Introduction to 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:

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
  • Masks will be required
  • 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’ home or office. 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 educational material, including live participation in lectures, live surgeries and watching the hands-on exercises.

Remote Asynchronous Education: Lectures and Hands-On Workshop

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

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

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) on an on-demand basis.

Tuition

$795 Live In-Person: Lecture + Workshop

$495 Remote Learning: Lecture + Workshop

$295 Remote Learning: Lectures Only

  • 4 hours of on-demand online education
  • 6 hours of live lecture + hands-on workshop and live surgery demonstration
  • Live event: Saturday, October 24, 2020

Course bundle: Intro (Oct 24, 2020) and advanced (Oct 25, 2020) VISTA courses: save 20% off of combined tuition.

Course Description

Soft tissue deficiencies around teeth and implants are often first noted because of compromised aesthetics. However, such deficiencies are also associated with progressive periodontal and peri-implant attachment loss. Oral Plastic Surgery (OPS) represents reconstructive and regenerative surgical procedures dedicated to repair of inflammatory, traumatic and neoplastic oral defects. These procedures are intended to restore health, function, comfort and aesthetics. The main difference with conventional surgical procedures is that OPS conceals evidence of surgical intervention with indiscernible scar formation. Vestibular Incision Subperiosteal Tunnel Access (VISTA) is optimally suited for OPS to reconstruct and regenerate periodontal and peri-implant soft tissues. The principles on which the VISTA technique are based have been thoughtfully designed to be consistent with plastic surgical principles. This course will introduce participants to the principles of VISTA, including the rationale, details of the entire protocol and the step-by-step technique. This course will provide practical experience to be able to implement the technique for simple applications. The rationale, scientific evidence and material selection for various therapeutic approaches will be discussed.

Educational Objectives

Diagnosis:

  • Case selection

Risk Assessment:

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

Applications of VISTA:

  • Periodontal root coverage for the treatment of gingival recession
  • Peri-implant mucosal recession coverage
  • Implant placement through VISTA

Material Selection:

  • Sources of autogenous tissue:
  • Subepithelial connective tissue graft
  • Palate vs tuberosity
  • Allogenic grafts: ADM-acellular dermal matrix (Alloderm)
  • Xenograft:
    • Form-stable cross-linked collagen matrix (FibroGide)
    • Native collagen matrix (Mucograft)
  • Platelet Rich Fibrin (PRF)
    • Biology and rationale
    • Solid matrix PRF
    • iPRF injectable liquid PRF
    • Centrifugation protocol

Surgery:

  • Vestibular Incision Subperiosteal Tunnel Access (VISTA) rationale and protocol for teeth & implants
  • Donor tissue harvesting and processing

Complications:

  • Prevention and management

Pre- and post-operative Care:

  • Antibiotics and antiseptics
  • Anti-inflammatory agents & Supplements

Simulated Hands-on Workshop on Porcine Specimen

  • Step-by-step protocol for Vestibular Incision subperiosteal tunnel access (VISTA) for teeth/implants
    • Incision location
    • Subperiosteal tunnel protocol
    • Coronally anchored suturing technique
  • Donor tissue harvesting: tuberosity and palate
  • Biomaterial use: xenograft & allograft

Live Surgery Demonstration

  • Vestibular Incision subperiosteal tunnel access (VISTA) for periodontal root coverage
  • Platelet Rich Fibrin (PRF) preparation and application
  • Donor tissue harvesting and application

Schedule for Live Synchronous Participation

Saturday, October 24
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 12:00 PM ……………………………… Lecture
12:00 PM to 1:00 PM ……………………….… Lunch
1:00 to 2:30 PM ……………………………… Hands-On Workshop
2:30 to 3:30 PM ……………………..…….…… Live Surgery Demo

Course Brochure