Minimally Invasive Single Flap Approach With Connective Tissue Wall for Periodontal Regeneration

Kotsilkov, Kamen

doi:10.5272/jimab.2017233.1673

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Foremost, it may provide flap repositioning and suturing, wherein the flap can easily be stabilized to the undetached papilla, thus optimizing wound closure for healing by primary intention. Furthermore, by limiting the surgical trauma to the vascular supply of the interproximal supracrestal soft tissues due to limited ﬂap elevation, a faster wound-healing process is promoted, particularly at the level of the incision line [ 8 13 15 ].Wound stabilization and preservation of an intact interdental papilla leads to primary intention healing and minimizes the post-surgical shrinkage of gingival tissues and, therefore, limits the esthetic impairment of the patient [ 15 24 ].…”

Section: Discussionmentioning

confidence: 99%

Single-flap versus double-flap approach for periodontal pocket reduction in supraosseous defects: a comparative study

Mathala

Konathala

Gottumukkala

et al. 2021

J Periodontal Implant Sci

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Purpose The single-flap approach (SFA) is a minimally invasive technique with limited mucoperiosteal flap elevation to gain access to the buccal/palatal aspects, thus limiting post-surgical complications. The purpose of the present study was to gain insights into the impact of the SFA over the double-flap approach (DFA) on periodontal flap treatment outcomes and patient compliance in terms of discomfort and time taken for surgical procedures. Methods Twenty patients with persistent probing pocket depths of ≥5 mm were scheduled for the SFA (test site) and for the DFA (control site). All the clinical periodontal parameters were recorded at baseline, 3 months, and 6 months. Radiographic bone level (cone-beam computed tomography) was evaluated at baseline and 6 months. Patients' postoperative pain perception and wound healing were also assessed. Results The SFA showed a significant reduction in periodontal pocket depth, gain in clinical attachment level (CAL), and gain in bone level when compared with the DFA. The SFA substantially improved wound healing and induced less postoperative pain than the DFA. Conclusions The SFA resulted in substantial improvement in the composite outcome measures, as shown by a reduction in pocket depth with minimal gingival recession, gain in CAL, early wound healing, less postoperative discomfort, and better patient-centered outcomes. Trial Registration Clinical Trials Registry-India Identifier: CTRI/2018/05/013562

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Section: Discussionmentioning

confidence: 99%

Single-flap versus double-flap approach for periodontal pocket reduction in supraosseous defects: a comparative study

Mathala

Konathala

Gottumukkala

et al. 2021

J Periodontal Implant Sci

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“…9 The MIST method aims to maintain the tissue in order to achieve primary healing and provide space for the formation and maturation of the blood clots needed during the healing process. 10 Improvement in diagnosis establishment of periodontal disease and treatment continues to progress towards methods that can be assessed and identified through measurement using biomarkers. 11 One of the biomarkers that can be used is osteocalcin.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of MIST with hydroxyapatite and β-tricalcium phosphate in alveolar bone density and osteocalcin level improvement during treatment of infrabony pockets

Mubarokah¹,

Syaify²,

Lastianny³

2022

Majalah Kedokteran Gigi Indonesia

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The minimally invasive surgical technique (MIST) is a method for periodontal regenerative treatment by minimizing trauma so it can preserve vascular supply of the interdental papillae. This study aims to determine the effectiveness of the MIST method with the addition of a combination of hydroxyapatite and β-tricalcium phosphate (HA + β-TCP) in treatment of infrabony pockets in terms of alveolar bone density and osteocalcin levels of gingival crevicular fluid. The study sample was taken from 20 teeth with infrabony pockets (n = 20), which were divided into two groups: 10 teeth treated with MIST and the other group with open flap debridement (OFD). Both groups received combination of HA + β-TCP. The osteocalcin levels of gingival crevicular fluid were checked on day-0 prior to the flap surgery, day-7 and day-14 after flap surgery using the Human Osteocalcin Elisa Kit. Radiological evaluation of alveolar bone density at day-0 and day-90 was done using cone beam computed tomography. Data of osteocalcin levels were analyzed using two-way ANOVA and continued with LSD Post Hoc test, while data of alveolar bone density reduction were analyzed using the Independent t-test parametric test. The results showed that there was no significant difference (p > 0.05) in the values of alveolar bone density between the MIST and OFD groups on day-0 and day-90, while the osteocalcin levels in both groups showed an increase from day-0 to day-7 and a decrease from day-7 to day-14. There was a significant difference (p < 0.05) on day-0 and 7 and day-7 and 14 between MIST and OFD groups. The MIST method with HA + β-TCP was effective and further increases alveolar bone density and osteocalcin levels of gingival crevicular fluid.

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Minimally Invasive Single Flap Approach With Connective Tissue Wall for Periodontal Regeneration

Cited by 2 publications

References 6 publications

Single-flap versus double-flap approach for periodontal pocket reduction in supraosseous defects: a comparative study

Single-flap versus double-flap approach for periodontal pocket reduction in supraosseous defects: a comparative study

Effectiveness of MIST with hydroxyapatite and β-tricalcium phosphate in alveolar bone density and osteocalcin level improvement during treatment of infrabony pockets

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