title: Videoscope-assisted minimally invasive periodontal surgery (V-MIS).
abstract: OBJECTIVE
  Small incision surgery has become routine in many areas of medicine but has not been widely accepted in periodontal therapy. A videoscope to assist minimally invasive surgery (MIS) has been developed. The clinical outcomes from MIS performed using this videoscope (V-MIS) are reported.
  
  
  METHODS
  Patients were evaluated for residual defects following non-surgical therapy consisting of root planing with local anaesthetic. Thirty patients having 110 sites with residual pocket probing depth (PPD) of at least 5 mm, 2 mm loss of clinical attachment level (CAL), and radiographic evidence of bone loss were surgically treated. V-MIS was performed utilizing the videoscope for surgical visualization.
  
  
  RESULTS
  At re-evaluation 6 months post surgery, there was a statistically significant improvement (p < .001) in mean PPD and CAL (PPD 3.88 ± 1.02 mm, CAL 4.04 ± 1.38 mm) in 1, 2, and 3 wall defects. All PPD at re-evaluation were 3 mm or less. There was a mean post-surgical increase in soft tissue height (0.13 ± 0.61 mm, p = 0.168) with a decrease in recession.
  
  
  CONCLUSIONS
  The improvement in PPD and CAL from V-MIS, in the authors' opinion, appears to be favourable when compared to previously reported results of periodontal regenerative surgery. The lack of post-surgical recession following V-MIS has not been reported with traditional regenerative surgery.
authors.affiliation: Texas A&M University, Baylor College of Dentistry, Dallas, TX, USA.
authors.forename: Stephen K
authors.initials: SK
authors.lastname: Harrel
authors.forename: Celeste M
authors.initials: CM
authors.lastname: Abraham
authors.forename: Francisco
authors.initials: F
authors.lastname: Rivera-Hidalgo
authors.forename: Jay D
authors.initials: JD
authors.lastname: Shulman
authors.forename: Martha E
authors.initials: ME
authors.lastname: Nunn
mesh_terms: D000328:Adult; D000368:Aged; D016301:Alveolar Bone Loss / Q000601:surgery; D015331:Cohort Studies; D003728:Dental Calculus / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005889:Gingival Recession / Q000601:surgery; D006097:Granulation Tissue / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D017622:Periodontal Attachment Loss / Q000601:surgery; D010510:Periodontal Diseases / Q000601:surgery*; D010514:Periodontal Pocket / Q000601:surgery; D011446:Prospective Studies; D016745:Root Planing; D013357:Subgingival Curettage / Q000295:instrumentation; D013524:Surgical Flaps / Q000601:surgery; D016896:Treatment Outcome; D020535:Video-Assisted Surgery / Q000379:methods*
keywords: endoscope; minimally invasive procedures; periodontics; surgical procedures; videoscope