Periodontal Microsurgery: Systematic Review and Meta-analysis

Conventional surgeries involve larger areas including more soft- and hard-tissue manipulation which results in greater postoperative edema, inflammation, and pain. Microsurgery is an advanced surgical technique in which normal vision is enhanced through magnification of ×10 or more performed under a...

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Main Authors: Veena Kalburgi, Shravani Bhole
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Head & Neck Physicians and Surgeons
Subjects:
Online Access:https://journals.lww.com/10.4103/jhnps.jhnps_70_24
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author Veena Kalburgi
Shravani Bhole
author_facet Veena Kalburgi
Shravani Bhole
author_sort Veena Kalburgi
collection DOAJ
description Conventional surgeries involve larger areas including more soft- and hard-tissue manipulation which results in greater postoperative edema, inflammation, and pain. Microsurgery is an advanced surgical technique in which normal vision is enhanced through magnification of ×10 or more performed under a surgical microscope. Application of microsurgical principles is to achieve passive and primary wound closure. This systematic review was carried out in accordance with the Cochrane Handbook for Systematic Reviews of Interventions and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Microsurgery was observed to be better following different periodontal surgeries when compared to the parameters of recession depth, recession width, and clinical attachment level. However, inconclusive evidence was seen for the variables of probing depth and width of keratinized tissue. The study found that the microsurgical approach resulted in less postoperative pain and discomfort compared to the macrosurgical method. The microsurgical instrument tools contributed to improved wound stabilization and better flap adaptation. When deciding between macrosurgical and microsurgical procedures, it is important to consider factors such as treatment outcomes, logistics, cost, and patient-centered parameters.
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institution Kabale University
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publisher Wolters Kluwer Medknow Publications
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spelling doaj-art-e1ad208198924a709db4ac88d02548472025-01-11T15:18:58ZengWolters Kluwer Medknow PublicationsJournal of Head & Neck Physicians and Surgeons2347-81282024-12-0112210411210.4103/jhnps.jhnps_70_24Periodontal Microsurgery: Systematic Review and Meta-analysisVeena KalburgiShravani BholeConventional surgeries involve larger areas including more soft- and hard-tissue manipulation which results in greater postoperative edema, inflammation, and pain. Microsurgery is an advanced surgical technique in which normal vision is enhanced through magnification of ×10 or more performed under a surgical microscope. Application of microsurgical principles is to achieve passive and primary wound closure. This systematic review was carried out in accordance with the Cochrane Handbook for Systematic Reviews of Interventions and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Microsurgery was observed to be better following different periodontal surgeries when compared to the parameters of recession depth, recession width, and clinical attachment level. However, inconclusive evidence was seen for the variables of probing depth and width of keratinized tissue. The study found that the microsurgical approach resulted in less postoperative pain and discomfort compared to the macrosurgical method. The microsurgical instrument tools contributed to improved wound stabilization and better flap adaptation. When deciding between macrosurgical and microsurgical procedures, it is important to consider factors such as treatment outcomes, logistics, cost, and patient-centered parameters.https://journals.lww.com/10.4103/jhnps.jhnps_70_24magnificationminimally invasiveperiodontal microsurgerysurgical microscope
spellingShingle Veena Kalburgi
Shravani Bhole
Periodontal Microsurgery: Systematic Review and Meta-analysis
Journal of Head & Neck Physicians and Surgeons
magnification
minimally invasive
periodontal microsurgery
surgical microscope
title Periodontal Microsurgery: Systematic Review and Meta-analysis
title_full Periodontal Microsurgery: Systematic Review and Meta-analysis
title_fullStr Periodontal Microsurgery: Systematic Review and Meta-analysis
title_full_unstemmed Periodontal Microsurgery: Systematic Review and Meta-analysis
title_short Periodontal Microsurgery: Systematic Review and Meta-analysis
title_sort periodontal microsurgery systematic review and meta analysis
topic magnification
minimally invasive
periodontal microsurgery
surgical microscope
url https://journals.lww.com/10.4103/jhnps.jhnps_70_24
work_keys_str_mv AT veenakalburgi periodontalmicrosurgerysystematicreviewandmetaanalysis
AT shravanibhole periodontalmicrosurgerysystematicreviewandmetaanalysis