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Videoscope‐assisted minimally invasive periodontal surgery (V‐MIS)
Author(s) -
Harrel Stephen K.,
Abraham Celeste M.,
RiveraHidalgo Francisco,
Shulman Jay D.,
Nunn Martha E.
Publication year - 2014
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.12294
Subject(s) - medicine , gingival recession , invasive surgery , surgery , periodontology , dentistry
Aim Small incision surgery has become routine in many areas of medicine but has not been widely accepted in periodontal therapy. A videoscope to assist minimally invasive surgery ( MIS ) has been developed. The clinical outcomes from MIS performed using this videoscope (V‐ MIS ) are reported. Materials and Methods Patients were evaluated for residual defects following non‐surgical therapy consisting of root planing with local anaesthetic. Thirty patients having 110 sites with residual pocket probing depth ( PPD ) of at least 5 mm, 2 mm loss of clinical attachment level ( CAL ), and radiographic evidence of bone loss were surgically treated. V‐ MIS was performed utilizing the videoscope for surgical visualization. Results At re‐evaluation 6 months post surgery, there was a statistically significant improvement ( p < .001) in mean PPD and CAL ( PPD 3.88 ± 1.02 mm, CAL 4.04 ± 1.38 mm) in 1, 2, and 3 wall defects. All PPD at re‐evaluation were 3 mm or less. There was a mean post‐surgical increase in soft tissue height (0.13 ± 0.61 mm, p = 0.168) with a decrease in recession. Conclusions The improvement in PPD and CAL from V‐ MIS , in the authors' opinion, appears to be favourable when compared to previously reported results of periodontal regenerative surgery. The lack of post‐surgical recession following V‐ MIS has not been reported with traditional regenerative surgery.