Minimally Invasive Dentistry is a concept that preserves dentition and supporting structures. However, the aim of minimally invasive procedures in periodontal treatment is to represent alternative tactics developed to allow for less extensive manipulation of surrounding tissues than conventional procedures while achieving the same objectives.
Minimally invasive procedures can be referred to as those procedures that avoid the need for more extensive surgeries. This is generally realized by using laparoscopic instruments and the manipulation of instruments by remote control and observing the surgical field indirectly through an endoscope or similar device. With the reduced distress associated with minimally invasive surgery, extended hospital stays may be reduced. The operative time may be longer, but hospitalization time is shorter. It causes less pain and scarring, speeds recovery, and reduces the incidence of postsurgical complications.
The early diagnosis of periodontal diseases remains the best way to treat the condition. Periodontal disease happens due to several reasons, but genetics and poor oral hygiene are the most common ones leading to an accumulation of tartar and bacteria under the gums. As periodontal disease advances, we can see more signs of this incapacitating disease. Patients will suffer from bleeding gums and awful taste, bad breath, and food getting stuck between their teeth.
What are the features of Minimally Invasive Periodontal Treatment?
- Incisions: The incisions for Minimally Invasive Periodontal Treatment are designed to preserve as much soft tissue as possible. For example, the incisions made for an interproximal defect in the anterior maxillary area first created as intracellular incisions made on the teeth adjacent to the fault. These incisions are made separate incisions and should not be continued across the interproximal tissue, as is the case for most other routine periodontal surgical procedures. More of the interproximal papillary tissue and tissue height can be retained by not making these incisions continuous.
- Flap elevation:A flap elevation procedure involves cleaning the tooth’s roots and repairs bone damage caused by gum disease. A periodontist or an oral surgeon can carry out this procedure. Before the process is started, you will be given a local anesthetic to freeze the area, and then the surgeon will work on your gums. The dentist will pull back a part of your gums and meticulously clean the roots of your teeth, and repair damaged bone if required. The gum flap will be stitched back into place and covered with gauze to stop the bleeding.
- Papilla preservation: It is a surgical and prosthetic process taken to maintain and reduce trauma to the interproximal tissue. One of the adverse side effects of periodontal surgery is the reduced papillary height and papillary shrinkage, leading to the exposure of underlying tissues. To prevent this, the surgeon can use a papilla preservation technique to help the papilla maintain a more appealing look for the patient’s comfort and confidence. One such approach employs the papilla preservation flap technique, in which no opening is made along the facial surface of the interdental papilla. The modified papilla preservation flap method is another alternative technique that may be used following periodontal surgery and involves incisions made around the teeth next to the surgery area. These types of papilla preservation techniques allow patients to appreciate both the benefits of the surgery or implant and the appearance of the affected area following surgery.
Call us at OC Advanced Periodontics or schedule an online appointment to know more about Minimally Invasive Periodontal Care