Videoscope Assisted Minimally Invasive Surgery (VMIS): 36-Month Results.
Clinical outcomes from videoscope assisted minimally invasive surgery (VMIS) at 36 to 58 months are reported.



Fourteen patients having sites with residual probing depth (PD) of at least 5 mm and 2 mm loss of clinical attachment level (CAL) after initial non-surgical therapy were treated with VMIS.



At 36 months or greater post-surgery there was a statistically significant improvement (P <0.001) in mean PD and CAL (PD: 3.80 ± 1.18 mm, CAL: 4.16 ± 1.18 mm) in all surgical sites compared with baseline. There was a mean improvement in soft tissue height (0.36 ± 0.64 mm, P = 0.03). In most cases, patients reported no postoperative discomfort.



Improvements from VMIS appear to be favorable when compared with previously reported results of periodontal regenerative surgery. All improvements were stable over time. The lack of post-surgical recession after VMIS has not been reported with traditional regenerative surgery.
Department of Periodontology, Baylor College of Dentistry, Texas A&M University, Dallas, TX.
Stephen K
SK
Harrel
Department of Periodontology, Creighton University, Omaha, NE.
Martha E
ME
Nunn
Department of Periodontology, Baylor College of Dentistry, Texas A&M University, Dallas, TX.
Celeste M
CM
Abraham
Department of Periodontology, Baylor College of Dentistry, Texas A&M University, Dallas, TX.
Francisco
F
Rivera-Hidalgo
Department of Periodontology, Baylor College of Dentistry, Texas A&M University, Dallas, TX.
Jay D
JD
Shulman
Department of Periodontology, Baylor College of Dentistry, Texas A&M University, Dallas, TX.
John C
JC
Tunnell
D000328:Adult; D000368:Aged; D016301:Alveolar Bone Loss / Q000000981:diagnostic imaging / Q000601:surgery; D000704:Analysis of Variance; D005260:Female; D005500:Follow-Up Studies; D005889:Gingival Recession / Q000601:surgery; D016557:Guided Tissue Regeneration, Periodontal / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation* / Q000379:methods*; D019647:Oral Surgical Procedures / Q000295:instrumentation / Q000379:methods; D017622:Periodontal Attachment Loss / Q000000981:diagnostic imaging / Q000601:surgery; D010510:Periodontal Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D010514:Periodontal Pocket / Q000000981:diagnostic imaging / Q000601:surgery; D013524:Surgical Flaps / Q000601:surgery; D013781:Texas; D016896:Treatment Outcome; D020535:Video-Assisted Surgery / Q000295:instrumentation* / Q000379:methods*
Endoscopes; minimally invasive surgical procedures; periodontics; regeneration