A special, particularly delicate set of instruments and sutures encountered in vascular surgery (about four times as thin as regular sutures) are used to protect and preserve the tissue.
Microsurgical treatment may be too time-consuming and expensive in the case of a simple tooth removal or resection, as it may not offer any major advantages or, it could possibly even result in disadvantages, because of the extended time it requires.
However, if the goal is to preserve one’s teeth or regenerate the gums as much as possible in areas of aesthetic importance, one cannot avoid microsurgery as the method of choice. The success rates are over 90%, in contrast to a simple surgery with success rates of a maximum of 50% to 70%.
The surgical methods employed differ and they are adapted to the respective goal. In all procedures, an incision is made in the gum, under local anesthesia. Oftentimes, additional connective tissue is harvested from the roof of the mouth (the palate), and inserted into the surgical site to provide a better recurrence prevention. The palate must then be protected with a periodontal dressing or a stent.
Afterwards, the wound is securely closed with extensive sutures that will be absorbed in a few days. Wound healing usually proceeds without complication.
In addition to the general risks associated with a surgical procedure, the risks of a microsurgical treatment of the gums are generally assessed as lower than in the case of conventional surgery.
Nevertheless, bleeding may occasionally occur during the removal of the connective tissue, especially on the third up to the fifth day after the surgery. Faulty toothbrushing techniques and an inadequate tissue perfusion may lead to failure. Smokers generally cannot undergo this type of a procedure, because of the reduced blood flow to their gums caused by nicotine.
As a rule, a significant improvement in the appearance of the gums, most visible in the transition from the gumline to the teeth is to be expected. Cervical dentin sensitivity, sprained ligaments and periodontal pockets are all taken care of.
In the case of anterior teeth, this procedure ensures a significant rejuvenation of the gums.
Unfortunately, completely restoring the tooth supporting apparatus is still not possible today.
Fillings can be used for treating cervical dentin sensitivity. A severe gum recession may lead to a chronic inflammation, which can in turn lead to tooth removal.