Tuition: $995
- 4 hours of online education accessed on-demand
- 2 hours of live interactive lecture: June 26
- 2 hours of live interactive hands-on workshops: June 27
- Recorded surgery demonstration
VISTA: Periodontal Plastic Surgery Gingival recession defects are often first noted, because they compromise esthetics 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 esthetics. 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 soft tissue regeneration.
Educational Objectives of live interactive lecture-June 26:
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:
- Biology of wound healing using various tissue substitute graft material
Material Selection:
- Sources of autogenous tissue:
- Subepithelial connective tissue graft
- Palate vs tuberosity
- Allogenic grafts: acellular dermal matrix (ADM)
- Xenograft:
- Form-stable cross-linked collagen matrix
- Native collagen matrix
- 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
- Conventional orthodontic therapy
- Clear aligner therapy
Complications:
- Prevention and management
June 27: Live Interactive Simulated Hands-On Workshop:
- VISTA for treatment of gingival recession
- VISTA Tunnel elevation: step-by-step
- Coronally anchored suture technique
- Donor tissue harvesting techniques:
- Lateral palate tissue harvesting
- Tuberosity tissue harvesting and processing
Video Surgery Demonstration
- VISTA for treatment of gingival recession defect
- Donor tissue harvesting
- Platelet Rich Fibrin (PRF): Prepation,
- Liquid PRF
- Solid matrix PRF
- PRF-functionalized tissue grafts