Improved wound stability with a modified minimally invasive surgical technique in the regenerative treatment of isolated interdental intrabony defects.

@article{Cortellini2009ImprovedWS,
  title={Improved wound stability with a modified minimally invasive surgical technique in the regenerative treatment of isolated interdental intrabony defects.},
  author={Pierpaolo Cortellini and Maurizio S. Tonetti},
  journal={Journal of clinical periodontology},
  year={2009},
  volume={36 2},
  pages={
          157-63
        }
}
AIMS This paper describes a modified surgical approach of the minimally invasive surgical technique (modified minimally invasive surgical technique, M-MIST) and preliminarily evaluates its applicability and clinical performances in the treatment of isolated deep intrabony defects in combination with amelogenins. [] Key Method Root instrumentation and application of the regenerative material were performed before suturing.
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139 Citations

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Entire papilla preservation technique in the regenerative treatment of deep intrabony defects: 1‐Year results
TLDR
Tunnel-like "EPP" technique may limit the risk of wound failure particularly in the early healing phase, thereby preventing exposure of regenerative biomaterials, possibly enhancing stabilization of blood clot in deep intrabony defects and leading to optimal clinical outcomes.
A modified surgical approach for hard and soft tissue reconstruction of severe periimplantitis defects – Laser‐assisted periimplant defect regeneration (LAPIDER)
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A new surgical concept was developed which allows to clean the implant surface, reconstruct the bony defect, and improve soft tissue height and thickness without cutting the papilla complex in severe periimplantitis defects.
A modified surgical approach for hard and soft tissue reconstruction of severe periimplantitis defects: laser-assisted periimplant defect regeneration (LAPIDER)
TLDR
Marginal bone levels and soft tissue improvement suggest feasibility for the regeneration of severe periimplant hard andsoft tissue deficiencies by this new treatment approach.
The role of surgical flap design (minimally invasive flap vs. extended flap with papilla preservation) on the healing of intrabony defects treated with an enamel matrix derivative: a 12-month two-center randomized controlled clinical trial
TLDR
Within the limits of this pilot RCT, the results have failed to show any differences in the measured parameters following treatment of intrabony defects with EMD, irrespective of the employed surgical technique.
Single-flap approach for surgical debridement of deep intraosseous defects: a randomized controlled trial.
TLDR
The surgical debridement of intraosseous periodontal defects resulted in comparable, substantial CAL gains and PD reductions as well as limited postoperative REC increases when defects were accessed with the SFA or DFA.
Clinical and radiographic outcomes of the modified minimally invasive surgical technique with and without regenerative materials: a randomized-controlled trial in intra-bony defects.
TLDR
M-MIST with or without regenerative materials resulted in significant clinical and radiographic improvements, and the observed outcomes were remarkably similar and warrant further investigations.
Comparison of Minimally Invasive and Conventional Flap Surgery for Treatment of Intrabony Periodontal Defects: A Pilot Case Controlled Study
TLDR
The overall result suggests that minimally invasive surgery is as effective as conventional flap surgery in the treatment of intrabony periodontal defects and that both techniques appear to provide a comparable outcome.
Papilla Preservation and Minimally Invasive Surgery for the Treatment of Peri-implant Osseous Defects. Clinical and radiographic outcomes of a 5-year retrospective study.
TLDR
PPF and MIST can be successfully applied for the regenerative treatment of peri-implant defects and a composite outcome of disease resolution shows consistent 1-year clinical improvements at all the treated sites and substantial 5-year stability.
Early postoperative healing following buccal single flap approach to access intraosseous periodontal defects
TLDR
At 2 weeks, buccal SFA may result in highly predictable complete flap closure, and two-week soft tissue healing, however, was not associated with the 6-month clinical outcomes.
Platelet-rich fibrin along with a modified minimally invasive surgical technique for the treatment of intrabony defects: a randomized clinical trial
TLDR
M-MIST with or without PRF yielded comparableperiodontal tissue healing in terms of improvements in periodontal and radiographic parameters.
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References

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TLDR
This case cohort indicates that MIST associated with EMD resulted in excellent clinical improvements while limiting patient morbidity, and need to be confirmed in a larger study.
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TLDR
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The application of SPPF in combination with bioresorbable barrier membranes allowed primary closure of the interdental space in most of the treated sites and resulted in consistent CAL gains at 1 year.
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TLDR
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TLDR
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