VISTA: Periodontal Plastic Surgery (part 1)

Diagnosis:

- Classification of gingival recession defects and relationship to outcome

Risk Assessment:

- Patient and site characteristics- Management of patient/site risks- Anatomic considerations and risks

Evidence Based Therapy:

- Efficacy of periodontal root coverage using various techniques and material- Long-term outcomes

Biology of wound healing:

- Biology of wound healing using various tissue substitute graft material

Material Selection:

- Sources of autogenous tissue:- Subepithelial connective tissue graft- Palate vs tuberosity- Allogeneic grafts: acellular dermal matrix (ADM)- Xenograft:- Form-stable cross-linked collagen matrix- Native collagen matrix- Platelet Rich Fibrin (PRF)- Solid matrix PRF- iPRF injectable liquid PRF- Centrifugation protocol and rationale

Surgery:

- Vestibular Incision Subperiosteal Tunnel Access (VISTA) rationale and protocol- Donor tissue harvesting and processing

Orthodontic therapy:

- Adjunctive orthodontic for gingival margin and interdental embrasure space management- Conventional orthodontic therapy- Clear aligner therapy

Complications:

- Prevention and management