Videoscope-Assisted Minimally Invasive Surgery (VMIS) for Bone Regeneration

Abstract

The concept and relevant literature related to minimally invasive periodontal surgery is reviewed. The original MIS procedure for bone regeneration is described as well as the modification of MIS for the MIST and M-MIST procedure. The development and introduction of the videoscope for periodontal procedures are also reviewed. The videoscope’s ability to visualize and treat periodontal defect through much smaller surgical openings than the MIS or MIST techniques has led to the development of the videoscope-assisted minimally invasive surgery (VMIS) approach. The VMIS procedure is reviewed in detail. The results from long-term studies of the VMIS procedure are reported. A procedure for using the videoscope and applying the concepts of VMIS to the problem of regenerating bone in instances of peri-implantitis is also presented. The use of small incisions that produce minimal trauma and preserve most of the blood supply of the periodontal and peri-implant tissues results in improved regenerative results, minimal to no negative esthetic outcomes, and little or no patient discomfort. Minimally invasive procedures are a reliable method to regenerate periodontal tissues.