Periodontal Microsurgery Instruments

Better healing process and patient satisfactions

• Preservation of vascularization
• Improved probability of achieving complete root
• coverage, aesthetics and post-surgical recovery
• Promotion of tissue regeneration
• Significantly improved mean root coverage

“Minimally invasive surgery is here to stay. Its evolution and improvements allow us to apply it more and more to new situations and fields of periodontal and peri-implant surgery. Although there are cases in which larger surgical accesses are required, having the concept of minimal invasion is crucial.

It allows us to achieve results that are not only more aesthetic and with fewer risks, but also offer post-operative care to our patients with less post-operative morbidity.”

Dr. Axel Endruhn
Buenos Aires, Argentina
Director of +Perio

• Small-sized working end ensures an entry into the tissues without tensions.
• The small size of the working end allows access to narrow spaces.
• The sharp side of the blade faces the periosteum, while the polished and smooth part is in contact with mucosa, preventing perforations.
• One blade with an angled shank and the other with straight shank for improved access. Having both tips in the same instrument is ergonomic for the surgeon.
• Delicate tips and sharpness facilitate working with less force.

• Precise and slightly beveled tip edge for effective separation of periosteum from the bone tissue.
• Absence of cutting edges prevents unwanted damage to soft tissues.
• An additional function is to facilitate the insertion of the graft into the tunnel while it’s pulled with sutures.
• One curved and one straight working end facilitates access to different areas.
• Shank angulation allows entry more apically if required.

• The point of the blade is sharp for cutting, but the side edges are rounded.
• Flat and very thin design to access hard-to-reach areas.
• Slightly flexible yet rigid blade enabling correct and precise incisions.
• The shank angulations facilitate working at interproximal, vestibular, lingual and palatal levels, allowing parallel access to the dental surface.

• The rounded tip increases safety by minimizing the risk of accidental perforations or unwanted cuts.
• The rounded tip facilitates soft tissue dissection without excessive tension or irregular cuts, which is crucial for tunneling or flap elevation procedures.

• Two different tip designs that are complementary in surgical procedures.
• The shorter “spoon-shaped” tip without cutting edges for elevating the interdental papilla.
• The longer flat working end for full-thickness separation to be used from apical and lateral areas through remote incisions.
• Provides great  tissue release.

• Sharp end of the tip enables cutting the connective fibers between the base of the papilla and interproximal bone.
• The sides of the working ends are blunt, preventing the laceration of the gingival margins.
• Mirrored working ends and angulations allow operating from both the mesial and the distal sides of the papilla.
• The length of the working ends enables operating from the labial side and insinuating towards the palatal and lingual sides, and also working from the palatal or lingual side towards the labial side if separation of the base of the complete papilla is necessary.

• Small-sized working end ensures an entry into the tissues without tensions.
• The small size of the working end allows access to narrow spaces.
• The sharp side of the blade faces the periosteum, while the polished and smooth part is in contact with mucosa, preventing perforations.
• One blade with an angled shank and the other with straight shank for improved access. Having both tips in the same instrument is ergonomic for the surgeon.
• Delicate tips and sharpness facilitate working with less force.

The IETS protocol developed by Dr. Axel Endruhn consists of four steps and four instruments for minimally invasive gingival recession treatment.

Named according to the instruments used in its four steps – Inicia, Eleva, Tunella and Solleva – the protocol aims to improve the precision and outcomes of periodontal surgeries.

The protocol enhances microsurgery techniques, focusing on patient care and the efficiency of minimally invasive procedures with fewer post-operative challenges.

Image reference: Gazzotti, P. D., & Endruhn, A. (2008). La rehabilitación implanto protésica. Buenos Aires, Argentina: Editorial Providence.