Dannan Aous
Department of Periodontology, Faculty of Dental Medicine, Witten/Herdecke University, Witten, Germany.
J Indian Soc Periodontol. 2011 Oct;15(4):338-43. doi: 10.4103/0972-124X.92565.
Minimally invasive dentistry is a concept that preserves dentition and supporting structures. However, minimally invasive procedures in periodontal treatment are supposed to be limited within periodontal surgery, the aim of which is to represent alternative approaches developed to allow less extensive manipulation of surrounding tissues than conventional procedures, while accomplishing the same objectives. In this review, the concept of minimally invasive periodontal surgery (MIPS) is firstly explained. An electronic search for all studies regarding efficacy and effectiveness of MIPS between 2001 and 2009 was conducted. For this purpose, suitable key words from Medical Subject Headings on PubMed were used to extract the required studies. All studies are demonstrated and important results are concluded. Preliminary data from case cohorts and from many studies reveal that the microsurgical access flap, in terms of MIPS, has a high potential to seal the healing wound from the contaminated oral environment by achieving and maintaining primary closure. Soft tissues are mostly preserved and minimal gingival recession is observed, an important feature to meet the demands of the patient and the clinician in the esthetic zone. However, although the potential efficacy of MIPS in the treatment of deep intrabony defects has been proved, larger studies are required to confirm and extend the reported positive preliminary outcomes.
微创牙科是一种保留牙列和支持结构的理念。然而，牙周治疗中的微创程序应仅限于牙周手术，其目的是提供替代方法，与传统程序相比，对周围组织的操作范围更小，同时实现相同的目标。在本综述中，首先解释微创牙周手术（MIPS）的概念。对2001年至2009年间所有关于MIPS疗效和有效性的研究进行了电子检索。为此，使用了PubMed医学主题词表中的合适关键词来提取所需研究。展示了所有研究并总结了重要结果。来自病例队列和许多研究的初步数据表明，就MIPS而言，显微手术入路瓣具有通过实现和维持一期闭合将愈合伤口与受污染的口腔环境隔离开的巨大潜力。软组织大多得以保留，牙龈退缩最小，这是满足美学区域患者和临床医生需求的一个重要特征。然而，尽管已证明MIPS在治疗深部骨内缺损方面具有潜在疗效，但仍需要更大规模的研究来证实并扩展所报告的积极初步结果。
