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Biomedical subjects

D Shanelec

Publications and source records attributed to D Shanelec.

2 recordsLinked to original sources

Periodontal microsurgery.

Practitioners of periodontics must have familiarity with the various methods of optical magnification and, ultimately, the surgical microscope, if they are going to refine their basic surgical techniques with improved visual acuity, as other areas of medicine and dentistry are doing. Macroscopic versus microscopic vision determines the degree to which surgeons can handle soft and hard tissue for primary wound closure and rapid, non-traumatic healing. Subtle basic microsuturing techniques offer vast improvement in wound closure through magnification and good visual feedback, as opposed to the tactile information traditionally taught in conventional suturing. Periodontal microsurgery began with mucogingival surgery, but has application in every area of periodontal therapy for those who become proficient in this challenging new area of technology.

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Current status of periodontal microsurgery.

Periodontal microsurgery has proven to be an effective means of improving the predictability of gingival transplantation procedures used in treating recession. It also promises to make papillary reconstruction a realistic possibility in the hands of most periodontists. The use of microsurgical principles and techniques has been extended to flap reflection and suturing as an ideal means of having precise control of the gingiva without traumatizing the tissue by stretching, distorting, or tearing it. Microsurgical use requires training and practice using visual feedback rather than tactile feedback as is common in macrosurgery. It is an area of great interest and practical application for the growth and future of periodontics.

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