Osseous topography in biologically driven flap design in minimally invasive regenerative therapy: A classification proposal

Abstract

Minimally invasive periodontal regenerative surgical procedures are a paradigm shift that demands a unique approach encompassing specialized armamentarium, magnification tools, knowledge of handling properties of biomaterials, and specific flap designs. Biologically driven flap design is dictated by optimal soft and hard tissue handling, flap perfusion, and wound stability, all in the pursuit of primary intention healing. The unique architecture of the infrabony defect is a determining factor on incision tracing, boundaries of flap extension, and biomaterial selection. The purpose of this article is to propose a flap design classification based on the osseous topography of infrabony defects during biologically driven minimally invasive surgical periodontal regenerative therapy.

In vitro evaluation of the osteogenic and antimicrobial potential of porous wollastonite scaffolds impregnated with ethanolic extracts of propolis

“…The literature describes two distinct approaches -cellular and acellular-which have rapidly transitioned from laboratory research to clinical applications. This rapid progress observed can be partly attributed to the minimally invasive access and easy observation available in the oral cavity during the healing process ( Velasquez-Plata, 2022 ).…”