Practical Applications of VISTA for Periodontal & Peri-Implant Plastic Surgery
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. The concept of VISTA is very well-aligned with plastic surgical principles, offering many surgical 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 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 and 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 and peri-implant recession defects
- Contour deficiencies
- Mucosal phenotype (biotype)
Protocol Selection:
- Sequencing of VISTA mucosal augmentation with other planned therapies:
- Extraction, implant, restoration
- Alveolar ridge augmentation
- Orthodontics
Risk Assessment:
- Patient and site characteristics
- Management of patient and 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:
- 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
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
Hands-On Workshop Simulated Exercises
- Advanced applications of VISTA for:
- Treatments 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 Demonstration
- VISTA for soft tissue augmentation
- Platelet Rich Fibrin (PRF) preparation and application
- Donor tissue harvesting and application
Educational Format
This course offers flexible educational format to accommodate all clinicians’ needs and interests.
Participation may take place either:
- In-person or remotely (held over Zoom)
- Live or on-demand
- Lecture only or lecture plus hands-on workshops
Regardless of mode of participation, online resources are available to supplement live lecture material. This information is accessible on an on-demand basis.
Tuition
$1995 Live in-Person: Lecture + Workshop
$1495 Remote Learning: Lecture + Workshop
$995 Remote Learning: Lectures Only
Tuition for remote workshops includes two-way shipment of all supplies to allow participants to complete the workshops in their own facility. If course materials are not returned within two weeks, $2000 will be charged to the participant.
CE Units
- 16 hours of live lecture + hands-on workshop and live surgery demonstration
- 4 hours of on-demand online education
Schedule for Live Sessions (November 5-6, 2022)
7:00 to 8:00 AM …….………Registration & Breakfast
8:00 to 10:00 AM ………..… Lecture
10:00 to 10:30 AM …………. Break
10:30 to 12:30 PM …….…… Lecture
12:30 to 1:30 PM …..….…… Lunch
1:30 to 3:30 PM ……….….…Hands-On Workshop
3:30 to 5:00 PM ……….……. Live Surgery Demo
VISTA Provider Certification
Clinicians who complete this course will receive official VISTA certification. VISTA-certified providers will receive a VISTA official certificate and logo and can professionally promote themselves as official VISTA-certified providers.
