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

Category: Implantology

Instructor(s): Homa Zadeh

Course structure: Lessons: 9 lessons | Duration: 6 h 48 min

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:

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.

Who is this course for?

This online course is designed for dentists and dental professionals interested in implantology, clinical decision-making and evidence-informed dental practice.