Videoscope-Assisted Minimally Invasive Surgery (V-MIS)

image of Videoscope-Assisted Minimally Invasive Surgery (V-MIS)

Gum disease has traditionally been treated by trimming away the infected gum tissue and by re-contouring the bone. Although this is still an effective way of treating gum disease, new and more sophisticated procedures are used routinely today. One of these advancements is Guided Tissue Regeneration (GTR). This procedure is used to stabilize endangered teeth and to regenerate lost bone.

During this surgical procedure, the pockets and roots are cleaned thoroughly. A biologic modifier, often referred to as enamel matrix derivative or Emdogain, is routinely used to signal cells surrounding the tooth to more rapidly repair and regenerate the missing bone.  Occasionally, a bone graft is placed into the defect and the area may be covered with a membrane.  The membrane covers the pocket so that fast-growing soft tissue is blocked, and slower-growing bone can begin to grow, or “regenerate” itself.

closeup of mouth as seen through Videoscope

Until recently, this procedure was often completed using large incisions that resulted in recession and post-operative discomfort.  Through the advances of a periodontal videoscope, guided tissue regeneration procedures are now much less invasive.  A videoscope is a small camera that is inserted into the periodontal pocket and magnifies the tooth root and surrounding bone up to 50x on an external monitor to allow excellent visualization of the site. A small incision is required in order to allow the tip of a videoscope to be placed in the diseased periodontal pocket.  After the root(s) are thoroughly cleaned and a biologic modifier is used to stimulate bone growth, the tissue is often closed with just a single suture.  Typically, patients have minimal to no post-operative pain, swelling, and recession due to the minimally-invasive nature of the procedure.

Contact us at Dallas Office Phone Number 214-691-2404 with any questions or concerns.

For more information on the videoscope, please visit the links below:

Lecture on dental videoscope

Dental videoscope in action