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Minimally Invasive Surgery in Implant Dentistry

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https://doi.org/10.5125/jkaoms.2020.46.3.

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EDITORIAL pISSN 2234-7550 · eISSN 2234-5930

Minimally invasive surgery in implant dentistry


Young-Kyun Kim, DDS, PhD
Editor-in-Chief of JKAOMS

Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam, Korea

Oral and maxillofacial surgeons have been performing tures.


surgery and related studies in the implant dentistry field for The ideal treatment plan for implant dentistry is not nec-
a long time and have made significant contributions to the essarily good for the patient. Surgical treatment plans to
development of current implant therapy. In the past, implants improve this in the case of insufficient bone and poor bone
were installed after improving patient bone readiness through quality must be established first. However, it is necessary to
invasive surgical techniques in areas with bone deficiency or decide whether to apply surgery after taking into consider-
poor bone quality. Representative invasive surgeries include ation patient age, systemic disease comorbidities, oral hy-
sinus bone grafts using autogenous bone grafts, vertical and/ giene management ability, oral parafunction, patient econom-
or horizontal ridge augmentation using autogenous bone ic capacity, and cooperation with treatment. Surgery should
grafts, inferior alveolar nerve repositioning, alveolar bone be selected if the patient agrees after the clinician sufficiently
distraction osteogenesis, and zygoma implants. However, explains the necessity for surgery, and the advantages and
invasive surgery causes many complications, decreases the disadvantages of surgical treatment. If invasive surgery or
patient’s satisfaction with treatment, prolongs the treatment implant treatment is not indicated, consideration should be
period, and has a high treatment cost. given to choosing conventional prosthetic treatments such as
In the medical field, as well as in the dental field, clinicians fixed prosthesis, removable denture, or complete denture.
are moving toward introducing minimal invasive surgery as Oral and maxillofacial surgeons should first choose a treat-
much as possible and the development of related diagnostic ment that can improve patient satisfaction and quality of life
and surgical equipment, surgical instruments, and techniques with minimal complications. Surgeons who overly prefer
continues. Typical minimal invasive surgery introduced in the invasive surgical treatment will have to re-study the latest im-
dental field includes temporomandibular joint arthroscopic plant and surgical treatment evidence and try to keep up with
diagnosis and treatment, endoscopic surgery through mini- the latest trends.
mal incision, surgery through an intraoral approach, cone-
beam computed tomography-based computer guided implant Conflict of Interest
surgery, flapless implant placement, tissue engineered bone
grafts, 3D printing technology and individually customized No potential conflict of interest relevant to this article was
bone graft material, short implant placement, implant-assisted reported.
removable partial dentures, and implant-supported overden-

How to cite this article: Kim YK. Minimally invasive surgery


Young-Kyun Kim
Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul in implant dentistry. J Korean Assoc Oral Maxillofac Surg
National University Bundang Hospital, 82 Gumi-ro 173beon-gil, Bundang- 2020;46:161. https://doi.org/10.5125/jkaoms.2020.46.3.161
gu, Seongnam 13620, Korea
TEL: +82-31-787-7541 FAX: +82-31-787-4068
E-mail: kyk0505@snubh.org
ORCID: https://orcid.org/0000-0002-7268-3870
CC This is an open-access article distributed under the terms of the Creative
Commons Attribution Non-Commercial License (http://creativecommons.org/
licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution,
and reproduction in any medium, provided the original work is properly cited.
Copyright © 2020 The Korean Association of Oral and Maxillofacial Surgeons. All
rights reserved.

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