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Minimally Invasive (MINST) Versus Conventional Non-Surgical Therapy for Residual Pockets in Patients With
Gaetano Isola1,2, Alessandro Polizzi1,2, Paolo Pesce3
1Department of General Surgery and Medical-Surgical Specialities, Unit of Periodontology, University of Catania, Catania, Italy.
Journal of Periodontal Research
|June 18, 2026
Summary
Minimally Invasive Surgical Technique (MINST) treatment significantly improved periodontal outcomes over 12 months compared to conventional methods. Factors like smoking and non-compliance impacted results, highlighting the need for consistent patient adherence.
Area of Science:
- Periodontology
- Dental Surgery
Background:
- Periodontal disease poses a significant global health challenge.
- Conventional treatments have limitations in long-term efficacy.
- Minimally Invasive Surgical Techniques (MINST) offer a potential alternative.
Purpose of the Study:
- To compare the effectiveness of MINST versus conventional periodontal treatment.
- To identify factors influencing periodontal outcomes at 12-month follow-up.
Main Methods:
- Prospective study comparing MINST and conventional periodontal therapy.
- Evaluation of periodontal outcomes including probing pocket depth (PPD) and bleeding on probing (BoP).
- Statistical analysis to determine factors influencing treatment success.
Main Results:
- MINST demonstrated superior reduction in median periodontal outcomes at 12 months.
- High cigarette consumption, non-compliant supportive care, and specific pocket depths (≥4mm, 4-5mm, ≥6mm) with BoP+ negatively influenced PPD reduction.
- High Full Mouth Bleeding Score (FMBS) was also associated with poorer outcomes.
Conclusions:
- MINST is more effective than conventional approaches for improving periodontal health.
- Patient-related factors such as smoking and treatment compliance are critical for successful periodontal therapy outcomes.
