Oral Health and Dental Management

Digital solutions for a minimal invasive surgical approach in the reconstruction of bone and soft tissue defect

4^th International Conference on Orthodontics

October 09, 2023 | Prague, Czech Republic

Nicola De Rosa

Vita-Salute San Raffaele University, Italy

Scientific Tracks Abstracts: OHDM

Abstract:

Minimally invasive surgery is a term that describes the use of delicate and precise surgical techniques that requires the use of magnification systems such as prismatic lenses or operating microscopes and surgical instrumentation and support materials of suitable size for microsurgery. Therefore the main purpose is to use procedures that allow the preservation of tissues and anatomical structures and the reduction of the healing times and post-operative discomfort of patients. (Minimally invasive concept concern the reduction of tissues injury, diminished morbidity, and rapid healing). The flap incisions are usually closed with an intimate edges apposition to eliminate wound gaps and dislocations; this is mandatory in order to obtain a primary intention healing to begin within hours of microsurgical closure. This prevents secondary intention healing along the wound edges, which is associated with subsequent in tissue contraction and scar tissue formation. The reduction of surgical times is another fundamental aspect of minimally invasive surgery and is directly linked to a healing process with less edema and postoperative pain. Digital planning, which has long been used in implantology in the preoperative phase and in the creation of surgical templates, can now be used in some hard (Fig.1) and soft tissue reconstruction techniques, to take tissue grafts suitable for the size of the recipient sites (Fig. 2). In this way the surgery times are greatly reduced. The reduction of surgical times is another fundamental aspect of minimally invasive surgery and is directly linked to a healing process with less edema and post-operative pain. Minimally invasive concept concern the reduction of tissues injury, diminished morbidity, and rapid healing. Fig 1 A) Horizontal defect. B) Safe Cut device in situ C) Bone harvest D) Bone graft positioned on the defect with the Khoury technique. Fig 2 A) Hard and soft tissue defect. B) Aluminum template for PTFE reinforced membrane modeling C) Implant positioned in 2.3 situ with surgical template D) Clinical result

Biography :

Nicola De Rosa graduated in Dentistry and Dental Prosthetics at the University of Naples (Italy) “FEDERICO II” in 1992. Subsequently the PHD and the specialization in oral surgery at the same University. In 2012 obtained the Master’s degree in Periodontology at the University of Siena (Italy) and under the guidance of Prof. Massimo de Sanctis. Private practitioner since 1992 in Naples.