Oral surgery is an integral part of Periodontology and Dental Implantology. The specialist Periodontist because of his education can address successfully a variety of surgical cases. Surgical techniques can be divided according to the moadlity used in the following categories:
- The classic approach, where the usual techniques and instruments are used.
- The microsurgical approach, where access and handling are performed using special instruments and high magnification of the surgical field.
- Laser approach, where the incision and some operations may be performesusing an apropriate laser device.
The biggest difference lies in the use of microsurgical treatment method. In this method, the incision is made with special instruments with very small but very sharp blades (microblade) so that the incision will cause the least possible trauma to tissues. All instruments used have diamond coatings – in contrast with the classical tools have indentations and protrusions – to handle tissues with minimal force and to avoid injury. Even the stitches used are of special materials that do not irritate the tissues and are of similar size and quality as those used by plastic surgeons in order not to create scars. The whole procedure is done under a microscope or with the help of magnifying glasses to have the best possible control of the surgical field. It is evident that the use of such techniques gives maximum results in any surgical procedure. However, where these techniques really shine are when dealing with regenerative procedures or surgeries of cosmetic nature where ultimate control and prevention of injury to the tissue is of paramount importance.
The use of laser for incisions and for surgical management in cases such as frenectomy, gingivectomy, removal of small tumors, has the comparative advantage of immediate hemostasis and reduced postoperative pain. As the laser, incises tissues, it coagulates blood vessels and thus achieves stunning hemostasis, but also inactivates the nerve endings in the area, providing painless postoperative healing. Typically, the patient does not even need stitches. The accuracy of the incisions is very high and especially in demanding cosmetic surgery, lasers can provide very precise control of the final result, since virtually with the help of optic fiber we can “draw” the final contour of the gums in a gingivectomy, or reduce the amount of tissue in a manner quite different from that when using a scalpel .