Comparison Between Micro‐ and Macrosurgical Techniques for the Treatment of Localized Gingival Recessions Using Coronally Positioned Flaps and Enamel Matrix Derivative

Andrade, Patrícia Freitas de; Grisi, Márcio F. M.; Marcaccini, Andrea M.; Fernandes, Patrícia Garani; Reino, Danilo Maeda; Souza, Sérgio Luı́s Scombatti de; Taba, Mário; Palioto, Daniela Bazan; Novaes, Arthur B.

doi:10.1902/jop.2010.100155

Cited by 48 publications

(52 citation statements)

References 42 publications

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“…Comparison of mean reduction in RD between the two groups at baseline to 3 and 6 months showed clinical improvement similar to those by Francetti et al . [115] though it was contradictory to the finding of other studies. [16] This observation in our study may be attributed to the comparable effectiveness of both the procedures in treating such problems.…”

Section: Discussionmentioning

confidence: 84%

Treatment of localized gingival recession using the free rotated papilla autograft combined with coronally advanced flap by conventional (macrosurgery) and surgery under magnification (microsurgical) technique: A comparative clinical study

Pandey¹,

Mehta²

2013

J Indian Soc Periodontol

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Background:The aim of the present study was to evaluate and compare the conventional (macro-surgical) and microsurgical approach in performing the free rotated papilla autograft combined with coronally advanced flap surgery in treatment of localized gingival recession.Materials and Methods:A total of 20 sites from 10 systemically healthy patients were selected for the study. The selected sites were randomly divided into experimental site A and experimental site B by using the spilt mouth design. Conventional (macro-surgical) approach for site A and micro-surgery for site B was applied in performing the free rotated papilla autograft combined with coronally advanced flap. Recession depth (RD), recession width (RW) clinical attachment level (CAL.) and width of keratinized tissue (WKT.) were recorded at baseline, 3 months and 6 months post-operatively.Results:Both (macro- and microsurgery) groups showed significant clinical improvement in all the parameters (RD, RW, CAL and WKT). However, on comparing both the groups, these parameters did not reach statistical significance.Conclusion:Both the surgical procedures were equally effective in treatment of localized gingival recession by the free rotated papilla autograft technique combined with coronally advanced flap. However, surgery under magnification (microsurgery) may be clinically better than conventional surgery in terms of less post-operative pain and discomfort experienced by patients at the microsurgical site.

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Section: Discussionmentioning

confidence: 84%

Treatment of localized gingival recession using the free rotated papilla autograft combined with coronally advanced flap by conventional (macrosurgery) and surgery under magnification (microsurgical) technique: A comparative clinical study

Pandey¹,

Mehta²

2013

J Indian Soc Periodontol

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“…However, it is impossible to assess the nature of the attachment with clinical examinations; hence, further histologic studies are necessary to evaluate this hypothesis 5,14 .…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, a microsurgical approach may improve the predictability of different periodontal procedures, providing better esthetic results, and causing less postoperative discomfort [5][6][7][8] .When using the microscope, the immobilization of the patient's head may be considered, once it can prevent problems in the incision, tissue tearing, or damages during the implementation of the proposed technique 8 .…”

Section: Introductionmentioning

confidence: 99%

Minimally Traumatic Surgical Procedures in Periodontics: a Review

Schwartz-Filho¹,

Brandt²,

Roman-Torres³

2015

J. Health Scie.

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The concept of minimally invasive procedures can be extended to all fields of dentistry. Periodontics, in particular, has been reported as one of the areas with great benefits. This review aims to describe the use of minimally invasive procedures in periodontal surgery, its concepts, applications, and possible benefits from its use. For that, 682 articles published between 1950 and 2012 focused on minimally invasive periodontal surgery were evaluated. Of them, 669 studies did not describe clearly the procedures, and did not attend the inclusion criteria. The results showed that proper lighting promotes increased visual acuity during surgical procedures, favoring the precision associated with microsurgical instruments specifically designed, allowing a more accurate manipulation of the soft and hard tissues. Surgical access avoids unnecessary tissues removal, optimizing the debridement, improving vascularisation, and therefore the possibility of obtaining primary healing of surgical wounds. The microsurgical approach can improve the predictability of different periodontal procedures, providing better results and cause less postoperative discomfort. However, few controlled methodologies on the use of instruments to promote minimally invasive procedures in periodontics have been found in literature. Therefore, studies are needed to determine whether microsurgical techniques can lead to a significant difference in the successful outcome. Most of the studies are based on observations and experiences of the authors, which clearly show that there are advantages in having better lighting, better vision, and a more controlled and less traumatic technique.Keywords: Gingival Recession. Gengivoplasty. Wound Healing. Resumo

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“…This aids in precise adaptation of the tissue to the teeth or the opposing flap in an edentulous area, thus eradicating the gaps and dead spaces avoiding the need for new tissue formation and enhancing periodontal regeneration. Further, the coronal displacement of the flaps over the defects was at ease and experienced less tension with the microsurgical techniques, thereby facilitating rapid healing and return of the mucogingival line to its original position (Andrade PF et al, 2010;Belcher JM, 2001). …”

Section: Periodontal Flap Surgerymentioning

confidence: 99%

Minimally invasive techniques for periodontal regenerative therapy- an overview

Karthikeyan¹,

Vijayalakshmi²,

Mahendra³

2017

Int J Recent Sci Res

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ARTICLE INFO ABSTRACTMinimally Invasive Periodontal Surgery (MIPS) is a surgical technique using small incisions indicated for performing regenerative therapy in periodontal defects. It can be performed using magnification from surgical microscopes, surgical telescopes, or endoscopic visualization. MIPS seals the healing wound from the contaminated oral environment by ensuring primary closure. Preserving soft tissues and maintaining minimal gingival recession, minimal hypersensitivity claim to be essential requisites to meet the demands of the patient and the clinician in the esthetic zone. Minimally invasive methods for periodontal treatment yield long-term reductions of probing depths and enhanced clinical attachment levels. The exclusive property of MIPS is that it reduces the chair time required to perform the procedure and results in limited morbidity to the patient during the surgical procedure, as well as in the postoperative period. However, it cannot be applied in all cases. A stepwise decisional algorithm should support clinicians in choosing the proper approach.

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Comparison Between Micro‐ and Macrosurgical Techniques for the Treatment of Localized Gingival Recessions Using Coronally Positioned Flaps and Enamel Matrix Derivative

Cited by 48 publications

References 42 publications

Treatment of localized gingival recession using the free rotated papilla autograft combined with coronally advanced flap by conventional (macrosurgery) and surgery under magnification (microsurgical) technique: A comparative clinical study

Treatment of localized gingival recession using the free rotated papilla autograft combined with coronally advanced flap by conventional (macrosurgery) and surgery under magnification (microsurgical) technique: A comparative clinical study

Minimally Traumatic Surgical Procedures in Periodontics: a Review

Minimally invasive techniques for periodontal regenerative therapy- an overview

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