BookHsun-Liang (Albert) Chan, Diego Velasquez-Plata, editors.
Summary: This book compiles all relevant information regarding fundamental concepts and advanced techniques related to the applications of minimally invasive procedures in periodontal and implant therapy facilitated with the operating microscope. Microsurgical therapy, wound healing principles as well as biomechanical and design aspects of micro-instruments and suturing armamentarium are discussed. The book offers information that is usually scattered in the dental and medical literature and not only hard to compile but also to frame in the appropriate clinical categories. Its unique emphasis on ergonomics (patient, operator and assistant positioning) and collaboration techniques like four to six hand assisting make this work unique. Each topic is discussed by world renowned experts in the field. The book is a valuable resource for the dental society including general dentists, periodontists, oral surgeons and implantologists.
Contents:
Intro
Foreword
A Tribute to Dennis A. Shanelec, DDS: The Father of Periodontal Microsurgery
Acknowledgments
Contents
Introduction to Microsurgery
1 Introduction
2 History of Operating Microscope in Medicine
3 History of Operating Microscope in Dentistry
4 History of OM in Periodontology and Implant Dentistry
5 Advantages of Using OM in Surgical Dentistry
6 Current Trends that Favor Using OM
7 Future Directions
8 Conclusion
9 Key Points
References
The Impact of a Minimally Invasive Approach on Oral Wound Healing
1 Introduction 2 An Overview of the Biological Pathways to Mucosal Wound Repair and Regeneration
2.1 Inflammation Phase (First Stage of Mucosal Wound Healing)
2.2 Proliferation Phase (Second Stage of Mucosal Wound Healing)
2.2.1 Epithelialization
2.2.2 Angiogenesis
2.2.3 Granulation Tissue Formation
2.3 Remodeling Phase (Third Stage of Mucosal Wound Healing)
3 Impact of the Microsurgical Technique on the Healing Process of Oral Mucosal Wounds: Clinical Results and Potential Triggers for Enhanced Healing 3.1 Scientific Evidence of Improved Outcomes After Periodontal Plastic Microsurgeries: Some Critical Comments about the Clinical Relevance of the Results
3.2 The Interconnectedness of the Microsurgical Technique with the Healing Process of Mucosal Wounds
3.2.1 Influence of Modified (Minimal-Invasive) Incision Designs on Wound Stability and Wound Integrity
3.2.2 Healing of Periodontal Wounds Created by Traditional, but Microsurgically Modified Flap Designs
4 How to Translate Findings from Basic Research into Clinical Success? 4.1 Incision Design and Wound Healing from a Histological and Physiological Perspective
4.2 Micromechanical Properties of the Extracellular Matrix of the Oral Mucosa and the Blood Clot after Wounding
4.2.1 Micromechanical Aspects of Oral Mucosal Tissues
4.2.2 Micromechanical Aspects of the Blood Clot during Healing
4.3 Microsurgically Controlled Instrument Handling and its Impact on Tissue Mechanotransduction
5 Closing Remarks
6 Key Points
References
Fundamentals of the Operating Microscope
1 Introduction
2 Magnification
3 Loupes 4 Loupes Versus Operating Microscope
5 Parts and Functions of a Surgical Microscope
5.1 The Body of the Microscope
5.1.1 Microscope Eyepieces
5.1.2 Binocular Tube Head
5.1.3 Co-Observation
5.1.4 Microscope Objective Lens
5.1.5 Microscope Magnification Changer or Zoom system
5.1.6 Focusing
5.2 Light Source
5.2.1 Illumination
5.2.2 Augmented Visualization
5.3 The Suspension System
5.4 Imaging Systems and Documentation Devices
6 Conclusions
7 Glossary
8 Key Points
References
Design and Ergonomics of Microsurgical Instruments