Videoscope-Assisted Minimally Invasive Periodontal Surgery: One-Year Outcome and Patient Morbidity

Area of Science:

• Periodontology
• Minimally Invasive Surgery
• Regenerative Medicine

Background:

• Residual periodontal pockets and clinical attachment loss often persist after initial non-surgical therapy.
• Advanced surgical techniques are needed to address persistent periodontal defects.
• Videoscope-assisted minimally invasive surgery (V-MIS) offers a potential alternative for periodontal regeneration.

Purpose of the Study:

• To evaluate the 1-year clinical outcomes of V-MIS for periodontal regeneration.
• To assess changes in pocket probing depth (PPD) and clinical attachment level (CAL) post-V-MIS.
• To compare V-MIS outcomes with traditional periodontal regenerative surgery.

Main Methods:

• Eighteen patients with persistent periodontal defects (PPD ≥ 5 mm, CAL loss ≥ 2 mm) underwent V-MIS.
• Clinical outcomes including PPD, CAL, and soft tissue height were measured at 12 months post-surgery.
• Patient-reported postoperative discomfort was recorded.

Main Results:

• Statistically significant improvements in mean PPD (4.11 ± 0.98 mm) and CAL (4.58 ± 1.19 mm) were observed (P < .001).
• A significant mean increase in soft tissue height (0.48 ± 0.65 mm, P = .006) was noted.
• Most patients experienced no significant postoperative discomfort.

Conclusions:

• V-MIS demonstrates favorable 1-year clinical outcomes for periodontal regeneration.
• The technique shows significant improvements in PPD and CAL compared to baseline.
• V-MIS appears advantageous due to its efficacy and lack of postsurgical recession, unlike traditional methods.