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Microsurgery in Guided Bone Regeneration

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Microsurgery in Periodontal and Implant Dentistry

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Abstract

Guided bone regeneration (GBR) is the process of replacing lost tissues with elements to restore normal function and structure for ideal three-dimensional placement of dental implants. GBR is based on guided tissue regeneration and has common mechanical and biological principles; their similarities are obvious throughout the evolution of bone regeneration concepts. There are four fundamental biological principles for successful GBR: primary wound closure, adequate blood supply, clot stability, and space maintenance.

Microsurgery was introduced in Periodontology in 1992 for the improvement of surgical techniques. It was made possible by the advancements in visual acuity obtained through the microscope. Microsurgery helps develop motor skills by improving surgical capacity, reduces tissue trauma, and contributes to the primary closure of the wound.

The proposed use of the microscope in GBR can aid precision in surgical execution. It has been shown that microsurgery contributes to improved healing and treatment outcomes in other areas of Periodontology.

This chapter provides a detailed description of GBR techniques using a surgical microscope (MO) along with information on the elements essential for the application of this technology. The principles of magnification and coaxial light and fundamentals of microsurgery are used for the execution of incisions, release of flaps, preparation of the surgical bed, handling of biomaterials, and membrane fixation, complementing the techniques for flap closure and soft tissue management in regenerative therapy.

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Acknowledgments

The authors declare no conflicts of interest.

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Authors and Affiliations

  1. Private practice in Periodontal Medicine and Microscopic Implantology, Institute of Surgery, Hospital Zambrano Hellion, Nuevo León, Mexico

    Lizette Llamosa-Cáñez

  2. Clinical Professor, Tecnologico de Monterrey, School of Medicine and Health Science, Periodontology Department, Monterrey, Nuevo León, Mexico

    Lizette Llamosa-Cáñez

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  1. Lizette Llamosa-Cáñez
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Correspondence to Lizette Llamosa-Cáñez .

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Editors and Affiliations

  1. School of Dentistry, University of Michigan, Ann Arbor, MI, USA

    Hsun-Liang (Albert) Chan

  2. School of Dentistry, University of Michigan, Ann Abor, MI, USA

    Diego Velasquez-Plata

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Llamosa-Cáñez, L. (2022). Microsurgery in Guided Bone Regeneration. In: Chan, HL.(., Velasquez-Plata, D. (eds) Microsurgery in Periodontal and Implant Dentistry. Springer, Cham. https://doi.org/10.1007/978-3-030-96874-8_11

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  • DOI: https://doi.org/10.1007/978-3-030-96874-8_11

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