Periodontal microsurgery: A case report

Abstract

The purpose of this article is to limelight the benefit of periodontal microsurgery in the surgical disciplines. It reviews the benefits and potential applications of magnification and microsurgery in the specialty of periodontics and a case report on microsurgical approach for free gingival graft surgery in the treatment of gingival recession. The increased demand for mucogingival esthetics has required the optimization of periodontal procedures. Microsurgery is a minimally invasive technique that is performed with the surgical microscope and adapted instruments and suture materials. Although this hardware and knowledge of various operations are necessary to achieve patient esthetic expectations, clinicians must be willing to undergo an extended period of systematic training to become familiar with novel operating procedures and instruments. This article describes the application of the surgical microscope to provide enhanced perioplastic treatment.

Comprehensive review of surgical microscopes: technology development and medical applications

“… 474 The use of surgical microscopes in periodontal microsurgery 475 can lead to cleaner incision, closer wound apposition, reduced morbidity, reduced hemorrhage, and less trauma at the surgical site. The magnification reveals the fact that many gentle maneuvers with the naked eye turn out to be gross crushing and tearing of the delicate tissue, 475 , 476 and also adds precision to the repositioning of tissue by allowing smaller needles and sutures. 477 Meanwhile, it enables fast wound healing and less inflammation.…”

“… 474 When the procedure is combined with coronal flaps, the microscope also makes the advancement of flaps easier and tension free. 476 , 481 , 487 Bittencourt et al. 92 compared surgical outcomes of root coverage procedure with subepithelial connective tissue graft with or without a surgical microscope.…”