The Journal of Contemporary Dental Practice

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 10 , ISSUE 5 ( September, 2009 ) > List of Articles


Microscope-Enhanced Periodontal Therapy: A Review and Report of Four Cases

Ashvini Padhye, Rashmi Hegde, S Sumanth

Citation Information : Padhye A, Hegde R, Sumanth S. Microscope-Enhanced Periodontal Therapy: A Review and Report of Four Cases. J Contemp Dent Pract 2009; 10 (5):88-100.

DOI: 10.5005/jcdp-10-5-88

License: CC BY-NC 3.0

Published Online: 01-08-2014

Copyright Statement:  Copyright © 2009; The Author(s).



The aim of this report is to review the status of the use of surgical microscopes and microsurgery and their clinical application in the field of periodontics.


The use of magnification systems and periodontal microsurgery are part of a broad movement in dentistry toward the use of minimally invasive procedures to replace the need for more extensive surgical procedures. While magnification systems are widely used in endodontics, their application in periodontics is still in its nascent phase. However, clinicians have reported that use of magnification facilitates the use of minimal invasive periodontal surgery.


The surgical microscope is an invaluable aid for periodontists in the diagnosis and treatment of periodontal disease. Magnified vision used in conjunction with microsurgical instruments and techniques can lead to a higher quality of care and an improved surgical outcome.


Surgical operating microscopes have shown promising results in the hands of periodontists who are properly trained in their use. Despite the apparent advantages, there is still a lack of “high level of evidence” in the form of controlled clinical trials to estimate the magnitude of the real benefits of the microsurgical approach over the conventional approach.

Clinical Significance

Even though all the procedures shown in this review can be performed using normal vision, performing these procedures using a surgical microscope and microsurgical instruments offers definite advantages in terms of improved visual acuity, superior approximation of wounds, rapid wound healing, decreased post-operative morbidity, and increased acceptance by the patients.


Hegde R, Sumanth S, Padhye A. Microscope-Enhanced Periodontal Therapy: A Review and Report of Four Cases. J Contemp Dent Pract [Internet]. 2009 Sept; 10(5). Available from: microscope-enhanced-periodontal-therapyareview- and-report-of-four-cases.

PDF Share
  1. A microscope for use in dentistry. J Microsurg. 1981; 3(1):7-10.
  2. Periodontal microsurgery. Periodontal Insights. 1994; 1(5):4-7.
  3. Microscopy in dentistry. Esthet Restor Dent. 2003; 15(7):390-410.
  4. Recent advances in surgical technology. In: Carranza's clinical periodontology. 10th ed. Philadelphia: W.B. Saunders; 2006. p. 1030-8.
  5. Microscopes in endodontics. J Calif Dent Assoc. 1992; 20(11):55-61.
  6. Use of dental operating microscope in endodontic surgery. Oral Surg Oral Med Oral Pathol. 1993; 75(6):751-8.
  7. Current status of periodontal microsurgery. Periodontics 2000. 1996; 2:88-92.
  8. Microsurgery and wound healing. Amsterdam: Excerpta Medica; 1979.
  9. Periodontal microsurgery. Dent Clin North Am. 1998; 42(2):339-59.
  10. Periodontal microsurgery. J. Esthet & Restor Dent. 2003; 15(7):402-7.
  11. Periodontal microsurgery. Continuing education course, 78th American Academy of Periodontology annual meeting, Orlando, FL, Nov 19, 1992.
  12. Getting the “feel” of it: the non-visual component of dimensional accuracy during operative tooth preparation. J Can Dent Assoc. 1990; 56(10):937-41.
  13. Positioning for clinical dental hygiene care: preventing back, neck and shoulder pain. Probe. 1996; 30(6):216-9.
  14. Surgical magnification in dental hygiene practice. Int J Dent Hyg. 2004; 2(1):26-35.
  15. Microsurgical approach to periodontal regeneration. Initial evaluation in a case cohort. J Periodontol. 2001;72(4):559-69.
  16. A minimally invasive surgical technique with an enamel matrix derivative in the regenerative treatment of intra-bony defects: a novel approach to limit morbidity. J Clin Periodontol. 2007; 34(1):87-93.
  17. Fibre retention and papilla preservation technique in the treatment of infrabony defects: a microsurgical approach. Int J Periodontics Restorative Dent. 2008; 28(3):257-63.
  18. Current status of periodontal microsurgery. Curr Opin Periodontol. 1996;3:118-25.
  19. Utilization of the surgical microscope for advanced plastic periodontal surgery. Pract Periodontcis Aesthet Dent. 2000; 12(2):171-80.
  20. Achieving primary closure and enhancing aesthetics with periodontal microsurgery. Pract Proced Aesthet Dent. 2006; 18(7):449-54.
  21. Coverage of localized gingival recessions: comparison of micro- and macrosurgical techniques. J Clin Periodontol. 2005; 32(3):287-93.
  22. The effect of plaque control and debridement in molar teeth. J Clin Periodontol. 1987; 14(4):231-64.
  23. Use of the microscope in endodontics: a report based on a questionnaire. J Endod. 1999; 25(11):755-84.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.