The minimally invasive philosophy underpinning periodontal and peri-implant microsurgery respects biologic principles, preserves healthy tissues, enhances patient well-being, and maximizes soft tissue esthetics. Distributed into nine carefully sequenced chapters, this book first presents the minimally invasive philosophy before demonstrating the protocols necessary for the development of new skills for the surgeon, walking the reader through each phase of learning and practice required to advance to the next. Once this training is complete, the book reviews the basics of ergonomics, magnification, and subepithelial connective tissue grafting before moving on to the hallmark chapter on microsurgical techniques. This chapter comprises half the book and systematically presents each microsurgical technique, illustrating it step by step and then showcasing its use in multiple clinical case examples. Digital planning and suturing are emphasized, as well as esthetic microsurgery and the correlation of these techniques with implantology. The authors' end goal is to equip clinicians to perform increasingly conservative, biologic, and predictable procedures with the greatest precision possible. 1,250 Illustrations. Contents: 1. Minimally Invasive Surgery 2. Periodontal Microsurgery 3. How to Develop New Skills with Preclinical Practice 4. Ergonomics and Magnification 5. Subepithelial Connective Tissue Grafting 6. Microsurgical Techniques 7. Digital Smile Design (DSD) and Esthetic Crown Lengthening Microsurgery: Precision from Planning to Execution 8. Implant Microsurgery: The SMILE Technique 9. Periodontal Plastic Microsurgery and Immediate Dentoalveolar Restoration
Author(s): Glecio Vaz de Campos, Claudio Julio Lopes
Publisher: Quintessence Publishing
Year: 2021
Language: English
Pages: 352
City: Berlin
Periodonal and Peri-implant Plastic Microsurgery
Frontmatter
Tribute to Dr Dennis Shanelec
Contents
Foreword
Preface
Acknowledgments
About the Authors
Contributors
Chapter 1: Minimally Invasive Surgery
Reconstructive Vascular Microsurgery
Surgical Wound Healing
Principles of Healing
Phases of Wound Healing
Surgical Principles That Interfere with Healing
Factors That Influence Healing
History and Principles of Minimally Invasive Surgery
From Conventional Surgery to Microsurgery
Magnification in Periodontics
Clinical Implications of MIS
Paradigm Shift
References
Chapter 2: Periodontal Microsurgery
Clinical Philosophy
Hand Control
Microinstruments
Magnification Systems
Microsutures
Microsurgical Principles
Conclusion
References
Chapter 3: How to Develop New Skills with Preclinical Practice
Learning Philosophy
Magnification Systems
Phase 1: Working Position
Phase 2: Root Preparation with Hand and Rotary Instruments
Phase 3: Microincisions—Initial Incision, Partial-Thickness Flap, and Graft Harvesting
Phase 4: Microsutures
Phase 5: Models for Microsurgical Training
References
Chapter 4: Eronomics and Magnification
Microsurgery
Working Position
Final Considerations
Bibliography
Chapter 5: Subepithelial Connective Tissue Grafting: The Microsurgical Approach
Anatomical Parameters of Surgical Interest
Microsurgical Techniques
Hemostasis Control
Final Considerations
References
Chapter 6: Microsurgical Techniques
Microsurgical Principles
Microincisions
Microsutures
Ideal Graft Positioning
NCCLs and Cervical Dentin Hypersensitivity
Gingival Recession Classifications
Microsurgical Techniques
Microenvelope Technique M1 and M2
Indications
Microsurgical Differentials
M1: Isolated Defects
M2: Adjacent Recessions
Semilunar Technique S1, S2, S3, S4, and S5
Indications
Microsurgical Differentials
S1: One Papilla
S2: Two Papillae
S3: Two Papillae with Variation
S4: Multiple Papillae
S5: Peri-implant Contour
Preoperative Care
Postoperative Care
Final Considerations
References
Chapter 7: Digital Smile Design (DSD) and Esthetic Crown Lengthening Microsurgery: Precision from Planning to Execution
Esthetic Smile
Types of Smile
Biologic Width and Periodontal Phenotype
Standard Periodontal Double Guide
Modified Periodontal Double Guide (MPDG)
Final Considerations
References
Chapter 8: Implant Microsurgery: The SMILE Technique
Clinical Cases
Clinical Outcomes
References
Chapter 9: Periodontal Plastic Microsurgery and Immediate Dentoalveolar Restoration
Periodontal Plastic Microsurgery—Complex Case
Immediate Dentoalveolar Restoration
Final Considerations
References
Index
Back Cover
