used in Oral Plastic Surgery (OPS) to address a variety of soft tissue and bone deficiencies around teeth and implants. VISTA offers many surgical, technical and biologic advantages, including 1) ease of release of tissues for tension-free mobilization of mucosal tissues to be repositioned, 2) access for placement of a variety of graft material directly over deficient sites, 3) avoidance of the need for papilla incision, 4) stabilization of tissues with bonded sutures for effective regeneration, and 5) preservation of the blood supply and enhanced healing. This course will discuss a variety of advanced applications of VISTA for periodontal and peri-implant soft tissue reconstruction.

This course is recommended for those who will take the “Intro to VISTA” course on October 24, 2020, or have taken previous VISTA training courses.

Educational Objectives

Case selection:

  • Gingival/peri-implant recession defects
  • Contour deficiencies
  • Mucosal phenotype (biotype)

Protocol selection:

  • Sequencing of VISTA mucosal augmentation with other planned therapy:
    • Extraction, implant, restoration
    • Alveolar ridge augmentation
    • Orthodontics

Risk Assessment:

  • Patient and site characteristics
  • Management of patient/site risks
  • Anatomic considerations and risks

Biology of wound healing:

  • Biology of wound healing using various graft material

Material Selection:

  • Autogenous mucosal tissues:
    • Subepithelial connective tissue graft
    • Palate vs tuberosity
  • Allogenic grafts: acellular dermal matrix (Alloderm)
  • Xenogenic collagen matrices:
    • Form-stable cross-linked collagen matrix (FibroGide)
    • Native collagen matrix (Mucograft)
  • Platelet Rich Fibrin (PRF)
    • Solid matrix PRF
    • iPRF injectable liquid PRF
    • Centrifugation protocol and rationale

Surgery:

  • VISTA: rationale for surgical technique
  • VISTA protocol for periodontal root coverage
  • Applications of VISTA for peri-implant tissue augmentation
  • Phenotype conversion therapy (PCT) with VISTA
  • Anatomic considerations
    • Surgical anatomy
    • Maxilla vs. mandible
    • Anterior vs. posterior

Orthodontic therapy:

  • Adjunctive orthodontic for gingival margin and interdental embrasure space management
  • Conventional orthodontic vs clear aligner therapy

Complications:

  • Prevention and management

Pre- and post-operative care:

  • Antibiotics and antiseptics
  • Analgesics
  • Anti-inflammatory agents
  • Nutritional and herbal supplements

Simulated Hands-On Workshop on Porcine Specimens

  • Advanced applications of VISTA for:
    • Treatment of multiple gingival recession defects
    • Peri-implant mucosal recession defect correction
    • Implant placement and mucosal augmentation
    • Peri-implant contour augmentation
  • Donor tissue harvesting: tuberosity and palate
  • Biomaterial use: xenograft & allograft
  • Platelet Rich Fibrin (PRF)
    • Solid matrix PRF
    • iPRF injectable liquid PRF

Live Surgery Demonstration

  • VISTA for peri-implant soft tissue augmentation
  • Platelet Rich Fibrin (PRF) preparation and application
  • Donor tissue harvesting and application

Schedule for Live Synchronous Participation

Sunday, October 25
7:00 to 8:00 AM ………………….. Registration and Breakfast (Served outside)
8:00 to 10:00 AM ………………….. Lecture
10:00 to 10:30 AM …………..…….. Break
10:30 to 12:30 PM ……………….. Lecture
12:30 PM to 1:30 PM …………… Lunch
1:30 to 3:30 PM …………………. Hands-On Workshop
3:30 to 5:00 PM ………….………. Live Surgery Demonstration

Course Brochure