Videoscope-assisted minimally invasive periodontal surgery (V-MIS).
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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 5mm, 2mm 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 6months post surgery, there was a statistically significant improvement (p<.001) in mean PPD and CAL (PPD 3.881.02mm, CAL 4.041.38mm) in 1, 2, and 3 wall defects. All PPD at re-evaluation were 3mm or less. There was a mean post-surgical increase in soft tissue height (0.130.61mm, 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.
author list (cited authors)
Harrel, S. K., Abraham, C. M., Rivera-Hidalgo, F., Shulman, J. D., & Nunn, M. E.
complete list of authors
Harrel, Stephen K||Abraham, Celeste M||Rivera-Hidalgo, Francisco||Shulman, Jay D||Nunn, Martha E