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Microsurgery in periodontics and oral implantology: a systematic review of current clinical applications and outcomes

Evidence-Based Dentistry (2024)Cite this article

Subjects

Abstract

Objectives

The aim of this systematic review was to comprehensively explore the current trends and therapeutic approaches in which an operating microscope (OM) is used in periodontics and dental implant surgeries.

Materials and methods

A systematic search strategy was built to detect studies including various surgical techniques performed under an OM. PubMed, EMBASE, and SCOPUS databases were searched. No limitations in terms of time and language were applied. The data regarding the study design, type of procedure, treatment groups, and surgical outcomes were collected and analyzed descriptively. In addition, a bibliometric analysis was performed concerning the co-authorship and keyword co-occurrence network.

Results

Out of 1985 articles, finally, 55 met the inclusion criteria. Current periodontal and implant microsurgery trends consist of: periodontal therapy, dental implant microsurgery, soft tissue grafting and periodontal plastic surgery, bone augmentation, ridge preservation, and ortho-perio microsurgery. The bibliometric analysis revealed “guided tissue regeneration”, “periodontal regeneration” and “root coverage” being the most repeated keywords (landmark nodes). 132 authors within 29 clusters were identified, publishing within the frameworks of “periodontal and implant microsurgery”.

Conclusion

Within its limitations, this systematic review provides an overview of the latest trends in periodontal and implant microsurgery when considering the use of an OM as the magnification tool. Also, it discusses the reported success and outcomes of the mentioned procedures.

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Fig. 1: PRISMA flow chart
Fig. 2: The results of the bibliometric analysis revealed 6 clusters and 76 keywords that appeared more than two times in the included studies.
Fig. 3: The keyword frequency analysis: this density graph depicts the keywords within the included studies.
Fig. 4: The visualization of the total of 132 authors, published in the field of “periodontal and implant microsurgery”.
Fig. 5: The basic periodontal and implant microsurgery instrument kit.
Fig. 6: Periodontal and dental implant microsurgical kit.
Fig. 7: Risk of bias assessment for included randomized controlled clinical trials.
Fig. 8: Risk of bias assessment for included non-randomized prospective controlled clinical studies.

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Data availability

The data is available upon request from the authors.

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Authors and Affiliations

  1. Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, USA

    Hamoun Sabri, Pramiti Saxena, Prerana Dubey, Paolo Nava & Syed Hanan Rufai

  2. Department of Periodontics, University of Louisville School of Dental Medicine, Louisville, KY, USA

    Sara Alhachache

  3. Department of Oral and Maxillofacial Surgery, Gulf Medical University, Ajman, United Arab Emirates

    Farzin Sarkarat

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HS: Conceptualization, manuscript writing, data analysis, SA: Manuscript writing, data collection, final revision, PS: Manuscript writing, data collection, final revision, PD: Manuscript writing, data collection, final revision, PN: data collection, final revision, SHR: data collection, final revision, FS: Conceptualization, manuscript writing, critical review of final version.

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Sabri, H., Alhachache, S., Saxena, P. et al. Microsurgery in periodontics and oral implantology: a systematic review of current clinical applications and outcomes. Evid Based Dent (2024). https://doi.org/10.1038/s41432-024-01024-4

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