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Videoscope Assisted Minimally Invasive Surgery (VMIS): 36-Month Results
Stephen K Harrel1, Martha E Nunn2, Celeste M Abraham1
1Department of Periodontology, Baylor College of Dentistry, Texas A&M University, Dallas, TX.
Background:
Clinical outcomes from videoscope assisted minimally invasive surgery (VMIS) at 36 to 58 months are reported.
Methods:
Fourteen patients having sites with residual probing depth (PD) of at least 5 mm and 2 mm loss of clinical attachment level (CAL) after initial non-surgical therapy were treated with VMIS.
Results:
At 36 months or greater post-surgery there was a statistically significant improvement (P <0.001) in mean PD and CAL (PD: 3.80 ± 1.18 mm, CAL: 4.16 ± 1.18 mm) in all surgical sites compared with baseline. There was a mean improvement in soft tissue height (0.36 ± 0.64 mm, P = 0.03). In most cases, patients reported no postoperative discomfort.
Conclusions:
Improvements from VMIS appear to be favorable when compared with previously reported results of periodontal regenerative surgery. All improvements were stable over time. The lack of post-surgical recession after VMIS has not been reported with traditional regenerative surgery.
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