驚くほど臨床が変わる！ こだわりペリオサブノート

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142〈参考文献〉 1）Cortellini P, Tonetti MS. A minimally invasive surgical technique with an enamel matrix derivative in the regenerative treatment of intra-bony defects: A novel approach to limit morbidity. J Clin Periodontol 2007;34(1):87-93. 2）Cortellini P, Tonetti MS. Improved wound stability with a modified minimally invasive surgical technique in the regenerative treatment of isolated interdental intrabony defects. J Clin Periodontol 2009;36(2):157-163. 3）Cortellini P, Tonetti MS. Clinical concepts for regenerative therapy in intrabony defects. Periodontol 2000 2015;68(1):282-307. 4）Cortellini P, Tonetti MS. Clinical and radiographic outcomes of the modified minimally invasive surgical technique with and without regenerative materials: A randomized-controlled trial in intra-bony defects. J Clin Periodontol 2011;38(4):365-373.図6-5-6　MISTとM-MISTの剥離手順。MIST、M-MISTを用いた剥離は、剥離子を用いて力づくで歯肉を剥離するのではなく、マイクロブレードを用い、歯周靭帯や肉芽組織を切離しながら愛護的に翻転を行う。こだわり“ペリオ”テクニック頬側骨頂を探索頬側を剥離舌側骨欠損底部を探索舌側骨欠損骨頂部を探索肉芽組織を除去歯間乳頭を翻転①②③④⑤⑥ M-MIST⑦ MIST