VISTA: protocols for working with tissues around teeth and implants from the creator
VISTA: protocols for working with tissues around teeth and implants from the creator
Course overview
All the possibilities of using VISTA technique for soft tissue and bone augmentation, from its creator Homa Zadeh!
In the course, you will learn the techniques of:
periodontal plastic surgery
autogenous grafts
soft tissue and bone augmentation
modular bone plastic
socket augmentation.
You will analyze all the possibilities of using the VISTA technique in the treatment of periodontal and peri-implant tissue diseases. Additionally, you will learn about all the nuances of using PRF, membranes, and bone-substituting materials during plastic periodontal surgery and implantation.
After the course, you will receive a full set of necessary and relevant techniques for the treatment of periodontal diseases and alveolar ridge defects in any clinical situations.
Course lessons
Lesson 1. Surgical techniques for gingival recession treatment
Gingival recession: indications for starting treatment
Methods of periodontal plastic surgery:
Coronally advanced flap
Laterally closed tunnel
Pinhole surgical technique
Vestibular incision subperiosteal tunnel access (VISTA).
VISTA access: indications and stages of treatment.
Lesson 2. VISTA technique step-by-step protocol. Introductory lesson
Risk factors in the treatment of gingival recessions
Regeneration of gingival papillae: working methods
Selection of material for VISTA access
Advantages of VISTA Access
Sampling of autogenic tissue from the area of the upper jaw hillock: the technique and its modifications
VISTA technique: demonstration of the technique on a clinical example.
Lesson 3. VISTA technique step-by-step protocol
Risk factors in the treatment of gingival recessions
Regeneration of gingival papillae: working methods
Selection of material for VISTA access
Advantages of VISTA Access
Sampling of autogenic tissue from the area of the upper jaw hillock: the technique and its modifications
VISTA technique: demonstration of the technique on a clinical example.
Lesson 4. Soft tissue and bone augmentation techniques
Gingival and peri-implant tissues: anatomical and histological differences
Risk factors for gingival recession in the area of implants
The value of the peri-implant mucosa
Soft tissue augmentation techniques:
Free gingival graft (FGG)
Allograft/xenograft
L-PRF
Pedicle flap
Vascularized inter-position (VIP) graft
VISTA.
The socket of the removed tooth: the phenotype and its clinical significance.
Lesson 5. VISTA in complex clinical cases treatment
Socket-Shield technique
Use of PRF for immediate implantation
The method of modular bone grafting
Flap design
The depth of the vestibule of the oral cavity: methods of correction
VISTA methodology: aesthetic changes
Total rehabilitation of the oral cavity in complex clinical examples.
Lesson 6. Updated VISTA technique
History of concepts for management of gingival recession defects
Periodontal phenotype
Review of classic surgical techniques for the treatment of periodontal diseases
Advantages of VISTA technique
Mucosal split-thickness vs mucosal full-thickness flap
Significance of periodontal phenotype in long-term stability of periodontal tissues
Decision making on when phenotype modification therapy is necessary and whether augmentation of mucosa and/or alveolar bone augmentation is needed
The VISTA protocol for phenotype modification therapy.
Lesson 7. Clinical options of VISTA technique
Material selection:
Connective tissue (palate and tuberosity)
Acellular dermis allograft
Collagen matrix xenograft
Platelet-fibrin concentrates
Growth factors.
Step-by-step video demonstrations of VISTA technique
Interdisciplinary approach to complex case treatment.
Lesson 8. Bone augmentation: material selection and treatment planning
ABC classification
Risk assessment and classification
Material selection
Types of membranes, their differences and functions
Flap management for effective ridge augmentation
Tent-pole technique.
Lesson 9. Improving the predictability of alveolar ridge augmentation
Autogenic bone tissue
Bone augmentation and graft stabilization
The effectiveness of perforation of the cortical bone in bone augmentation
Bone demineralization
ABC classification of maxilla lateral areas
Autogenic bone tissue sampling technique
Vestibular and soft tissue management
Tunnel vs flap access
Application of VISTA technique
Complications: recognition and management.
