Department of Periodontology, School of Dentistry, National and Kapodistrian University of Athens, Greece.
Dent Med Probl. 2022 Apr-Jun;59(2):309-318. doi: 10.17219/dmp/146540.
The aim of this literature review was to present minimally invasive surgical techniques (MISTs) for the regeneration of intrabony defects and the impact of these surgical procedures on clinical outcomes. Less invasive surgical procedures lead to a more uneventful postoperative healing and reduce patient morbidity. The introduction of these techniques together with the use of magnification tools enables gentle tissue manipulation with performing minimal incisions and flap elevations in the field of surgical treatment of intrabony defects. Minimally invasive surgical techniques induce minor surgical trauma and improve the wound stability with favorable results in terms of clinical outcomes and the patient's comfort. The defect anatomy, patient-centered factors and the various biomaterials applied are considered. Recent evidence concludes that the adjunctive use of regenerative materials seems to have a less determinant effect on the clinical performance of minimally invasive surgical techniques. In addition, more studies are required to investigate the clinical efficacy of these surgical techniques in the treatment of intrabony defects in comparison with the conventional papilla preservation flap techniques.
本文献综述的目的是介绍用于治疗骨内缺损的微创外科技术（MIST）及其对临床结果的影响。微创外科手术可导致术后愈合过程更加平稳，降低患者发病率。这些技术的引入以及放大工具的使用，使得在骨内缺损的外科治疗领域，可以进行温和的组织操作，实现最小的切口和瓣提起。微创外科技术可减少手术创伤，提高伤口稳定性，从而在临床结果和患者舒适度方面取得良好效果。本研究考虑了缺损解剖结构、以患者为中心的因素以及应用的各种生物材料。最近的证据表明，再生材料的辅助使用似乎对微创外科技术的临床效果没有决定性影响。此外，还需要更多的研究来调查这些外科技术在治疗骨内缺损方面的临床疗效，与传统的乳头保留瓣技术相比。
