Minimally Invasive Periodontal Therapy - Stephen K. Harrel - E-Book

Minimally Invasive Periodontal Therapy E-Book

Stephen K. Harrel

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Beschreibung

The long-term success of periodontal therapy is dependent on proper diagnosis and removal of subgingival tooth-borne accretions in the form of calculus and bacteria. From a clinical perspective, better visualization during the diagnostic and therapeutic phases has been shown to yield better results compared to traditional approaches. Minimally Invasive Periodontal Therapy evaluates the advantages of using minimal invasive techniques, the technologies available for enhancing visualization during minimally invasive therapy, and step-by-step illustrates the clinical use of each technique. Each chapter addresses the advantages and disadvantages of minimally invasive therapies, rationale for the approach, and the advantages and limitations of each of the current methods of improving visualization. The chapters then provide an evidence-based review of the technologies and procedures, and end with case studies for each visualization procedure, featuring clinical photographs.

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Seitenzahl: 248

Veröffentlichungsjahr: 2014

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CONTENTS

Cover

Title page

Copyright page

Contributors

Introduction

1 Overview of Minimally Invasive Therapy

References

2 Visualization for Minimally Invasive Periodontal Therapy: An Overview

Visualization for closed root planing procedures

Visualization for minimally invasive periodontal surgery

Summary

References

3 Ultrasonic Endoscopic Periodontal Debridement

Introduction

Indications for the use of the endoscopic technique

Exploring the subgingival environment

Conclusions

Description of dental endoscopic technique

Decisions in selecting nonsurgical endoscopic treatment

Summary

References

4 Endoscope Use in Daily Hygiene Practice

Advantages

Learning curve

Anesthetic-local versus subgingival topical anesthetic

Diagnostic

Increase in pocket probing depth

Implants

Limitations

Conclusion

5 The Use of the Dental Endoscope and Videoscope for Diagnosis and Treatment of Peri-Implant Diseases

Overview

Chapter objectives

Diagnosis and technique

Description of the mechanics of the procedures to be performed

The cement problem

Example cases

Conclusions

References

6 Development of Minimally Invasive Periodontal Surgical Techniques

References

7 The MIS and V-MIS Surgical Procedure

Introduction

Surgical principles

Steps in V-MIS or MIS

Postoperative instructions

Summary

Case Study 1

Case Study 2

V-MIS Gallery

References

8 Minimally Invasive Surgical Technique and Modified-MIST in Periodontal Regeneration

Introduction

Clinical studies and outcomes

Clinical indications and diagnostic procedures

Postsurgical protocols

Postoperative period and local side effects

Conclusions

References

9 Minimally Invasive Soft Tissue Grafting

Indications for soft tissue grafting

Evolution of soft tissue grafting

The tunnel technique

Surgical procedure

Advantages of MI soft tissue grafting

Application of the tunnel concept for ridge augmentation

Summary

References

10 Future Potential for Minimally Invasive Periodontal Therapy

Goals and pitfalls of periodontal therapy

Nonsurgical therapy

Surgical therapy

Goals for minimally invasive periodontal therapy

Index

Access the Companion Website

End User License Agreement

List of Tables

Chapter 08

Table 8.1 Minimally invasive surgical technique (MIST): clinical studies.

Table 8.2 Modified-minimally invasive surgical technique (M-MIST): clinical studies.

List of Illustrations

Chapter 02

Figure 2.1 The glass fiber endoscope for use in nonsurgical minimally invasive periodontal therapy is shown.

Figure 2.2 The single-use sterile disposable sheath for the glass fiber endoscope is shown.

Figure 2.3 A surgical telescope or loupe with an integral light is shown.

Figure 2.4 The surgical microscope used with MIST and M-MIST procedures.

Figure 2.5 The videoscope for use in videoscope-assisted minimally invasive surgery (V-MIS) is shown in use.

Figure 2.6 The handpiece for holding the videoscope used in V-MIS. The rotating carbon fiber retractor is shown surrounding the camera of the videoscope.

Figure 2.7 A schematic of the gas shielding device is shown. The videoscope is held within a “shield” of turbulent surgical gases to avoid fouling or fogging of the videoscope optics.

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