Periodontitis is a complex term that affects all supporting tissues of the teeth and can be treated non-surgically as well as surgically. Periodontal therapy success is contingent on adequate case selection, patient cooperation, accurate diagnosis, and treatment plan. From a clinical standpoint, improved visualization during periodontal operations is required to achieve better results. Minimally invasive periodontal therapy (MIPT) explains need of utilizing minimally invasive techniques and provides information on how to improve visualization using a minimally invasive approach. Also, the reasons for minimally invasive periodontal procedures as well as numerous strategies for minimally invasive nonsurgical and surgical periodontal procedures in this Review will be explored.
Lang NP, Lindhe J. Clinical periodontology and implant dentistry 5th ed. Blackwell Publishing Company, 2008,705-733.
Nakib NM, Bissada NF, Simmelink JW, Goldstine SN. Endotoxin penetration into root cementum of periodontally healthy and diseased human teeth. J Periodontol. 1982;53(6):368-378. doi: 10.1902/jop.1982.53.6.368
Harrel SK, Rees TD. Granulation tissue removal in routine and minimally invasive procedures. Compend Contin Educ Dent. 1995;16(9):960
Dannan A. Minimally invasive periodontal therapy. J Indian Soc Periodontol. 2011;15(4):338-343. doi: 10.4103/0972-124X.92565
Tibbetts LS, Shanelec D. Periodontal microsurgery. Dent Clin North Am. 1998;42(2):339-359
Belcher JM. A perspective on periodontal microsurgery. Int J Periodontics Restorative Dent. 2001;21(2):191-196.
Ehanire T, Singhal D, Mast B, Leyngold M. Safety of Microsurgery Under Loupes Versus Microscope: A Head-to-Head Comparison of 2 Surgeons With Similar Experiences. Ann Plast Surg. 2018;80(6S Suppl 6):S340-S342. doi: 10.1097/SAP.0000000000001324
Labosky DA. Apparatus to relieve nose-bridge pressure from high-power surgical telescopes. Microsurgery. 1983;4(2):142-143. doi: 10.1002/micr.1920040214
Rubinstein R. The anatomy of the surgical operating microscope and operating positions. Dent Clin North Am. 1997;41(3):391-413.
Belcher JM. A perspective on periodontal microsurgery. Int J Periodontics Restorative Dent. 2001;21(2):191-196.
Kratchman KS, Karabucak B, Kohli M, Setzer F. Microsurgery in endodontics. John Wiley & Sons; 2017.
Al-Harbi F, Ahmad I. A guide to minimally invasive crown lengthening and tooth preparation for rehabilitating pink and white aesthetics. Br Dent J. 2018;224(4):228-234. doi: 10.1038/sj.bdj.2018.121
Paolantoni G, Marenzi G, Mignogna J, Wang HL, Blasi A, Sammartino G. Comparison of three different crown-lengthening procedures in the maxillary anterior esthetic regions. Quintessence Int. 2016;47(5):407-416. doi: 10.3290/j.qi.a35869
PRICE PB. Stress, strain and sutures. Ann Surg. 1948;128(3):408-421.
Cortellini P, Prato GP, Tonetti MS. The simplified papilla preservation flap. A novel surgical approach for the management of soft tissues in regenerative procedures. Int J Periodontics Restorative Dent. 1999;19(6):589-599.
Harrel SK. A minimally invasive surgical approach for periodontal regeneration: surgical technique and observations. J Periodontol. 1999;70(12):1547-1557. doi: 10.1902/jop.1999.70.12.1547
Arisan V, Karabuda CZ, Ozdemir T. Implant surgery using bone- and mucosa-supported stereo-lithographic guides in totally edentulous jaws: surgical and post-operative outcomes of computer-aided vs. standard techniques. Clin Oral Implants Res. 2010;21(9):980-988. doi: 10.1111/j.1600-0501.2010.01957.x
Prithviraj DR, Gupta V, Muley N, Sandhu P. One-piece implants: placement timing, surgical technique, loading protocol, and marginal bone loss. J Prosthodont. 2013;22(3):237-244.
Barrachina-Diez JM, Tashkandi E, Stampf S, Att W. Long-term outcome of one-piece implants. Part I: implant characteristics and loading protocols. A systematic literature review with meta-analysis. Int J Oral Maxillofac Implants. 2013;28(2):503-518. doi: 10.11607/jomi.2790
Shigehara S, Ohba S, Nakashima K, Takanashi Y, Asahina I. Immediate Loading of Dental Implants Inserted in Edentulous Maxillas and Mandibles: 5-Year Results of a Clinical Study. J Oral Implantol. 2015;41(6):701-705. doi: 10.1563/aaid-joi-D-14-00018
Kfir E, Kfir V, Eliav E, Kaluski E. Minimally invasive antral membrane balloon elevation: report of 36 procedures. J Periodontol. 2007;78(10):2032-2035. doi: 10.190
Shah R, Zope S, Suragimath G, Varma S, Pisal A. Periodontal Microsurgery: An Advanced Approach for Minimal Invasive Periodontal Therapy. Sch J Dent Sci, 2022; July 9(6):112-117.
Hegde R, Sumanth S, Padhye A. Microscope-enhanced periodontal therapy: a review and report of four cases. J Contemp Dent Pract. 2009;10(5):E088-E96.