Development of Minimally Invasive Periodontal Surgical Techniques
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2015 by John Wiley & Sons, Inc. All rights reserved. The advent of surgery aimed at the regeneration of periodontal supporting tissue began a change in periodontal surgical techniques that resulted in a move toward minimally invasive periodontal surgery. The original surgical techniques for periodontal regeneration were very similar to those that were in use at the time for pocket elimination procedures. As regenerative surgical techniques became established, the size of the surgical access gradually became smaller and more localized. One of the first descriptions of a small flap procedure was termed "mini-flap". The mini-flap procedure was viewed as an enhancement for root planing and as a method to fully remove sulcus epithelium. The current minimally invasive surgical techniques that utilize small incisions for the treatment and regeneration of the destruction caused by periodontal disease can be seen as the result of an evolution that has occurred over the entire history of surgical periodontal treatment.
