By Stephen K. Harrel, Thomas G. Wilson Jr.
The long term luck of periodontal treatment depends on right analysis and removing of subgingival tooth-borne accretions within the type of calculus and micro organism. From a scientific standpoint, larger visualization through the diagnostic and healing levels has been proven to yield greater effects in comparison to conventional approaches.
Minimally Invasive Periodontal Therapy evaluates the benefits of utilizing minimum invasive recommendations, the applied sciences on hand for boosting visualization in the course of minimally invasive treatment, and step by step illustrates the scientific use of every process. each one bankruptcy addresses the benefits and downsides of minimally invasive remedies, reason for the strategy, and the benefits and boundaries of every of the present tools of bettering visualization. The chapters then supply an evidence-based evaluation of the applied sciences and techniques, and finish with case experiences for every visualization process, that includes medical photographs.
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Extra resources for Minimally Invasive Periodontal Therapy: Clinical Techniques and Visualization Technology
Sample text
In most reported cases, the MIST procedures have used a facial flap access, which may have been influenced by using the surgical microscope. Using surgical microscope in the posterior and in lingual areas requires a great deal of skill and the use of mirrors to compensate for the straight-line viewing field of the surgical microscope. Another concern with the surgical microscope is the necessity to refocus the microscope if the patient moves. In general, it is not possible to move the microscope to compensate for small movements of the patient such as swallowing or normal microhead movements.
3 A surgical telescope or loupe with an integral light is shown. 4 The surgical microscope used with MIST and M-MIST procedures. 5 The videoscope for use in videoscope-assisted minimally invasive surgery (V-MIS) is shown in use. 6 The handpiece for holding the videoscope used in V-MIS. The rotating carbon fiber retractor is shown surrounding the camera of the videoscope. 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.
3 (a) This mandibular second molar abutment for a three-unit fixed partial denture had extensive caries and was slated to be removed. (b) The molar was extracted and an implant placed immediately. A second implant was placed into the first molar site. (c) The patient was seen every year to evaluate the implants. Approximately 4 years after implant placemen, the patient presented with radiographic signs of bone loss and clinical signs of inflammation and the mesial of the second molar implant. Relevant history included recent re-cementation of his fixed partial denture.