DR. S.V. SINGH, OMBUDSPERSON - E-mail ID: ombudsperson@santosh.ac.in

The use of magnification to perform various procedures in medical and dental field, particularly endodontics has long been recognized. Unfortunately, its application in periodontics is not widely popularized. the application of microsurgical principles in various periodontal surgical procedures and to reinforce the incorporation of microscope into periodontal practice. Medical Subject Headings words looked for were “periodontal microsurgery” and “minimally invasive periodontal surgery.”. The analysis indicates that incorporation of magnification in periodontal practice is associated with improved visual acuity, ergonomic benefits, decreased patient morbidity, rapid healing, and enhanced patient acceptance. Dental sciences have gone through a plethora of changes both in concepts and techniques in the last few decades. Although the use of loupes and surgical operating microscope to achieve magnification to perform various procedures in different disciplines of medical and surgical field is widely acclaimed, its incorporation in dentistry, particularly periodontics needs to be addressed at a broader level.In periodontics microsurgery is used for the procedures ranging from mucogingival surgeries to the regenerative procedures and implant dentistry. Smaller instruments can be used with more precision due to improved visual acuity. To aid in proper handling and for a high-precision movement, microsurgical instruments should be slightly top heavy, circular in cross-section, and approximately 18 cm in length. Shorter instruments with a rectangular cross-sectional design do not allow precise manipulation and are not ideal for microsurgery. Microsurgical instruments usually have a color-coated surface to avoid an unfavorable metallic flare due to the light of the microscope. Weight of microsurgical instruments should not be more than 15–20 g to avoid fatigue of hand and arm muscles. Needle holders should have an appropriate working lock which does not surpass a locking force of 50 g (0.5 N) as low locking forces diminish the precision and high locking forces engender tremors . A basic set of microsurgical instruments comprises a microscalpel holder, needle holder, microscissors, microforceps, and elevators. Different types of blades used in ophthalmic surgery can also be used for periodontal microsurgery. As the benefits of magnification in periodontal surgical procedures are realized, its incorporation in periodontal practice at global level will become a treatment standard in the future.

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