- 12 hours of on-demand online education
- Recorded lectures
- Recorded hands-on workshops
- Recorded surgery demonstration
Course Description
Gingival recession is accompanied by alveolar bone dehiscence. Treatment of gingival recession has usually entailed soft tissue augmentation. However, a more comprehensive approach may be adopted to mitigate as many risk factors as possible. The concept presented in this course entails phenotype modification therapy (PMT) to increase mucosal and alveolar bone thickness, optimize root positions with clear aligner orthodontic therapy (CAT), and periodontal root coverage. Vestibular Incision Subperiosteal Tunnel Access (VISTA) has many surgical and biological advantages in this regenerative approach. The concept of VISTA is very well-aligned with plastic surgical principles, offering many advantages, including (1) ease of release of tissues for tension-free mobilization of mucosa to be repositioned, (2) access for placement of a variety of bone and tissue graft material directly over deficient sites, (3) avoidance of the need for papilla incision and (4) stabilization of tissues with bonded sutures for effective regeneration. In addition, there are biologic advantages, such as preservation of the blood supply and enhanced healing. VISTA has a variety of applications in periodontal root coverage, peri-implant mucosal dehiscence coverage, periodontal/peri-implant regeneration, contour augmentation and phenotype modification therapy. The scientific basis for all of the concepts will be presented. This course will offer practical technical and clinical experience with advanced applications of VISTA for periodontal and peri-implant soft tissue reconstruction.
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)
- Xenogeneic collagen matrices:
- Form-stable cross-linked collagen matrix (FibroGide)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:
- Treatment of advanced and generalized gingival recession defects with VISTA
- VISTA protocol for guided tissue regeneration
- Application of VISTA for peri-implant tissue augmentation
- Contour augmentation of peri-implant and pontic sites
- Phenotype conversion therapy with VISTA:
- Soft tissue thickness augmentation
- Alveolar bone augmentation
Orthodontic Therapy:
- Adjunctive orthodontics 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
Hands-On Workshop Simulated Exercises
- Advanced applications of VISTA for:
- Treatment of multiple gingival recession defects
- Peri-implant mucosal recession defect correction
- Implant placement and mucosal augmentation
- Phenotype conversion therapy with VISTA
- Peri-implant contour augmentation
- Donor tissue harvesting: tuberosity and palate
- Biomaterial use: xenograft and allograft
- Platelet-rich fibrin (PRF)
- Solid matrix PRF
- iPRF injectable liquid PRF
Live Surgery Demo
- VISTA for soft tissue augmentation
- Platelet-rich fibrin (PRF) preparation and application
- Donor tissue harvesting and application
Educational Format
- All lectures and “hands-on workshop simulated exercises” are available online and can be accessed on-demand.
- You will be provided access to the course materials for three months, downloading course information with consent will not be tolerated.
- Following the conclusion of the course, you will be required to complete an examination to receive CE credit.
- If the option for remote workshop is selected, all materials for hands-on workshops will be shipped to allow clinicians to follow the clear simulated exercises at home/office.
- Questions will be answered promptly by faculty.
Tuition
$1295 Remote Learning: Lecture + Workshop
$795 Remote Learning: Lecture Only
Tuition for remote workshops includes two-way shipment of all supplies to allow participants to complete the workshops in their own facility.
Workshop Material Return Policy:
- Prior to shipping, Credit card Authorization form is required, a $1 refundable charge will be submitted, if instruments (and other required materials) are not returned following two weeks after the conclusion of the course, you will be subjected to a $2,500 fine.
CE Units
12 CE Credits awarded upon successful completion of online examination