FROM CLASSIC TO MINIMAL INVASIVE SURGERY IN THE APPROACH OF PRO-PROSTHETIC PREPARATION OF STOMATOGNATHIC SYSTEM
Prof. Doriana Agop-Forna
University of Medicine and Pharmacy
Objectives
Classic surgical interventions, characterized by conventional flap elevation and extensive bone preparation, have long been the standard in the pro-prosthetic stage. The disadvantages entail greater surgical trauma, prolonged healing times, and increased risk of post-operative complications.
Materials and Methods
Minimal invasive techniques, such as flapless surgery and surgical laser-assisted techniques (erbium, diode, CO2, Nd:YAG), aim to minimize bone and soft tissue disruption, preserve anatomy and structure of soft tissues, and expedite patient recovery. These techniques offer advantages such as lower operative morbidity, enhanced patient acceptance, and accelerated prosthetic rehabilitation. Literature data highlight the importance of interdisciplinary collaboration between surgeons and prosthodontists in selecting the most appropriate surgical approach based on individual patient factors, anatomical considerations, and treatment objectives.
Results
By critically examining the strengths and limitations of classic and minimal invasive surgical interventions, research groups can guide clinicians in optimizing treatment protocols and improving patient care in the prosthetic phase of dental implant therapy.
Conclusions
Further research can elucidate the long-term efficacy and comparative advantages of each surgical approach in achieving long-term predictable and esthetic prosthetic results.