Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
The “VISTA” Vestibular Incision Subperiosteal Tunnel Access Technique for Treatment of Multiple Anterior Recession Defects

Description:
In this clinical video, the “VISTA” Vestibular Incision Subperiosteal Tunnel Access Technique is displayed in the treatment of multiple anterior recession defects on previously restored teeth. Debridement, root conditioning, incisions, ACDM placement, instrumentation and suturing are highlighted as well as two week postop results.

Date Added:
11/4/2013

Author(s):

Maurice Salama, DMD Maurice Salama, DMD
Dr. Maurice A. Salama completed his undergraduate studies at the State University of New York at Binghamton in 1985, where he received his BS in Biology. Dr. Salama r...
[read more]

Recognized Institutes

Featured Products
DoWell Dental Products, Inc
4pc Vista Tunneling Kit
B.T.I. Biotechnology Institute
PRGF Endoret




Online Videos / Surgery / Periodontic Surgery / The “VISTA” Vestibular Incision Subperiosteal Tunnel Access Technique for Treatment of Multiple Anterior Recession Defects




Questions & Comments
Hamid Kazemi - (6/8/2016 5:28 PM)

Fantastic presentation- Thanks for sharing

Howard Gluckman - (10/5/2015 4:18 PM)

Great case Mo. Learned a lot thanks

Maurice Salama - (8/7/2015 12:51 PM)

Yohan; Thank you again. Yes, even with full tunnel technique there is retraction of the papilla area and risk of unintended tear or perforation so I prefer the VISTA with existing restorations or implants here BUT if the Tunnel is done well then really is only a preference. They both work. As for advice regarding early exposure of ACDM, it really depends upon suture method in my opinion. Once exposed NO intervention will be helpful, only observation and hygiene. regards Dr. Salama

yohan levy - (8/7/2015 1:44 AM)

Thank you for the rapidity of your answer your devotion to this site and To our profession in general is inspiring Following your answer i still do not understand why would you expect Any papilla retraction using a full tunelling technique whith no papilla elevation Introduicing the périoderm through the tunell Also concerning the technic shown on others of your excelent lecturs The One requiring the elevation of the most distal papilla i found in my experience specially When utilizing alloderm which Is usually thiker than the thick perioderm that this papilla tends to open Up very early in the healing process exposing the still wite alloderm Would you have Any advice to prevent this to happen and also what would you Recomand once this papilla opens up would you recomand to reintervein immidiatly To make sure that the alloderm do not stay exposed or no Thank you again

Maurice Salama - (8/6/2015 5:35 PM)

Yohan; Thank you for your kind words. I prefer VISTA here to avoid any potential issues with papilla retraction as these restorations will not be replaced. I would feel the same with implant restorations. As for tetracycline, it is simply capsules mixed with sterile solution and left for 3 minutes. warm regards Dr. Salama

yohan levy - (8/6/2015 5:25 PM)

Thank you dr salama for this great presentation. I actually would have two question for you The first One Is why have you previlege this technique over The regular tunneling aproach in this particular case? And the second more technical Is how To obtain this tétracycline paste Is it only the caplets mixed whith saline or do you purchase it as a paste Thank you

Maurice Salama - (11/29/2014 8:47 PM)

Mirna; No, I do engage the Perioderm ACDM with the sutures and use a sling mattress suture. I prefer OMNIA sutures PTFE or PGA or Monofilament. Thanks Dr. Salama

Mirna Munir74 - (11/29/2014 9:57 AM)

Hi dr Maurice, it was nice and simple procedure . One think i would like to ask, the stitching are not engage The perioderm at all?, thanks

Maurice Salama - (2/13/2014 8:25 PM)

Carl; Thank you. As Periosteum is only several microns in thickness "sharp" dissection allows for a supra-periosteal dissection. Instrumentation and technique is critical. Thanks Dr. Salama

Related Videos
From Extraction to Prosthetic Restoration: Considerations for the Esthetic Zone Premium Member Content

From Extraction to Prosthetic Restoration: Considerations for the Esthetic Zone
This webinar will highlight surgical and restorative techniques to accomplish predictable outcomes in the esthetic zone with implant therapy. Treatment modalities will be demonstrated with high quality photography and case series discussion. Surgical modalities presented will include ridge preservation, the current evidence on the use of growth factors such as PRP and hr-PDGF bb. Also timing of implant placement as well as soft and hard tissue augmentation will be discussed. Special emphasis will be placed on immediate provisionalization of implants to accomplish optimal peri-implant mucosa architecture. Techniques to transfer provisional emergence profile to the final restoration will be presented.

Presented By:: Thanos Ntounis, DDS, MS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Peri-Implantitis: Diagnosis, Etiology and Treatment Premium Member Content

Peri-Implantitis: Diagnosis, Etiology and Treatment
The dental implant therapy has evolved both in implant surface and design. The reason for the initial crestal bone loss has been proven and the risks of having a peri-implantitis have increased due to the early exposure of roughened surface. The prevalence of peri-implantitis is at a range of 28 to 56%.

Presented By:: Edgard El Chaar, DDS, MS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Surgical Concepts to Treat Esthetic Implant Disaster Cases - Part 2 of 2 Premium Member Content

Surgical Concepts to Treat Esthetic Implant Disaster Cases - Part 2 of 2
The utilization of dental implants in the esthetic zone is a challenge for involved clinicians. With the increasing application of dental implants by non-experienced colleagues, the occurrence of esthetic failures with implant supported restorations is raising. This lecture will address the causes for such esthetic failures and the surgical approach for therapy. In most cases, implant removal is necessary, which must be done with a low-trauma technique to avoid additional bone loss. Today, this is done with special implant removal instruments using the Reverse Torque Technique. In addition, these failures are often characterized by a lack of keratinized mucosa. The current strategies for the reestablishment of keratinized mucosa and for the augmentation of missing bone, mainly on the facial aspects are presented and documented with case reports. This includes aspects of timing, surgical techniques, and the selection of appropriate biomaterials.

Presented By:: Daniel Buser, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Treating the Terminal Dentition: A Patient-Center Approach Premium Member Content

Treating the Terminal Dentition: A Patient-Center Approach
In patients with terminal dentition esthetic and functional replacement is a necessary objective, but no longer a sufficient-objective: nowadays, due to the clinical and extra clinical characteristics of these patients, management of the therapy is as important as its conclusion. Respect of the principle of autonomy, reduction of treatment length, simplification of surgical procedures and prosthetic management of implant immediate loading are the cornerstones of this philosophy and are the object of this lecture.

Presented By:: Leonello Biscaro, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Eduication Credit)
Watch Now>>
The Socket Shield Technique - Have the Rules of the Game Changed in Aesthetic Zone Implant Therapy? Premium Member Content

The Socket Shield Technique - Have the Rules of the Game Changed in Aesthetic Zone Implant Therapy?
Implant therapy is in the age of being increasingly aesthetically driven, not merely restorative. With the increasing popularity of immediate implants, particularly with anterior tooth extraction, the relevance of socket changes following extraction has come to the fore. Contrary to what was originally believed, the installation of an immediate implant does not arrest bone loss, and immediate implants in the aesthetic zone are prone to recession of bone and soft tissue as a result of bundle bone resorption which is obligatory with tooth extraction.

Presented By:: T.V. Narayan, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Partial Extraction Therapy and Immediate Loading in Clinical Practice: Synergy for Success Premium Member Content

Partial Extraction Therapy and Immediate Loading in Clinical Practice: Synergy for Success
This presentation will focus on the application of PET techniques and immediate loading in daily practice. A brief introduction will be presented outlining the concepts, and the benefits in combining both techniques. This will be followed with a review of clinical cases ranging from single unit to full arch implant rehabilitations. Lastly, recommendations will be presented to the viewer in order to facilitate incorporation of these techniques into clinical practice.

Presented By:: Ehab Moussa, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Related Articles
Does residual cement around implant-supported restorations cause peri-implant disease? A retrospective case analysis

Does residual cement around implant-supported restorations cause peri-implant disease? A retrospective case analysis
The purpose of this study was to determine the relationship between patients with a history of periodontitis and development of cement-related peri-implant disease. Seventy-seven patients with 129 implants for this retrospective analysis were selected from completed implant cases that were scheduled for regular maintenance or had experienced mechanical or biological complications between years 2006 and 2011 in private practice. Implants with extracoronal residual cement and implants without cement remnants were analyzed.

Author(s): Tomas Linkevicius, DDS, Dip Pros, PhD;Algirdas Puisys; Egle Vindasiute; Laura Linkeviciene; Peteris Apse
View Article>>
Clinical Realities - Papilla and Free Gingival Margin Preservation in Multiple-Tooth Extraction

Clinical Realities - Papilla and Free Gingival Margin Preservation in Multiple-Tooth Extraction
Bone atrophy is a natural response to tooth extraction, and anatomic and functional aberrations can be magnified when alveolar atrophy is accompanied by periodontitis, root fracture, radicular caries, apical processes, or endoperiodontal complications.

Author(s): Alejandro James, DDS, MsD, FID; Jose L. Castellanos, DDS
View Article>>
Combining Perio-Restorative Protocols to Maximize Function

Combining Perio-Restorative Protocols to Maximize Function
This article describes a team approach for periodontal and restorative treatment intended to produce a predictable, biologically sound outcome that preserves more supporting bone and restores carious and broken down teeth.

Author(s): Daniel J Melker, DDS;Lloyd M. Tucker, DMD, MSD; Howard M. Chasolen, DMD
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login ·