VISTA Oral Plastic Surgery for Soft Tissue Augmenation Around Teeth & Implants – March 16-17, 2024

VISTA Oral Plastic Surgery for Soft Tissue Augmenation Around Teeth & Implants

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Course Faculty:

Homa H. Zadeh, DDS, PhD

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, optimizing 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)
• Xenogenic collagen matrices:
  • Form-stable cross-linked collagen matrix (FibroGide)
  • Native collagen matrix (Mucograft)
• Bone graft material for alveolar bone augmentation
• 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 orthodontic for gingival margin and interdental embrasure space management
• Conventional orthodontic vs. clear aligner therapy

Complications:

• Prevention and management

Pre- and postoperative 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
• 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

This course offers a 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, $2500 will be charged to the participant.

CE Units

• 16 hours of live lecture + hands-on workshop and live surgery demonstration

Schedule for Live Event

VISTA Provider Certification

Clinicians who complete this course will receive official VISTA certification.

VISTA-certified providers will receive VISTA official certificate and logo and can professionally promote themselves as official VISTA-certified providers.

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