Evolutionary dynamics in armamentarium of minimally invasive periodontal therapy: a review

As we evolve our weapons too, similarly recent advances in periodontics promote the use of minimally invasive procedures which have evolved from magnification devices to advanced surgical instruments and modified procedures.
Since the introduction of MIPT in periodontics by Harrel in 1995, its popularity gradually increases as it causes little trauma to the patient, using smaller incision to miniaturize our eyes & extend our hands to perform microscopic & macroscopic operation that could previously be reached through large incisions which leads to esthetic deformity, food impaction, thermal sensitivity which can be overcome by MIPT.
Minimally invasive techniques represent alternative approaches developed to allow less extensive manipulation of surrounding tissues than conventional procedures, while accomplishing the same objectives, hence MIPT needs different advanced technical skills in visualization, to improve diagnostic & therapeutic approaches by using armamentarium like endoscope, surgical telescope, perioscope, surgical microscope along with modified instruments to handle soft tissue access, debridement, to improve wound stabilization, primary closure and to minimize patient discomfort & morbidity.
The future promises further evolution towards a more primary preventive approach, facilitated by emerging technologies for diagnosis, prevention and treatment.