Periodontal microsurgery: A case report

| Posted in: Science

Journal name: Journal of Indian Society of Periodontology
Original article title: Periodontal microsurgery: A case report
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:

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Author:

Janak Anil Kapadia, Surekha Y. Bhedasgoankar, Saurabh Dilip Bhandari


Journal of Indian Society of Periodontology:

(A bimonthly open-access journal)

Full text available for: Periodontal microsurgery: A case report

Year: 2013 | Doi: 10.4103/0972-124X.124511

Copyright (license): CC BY-NC-SA


Summary of article contents:

Introduction

This article highlights the advantages of periodontal microsurgery within the field of periodontics, emphasizing its role in improving surgical outcomes and patient esthetic expectations. The practice utilizes magnification tools such as surgical microscopes and specialized instruments to enhance precision and minimize tissue trauma. Although the adoption of microsurgery requires a significant investment in training and the use of advanced instruments, it presents a critical advancement in the art of dentistry, particularly in minimally invasive procedures. The article also discusses a specific case report on the application of microsurgical techniques for free gingival graft surgery to address gingival recession.

Minimally Invasive Approach to Free Gingival Grafting

The case report documents the successful application of a microsurgical approach in treating an 18-year-old female patient with inadequate attached gingiva and gingival recession. Following a comprehensive periodontal examination, the treatment plan included autogenous free gingival grafting to achieve root coverage and increase the width of the attached gingiva. Utilizing surgical microscopy, the procedure involved the meticulous preparation of both the recipient site and the donor graft, ensuring optimal adaptation and healing. The postoperative evaluation at 12 weeks showed a significant gain in attached gingiva, highlighting the effectiveness of the microsurgical technique in enhancing patient outcomes.

Conclusion

In conclusion, periodontal microsurgery offers a promising avenue for improving surgical precision and aesthetic results in the treatment of gingival recession and related conditions. The advancements in magnification and minimally invasive techniques not only enhance the surgeon's capabilities but also foster better healing outcomes for patients. As the demand for mucogingival esthetics continues to grow, the integration of microsurgery into periodontal practice will likely play an increasingly vital role, reinforcing the need for clinicians to invest in the necessary training and equipment to meet these evolving standards of care.

FAQ section (important questions/answers):

What are the benefits of periodontal microsurgery using a microscope?

Periodontal microsurgery enhances motor skills, reduces tissue trauma, and allows for passive wound closure, improving surgical outcomes and esthetics in periodontal procedures.

What is the significance of magnification in dental procedures?

Magnification allows dentists to perform precise and accurate procedures by enlarging the surgical field, helping to reveal fine details that are not visible to the naked eye.

What was the case study presented about free gingival graft surgery?

An 18-year-old female underwent free gingival graft surgery for gingival recession using a microsurgical approach, leading to successful root coverage and improved attached gingiva after 12 weeks.

What tools are necessary for performing periodontal microsurgery?

Dentists need a surgical microscope, specialized microsurgical instruments, and fine suture materials to perform periodontal microsurgery effectively and achieve optimal outcomes.

How can patients prepare for periodontal microsurgery?

Patients should undergo thorough oral hygiene instructions, plaque control measures, and scaling before the surgery to ensure the best results and minimize postoperative complications.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Periodontal microsurgery: A case report”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Dressing:
Dressing refers to the non-eugenol periodontal covering applied over the grafted site after surgery. Its purpose is to protect the surgical area from external contaminants, support proper healing, and minimize postoperative discomfort. In periodontics, appropriate dressing is crucial for ensuring that healing occurs without complications while maintaining the graft in place.

2) Relative:
Relative in the context of periodontal procedures indicates a comparison or relationship between different surgical techniques or conditions. Understanding the relative advantages and limitations of procedures like microsurgery is vital for clinicians to choose the most effective treatment. It aids in comprehensive decision-making in patient care and surgical strategy.

3) Inflammation:
Inflammation is the body’s response to injury and plays a key role in wound healing. In periodontal microsurgery, reducing inflammation is essential to prevent complications and promote healing. An understanding of the inflammatory process assists clinicians in planning postoperative care to minimize discomfort and enhance recovery following surgical interventions.

4) Knowledge:
Knowledge is fundamental in the practice of periodontal microsurgery. Clinicians must possess a thorough understanding of techniques, anatomy, and healing processes to effectively perform procedures like free gingival grafting. Continuous education and training in microsurgical principles are necessary to achieve optimal aesthetic and functional outcomes for patients.

5) Training:
Training is a critical aspect of mastering periodontal microsurgery. Clinicians must undergo an extended period of structured training to familiarize themselves with specialized instruments and techniques required for microsurgery. Proper training ensures the development of necessary skills, improving precision and reducing complications during surgical procedures involving soft tissue management.

6) Grafting:
Grafting refers to the surgical procedure of transplanting tissue from one site to another, used extensively in periodontal surgery to restore gingival architecture. Specifically, free gingival grafting addresses issues of gingival recession and inadequate attached gingiva. It is crucial in enhancing both functional and aesthetic outcomes for patients with gingival deficiencies.

7) Raising:
Raising, in surgical terminology, often refers to the preparation of a flap, as seen in periodontal procedures. For instance, during free gingival graft surgery, a partial-thickness flap is raised to expose the underlying tissue for graft placement. This technique is integral for accessing the surgical area while minimizing trauma to surrounding tissues.

8) Hygiene (Hygienic):
Hygiene, particularly oral hygiene, is vital in periodontal care and recovery. Maintaining optimal hygiene before and after surgical procedures is essential to prevent infection and ensure successful healing of grafted areas. Clinicians stress the importance of hygiene practices, as they significantly impact the outcomes and longevity of periodontal surgeries.

9) Sangli (Sānglī):
Sangli refers to the geographic location of the dental college where the case was reported, which can hold significance for the academic setting and the patient demographics involved in the research. The region may influence the clinical practices, patient preferences, and accessibility to advanced periodontal treatments in the area.

10) Patil (Pāṭīl):
Patil is part of the name of the dental college, Vasantdada Patil Dental College, which provides the context for where the case study was conducted. The institution’s emphasis on periodontal education and training influences the knowledge base and techniques applied by students and clinicians in the specialty of periodontics.

11) Field:
Field refers to the area or specialization of periodontics in which microsurgery is applied. Understanding the specific field enhances the clinician's ability to adapt and utilize microsurgical techniques effectively. As advances continue in the field of periodontics, embracing microsurgery can lead to improved patient outcomes and retention of dental health.

12) Hand:
Hand refers to the dexterity and skills required in performing microsurgical techniques. Enhanced motor skills, achieved through training, are essential for precise movements and manipulation of delicate tissues during procedures like grafting. The proficiency of the clinician’s hand-eye coordination directly impacts the quality of surgical outcomes in periodontics.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Periodontal microsurgery: A case report’. Further sources in the context of Science might help you critically compare this page with similair documents:

Systematic training, Edentulous ridge, Minimally invasive technique, Periodontal microsurgery, Surgical microscope, Interrupted sutures.

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