Evaluation of microsurgical versus conventional periodontal flap procedures: A prospective randomized comparison

Comparative effectiveness of microsurgical versus conventional flap surgery in periodontal treatment remains inadequately defined. Therefore, it is of interest to compare clinical outcomes of microsurgical and conventional periodontal flap procedures in 100 patients with chronic periodontitis. Hence, patients were allocated to two groups, with assessment of probing pocket depth (PPD), clinical attachment level (CAL), gingival index (GI), plaque index (PI), post-operative pain and healing at baseline, 1 month and 3 months. The microsurgical group showed greater reduction in PPD, higher CAL gain, improved healing and reduced post-operative discomfort compared to the conventional group (p<0.05). Thus, we show superior clinical and patient-centered outcomes with microsurgical techniques, supporting their use in periodontal therapy.