Katariya Chanchal, Rajasekar Arvina
Department of Periodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India.
J Adv Pharm Technol Res. 2022 Nov;13(Suppl 1):S348-S352. doi: 10.4103/japtr.japtr_377_22. Epub 2022 Nov 30.
Microsurgery is a minimally invasive procedure that uses a surgical microscope, specially designed equipment, and suture materials. Even though this equipment and expertise of numerous surgeries are required to meet patient esthetic reckoning, doctors must be ready to invest time and effort into becoming familiar with novel surgical methods and devices. The ambition of this case series is to compare conventional macro surgery and microsurgery in terms of clinical approach. This study included four cases, two flap surgery, and two root coverage. Clinical parameters for root coverage, increase in keratinized tissue (KT), gain in clinical attachment level (CAL) and complete root coverage (CRC), dentin hypersensitivity index-Schiff's index and for flap surgery, probing depth, clinical attachment level. Healing and pain analysis were done. There was no significant difference seen between conventional and clinical outcomes of a microsurgical technique such as clinical attachment level, probing depth, increase in KT, gain in clinical attachment level (CAG), and CRC, dentin hypersensitivity index-Schiff's index. When patient-based outcomes such as healing index and Visual Analog Scale, a significant difference was seen. If a microsurgical method is used instead of a traditional macroscopic approach, the early healing index can be significantly improved and there will be less postoperative pain.
显微外科手术是一种微创手术，它使用手术显微镜、专门设计的设备和缝合材料。尽管需要大量手术的设备和专业知识来满足患者的美学需求，但医生必须准备好投入时间和精力来熟悉新的手术方法和设备。本病例系列的目的是在临床方法方面比较传统宏观手术和显微外科手术。本研究包括四个病例，两个皮瓣手术和两个牙根覆盖术。牙根覆盖的临床参数、角化组织（KT）增加、临床附着水平（CAL）增加和完全牙根覆盖（CRC）、牙本质过敏指数-希夫指数，以及皮瓣手术的探诊深度、临床附着水平。进行了愈合和疼痛分析。在临床附着水平、探诊深度、KT增加、临床附着水平增加（CAG）、CRC、牙本质过敏指数-希夫指数等显微外科技术的传统和临床结果之间未发现显著差异。当以患者为基础的结果如愈合指数和视觉模拟量表时，发现有显著差异。如果使用显微外科方法代替传统的宏观方法，可以显著提高早期愈合指数，术后疼痛也会减轻。
