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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...
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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

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