Minimally invasive periodontal therapy

Abstract

Minimally invasive dentistry is a concept that preserves dentition and supporting structures. However, minimally invasive procedures in periodontal treatment are supposed to be limited within periodontal surgery, the aim of which is to represent alternative approaches developed to allow less extensive manipulation of surrounding tissues than conventional procedures, while accomplishing the same objectives. In this review, the concept of minimally invasive periodontal surgery (MIPS) is firstly explained. An electronic search for all studies regarding efficacy and effectiveness of MIPS between 2001 and 2009 was conducted. For this purpose, suitable key words from Medical Subject Headings on PubMed were used to extract the required studies. All studies are demonstrated and important results are concluded. Preliminary data from case cohorts and from many studies reveal that the microsurgical access flap, in terms of MIPS, has a high potential to seal the healing wound from the contaminated oral environment by achieving and maintaining primary closure. Soft tissues are mostly preserved and minimal gingival recession is observed, an important feature to meet the demands of the patient and the clinician in the esthetic zone. However, although the potential efficacy of MIPS in the treatment of deep intrabony defects has been proved, larger studies are required to confirm and extend the reported positive preliminary outcomes.

Oral health of the Latin American elders: What we know and what we should do—Position paper of the Latin American Oral Geriatric Group of the International Association for Dental Research

“…Evidence has shown that non-invasive or minimally invasive techniques to treat carious lesions are effective and must be preferred over surgical approaches, to avoid complex and expensive restorative therapies, increasing tooth function for longer years. [32][33][34][35] Latin American and Caribbean region countries should develop national public health programmes that include older people and that are based on systematic information on oral health needs and on effective interventions for achieving defined measurable goals. 15,36 Such public health programmes must not be confined to the treatment of the symptoms of the disease only, but must be appropriately designed to attain better oral health and quality of life for older people, including cultural adaptation.…”

Minimally Invasive Dentistry Approach Benefits of Using Laser

“…MID approach in endodontic procedures include: proper diagnosis, pulp tests utilization and caries risk protocol, minimally designed access opening, minimal removal of dentin, retention tooth structure during root canal instrumentation, utilize more crown lengthening procedure as opposed to tooth extraction and implant placement. If status of dental pulp allows the pulp protection procedure should be done as a definitive [16] .…”

Demonstrating a Novel Experience with Human Periodontium-Derived Stem Cells: A Review

“…Human adult PdSCs were isolated from patients with periodontal disease by minimally-invasive microsurgical surgery as described previously [46]. Minimally-invasive periodontal surgery had been shown to encounter several advantages [47]. Thus, such technique was used in all our experiments that required extraction of PdSCs from periodontal patients under surgery.…”