Relevance of soft tissue in perio-pros concept
Relevance of increasing hard tissues in major atrophies
Luca De Stavola
Convergences in perio-pros concept
Xavi Vela & Xavi Rodriguez
Relevance of hard tissue in perio-pros
Perio-pros convergence, biological principles, and concept
VISTA technique for the treatment of gingival recession
The Vestibular Incision Subperiosteal Tunnel Access (VISTA) technique is used in mucogingival surgery to treat soft tissue defects around teeth and implants. The VISTA concept is minimally invasive and allows for the treatment of complete arches with recessions, with a series of advantages: it facilitates the detachment of tissues for the repositioning of the mucoperiosteum without tension; it provides ample access for the placement of grafts over the recipient area; it avoids the need for incisions in the papilla or margins; and it stabilises soft tissue in a coronal position with attached sutures for effective and predictable regeneration.
In addition, it provides important biological advantages, such as the vascular preservation and improved healing.
The VISTA approach has a wide variety of applications for root and peri-implant mucosal dehiscence coverage, periodontal and peri-implant regeneration, and increased volume.
Tunnel technique for root coverage
Aesthetic mucogingival peri-implant surgery
Course Description: Soft tissue plastic approaches to increase the height of the keratinized mucosa and / or the thickness of the peri-implant soft tissues can be performed at three different stages: before implant placement, simultaneously with implant placement and after implant placement.
After implant insertion, specially in the mandible, it is frequent to face clinical scenarios in which there is complete absence or a minimal quantity of keratinized tissue, many of the times associated with a reduced depth of the vestibular fornix and a coronal muscle insertion. In these cases, where there are no esthetic demands, the main objective is to reconstruct/increase the quantity of keratinized mucosa and deepen the vestibule so as to facilitate the performance of oral hygiene by the patient and at the same time reduce the risk of soft tissue dehiscence . The most appropriate surgical technique to obtain those results is the free gingival graft.
Most of the times soft tissue deficiencies at the buccal aspect of implant-supported crowns are a matter of thickness rather than height. The lack of adequate thickness of the buccal soft tissues can lead to incorrect emergence profiles of the prosthetic crown, which are difficult to maintain from a hygienic point of view; in these cases, the main goal of the plastic surgery is not to increase the height of the keratinized tissues but to augment the thickness of the connective tissue at the level of the peri-implant transmucosal portion. This is achieved with a surgical technique that involves the use of a connective tissue graft covered by a coronally advanced flap.
The Modified Free Gingival graft technique for the treatment of the lower anterior teeth
Gingival recession defect affecting lower incisors is a common findings among adult patients and is considered, from a mucogingival perspective, as one of the most challenging clinical situation to treat.
Indeed, anatomic conditions as marginal frenula, lack of keratinized tissue, high muscle pull, shallow vestibulum, that are frequently encountered in the lower incisors, are considered limiting factors for periodontal surgery.
Such critical anatomical factors can however be overcome and complete root coverage can successfully be obtained with a modified version of the free gingival graft.
The biological motives behind this innovative approach will be presented and the procedure will be described step-by-step during this workshop.
Coronally advanced flaps for root coverage
Over the last two decades, several clinical trials have shown the efficacy of different root coverage procedures at both single and multiple recessions.
The understanding of biological mechanisms of healing, the assessment of clinical prognosis and the refinement of the surgical procedures have led to a tremendous predictability of both clinical and aesthetic outcomes.
The present workshop will be focused on the periodontal plastic surgical procedures using coronally advanced flap procedures and their possible combinations with grafts and biomaterials to obtain excellent aesthetic outcomes.
President of Sepa
President of SIdP
14.30 - 14.40
José Nart & Nicola Marco Sforza ONLINE
14.40 - 15.10
Factors influencing root coverage success
15.10 - 15.40
Clinical efficacy and long-term results of the treatment of gingival recessions
Fabio Vignoletti & Matteo Marzadori
15.40 – 19.30
¿Which is the technique we are choosing for each clinical scenario?
15.40 - 16.10
RT I & II Recession treatment in the anterior maxilla
Josune Antía & Roberto Abundo
16.10 - 16:50
RT I & II Recession treatment in the anterior mandible
Olivier Carcuac & Martina Stefanini ONLINE
16.50 - 17:20
17.20 - 18.00
RT III Recession treatment
Rafa Naranjo & Massimo De Sanctis ONLINE
18.00 - 19.30
Live Surgery with Giovanni Zucchelli
Debate: José Nart & Francesco Cairo
9.00 - 9.40
Marginal soft tissue dehiscence around implants: why do they occur?
Ignacio Sanz Martín & Silvia Masiero ONLINE
9.40 - 10.20
Treatment of buccal dehiscences or deficiences around implants by using soft tissue augmentation
Ion Zabalegui & Alfonso Gil
10.20 - 11.00
Treatment of buccal dehiscences or deficiencies around implants by combining hard and soft tissue augmentation
Gonzalo Blasi & Raffaele Cavalcanti
11.00 - 11.20
11.20 - 12.00
The treatment of buccal dehiscences or deficiences around implants with connective tissue graft: tunnel technique vs vertical incision
Cristina Vallès & Mario Roccuzzo
12:00 - 12:30
Perio-Pros strategies for the treatment of interproximal deficiences around implants
12.30 - 14.00
Live Surgery with Paulo Mesquita
Debate: Óscar González & Berta García Mur