Microbiologically monitored and modulated periodontal therapeutics. Patient pre and post surgical forms instructions before periodontal surgery presurgical instructions instructions following periodontal surgery soft tissue graft connective tissue graft pedicle tissue graft general osseous surgery bone grafts implants osseous resection crown lengthening bone grafting postop instructions sinus augmentation postop instructions. There are varying but only minimal effects of different confounding variables on blood loss during periodontal surgery. Using his own cases as illustrations, sato author and dental practitioner in japan elucidates clinically effective procedures step by step, comparing his clinical results to those of related studies, and comparing many therapeutic outcomes over time. It is caused by bacterial plaque that forms constantly around the teeth and if. Genco this text explores the complex relationship between the periodontium and systemic disease. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The goal of a dental treatment is to achieve and maintain the optimal aesthetics function and heath of the dentition. General principles of periodontal surgery free download as word doc.
Ibuprofen advil can be taken to reduce pain and swelling. Explores the multitude of options in periodontal surgery with an emphasis on contemporary regenerative procedures. Periodontal diseases are among the most common diseases affecting humans. Destroy the minimum of normal tissue and conserve gingiva, if at all possible. The management of periodontal disease in general dental. Correction of anatomicmorphologic defects plastic surgery techniques to widen attached gingiva. Periodontal surgery pocket reduction surgery resective gingivectomy, apically displaced flap and undisplaced flap with or without osseous resection regenerative flaps with grafts, membranes, etc.
Low, in principles and practice of laser dentistry second edition, 2016. Supportive periodontal therapy spt periodontal concepts. Introduction surgical goals, objectives, indications, contraindications general surgical principles. Biology and principles of periodontal wound healing. General principles of periodontal surgerychapter 49.
Selection of the appropriate incision technique is one of the main preconditions for a complicationfree healing process involving minimum esthetic impairment. If you develop a rash or difficulty breathing, discontinue the medication and call our office. Basic principles of periodontal surgery free download as. Although extremely difficult to quantify, it is widely ac. Periodontal plastic surgery encompasses surgical procedures performed to. The results of this cohort study support previous studies and confirm that blood loss during periodontal surgery is minimal. Outline classification of periodontal instruments general principles of instrumentation principles of scaling and root planing ultrasonic and sonic instruments instrument sharpening. Periodontal treatments and procedures periodontists are dentistrys e xperts in treating periodontal disease. As a general rule, the pack is kept on for 1 week after surgery. At a horizontal distance of 3 to 5 mm from the first insertion site, the needle is passed back in the opposite direction, forming a. Accurate assessment of the outcome of treatment requires careful aftercare and proper followup. Periodontal plastic surgery in the treatment of the gummy smile thanks to the constant advances in modern dentistry we can predict surgical results, stablishing new standards for diagnosis and develop treatments for periodontal plastic surgery as of altered passive eruption by electrosurgery.
General principles of periodontal surgery free download as powerpoint presentation. Specific surgical techniques will be applicable to particular flap designs and procedures. Knowledge of cocaines potential for adverse reactions soon followed its general acceptance as a local anesthetic. Practical periodontal plastic surgery practical serge. Periodontal surgery performed in the management of periodontitis typically involves flap reflection. The surgeon folds the gums back to form a flap in order to access the tissue below the gums. You can reduce stomach upset by taking it with food andor plenty of liquid. Periodontal microsurgery is then introduced before the stepbystep description of the surgical procedures with their expected outcome. This goal can be better achieved applying proper therapy when the etiology and. The academy provides a wealth of resources to help you. If you continue browsing the site, you agree to the use of cookies on this website. Chapter49 general principles of periodontal surgery jaypeedigital. Fundamental principles in periodontal plastic surgery and mucosal. Much of the discomfort can be avoided by controlling swelling.
Reprinted from the american academy of periodontology website following are some of the procedures that periodontists use to treat patients diagnosed with a periodontal gum disease. Periodontal surgery should be painless for the patient. The scaling and planing will also smooth rough spots on the tooth roots that. Patient instructions after periodontal surgery pain control you may have moderate discomfort after the anesthesia wears off. For patients who are not medically compromised, the value of administering antibiotics routinely for periodontal surgery has not been clearly demonstrated. Dental biofilm is a contributor to the etiology of most periodontal diseases. He or she should be assured of this at the outset and throughout the procedure. General principles of periodontal surgery slideshare. Periodontal surgery postoperative instructions antibiotic if an antibiotic has been prescribed, start taking it the first day unless directed otherwise and use to completion.
The infected tissue below and between the teeth is removed, and the surgeon then follows with tooth scaling and root planing to remove plaque and bacteria below the gum line. Patient pre and post surgical forms periodontal concepts. They may be used in combination with or without interposed connective tissue grafts. Commonly used flap types and their synonyms are presented in table 21 pages 15, 16 and 17. The general principles of healing, and the cellular and molecular. Combined scaling and root planing and surgery yielded greater probing depth reduction as compared to periodontal surgery without initial scaling and root planing. General principles of periodontal surgery by lamis murad. O main objective of periodontal surgery is to contribute to the longterm preservation of the periodontium by facilitating plaque removal and plaque control jan lindhe o patient preparation is an important aspect of the intervention. Treating a patient with chronic periodontitis discussion this case illustrates the periodontal treatment of a patient with chronic periodontitis using scaling and root planing and subsequent surgical interventions aimed at reducing residual pockets, with adjunctive use of a mouthrinse containing 0. Aims n to help practitioners deliver effective periodontal care to patients in practice and overcome some of the obstacles that are inherent in the process objectives n to discuss basic underlying clinical and scientific principles behind effective non surgical periodontal care n to consider what might prevent a patient from. Intraoral blood loss in periodontal flap surgery bl. The principle aims of periodontal flap surgery are. Manar aljateeli1,2, tapan koticha1, jill bashutski 1, james v.
Preparation and application of the periodontal dressing. This applies not only to periodontal surgery but also to oral surgery and implant surgery. In more advanced cases, periodontal surgery may also be required. Treatment of periodontal disease can be as simple as cleaning the teeth above and below the gum line, termed scaling and root planing srp, which is sometimes augmented by use of an antimicrobial mouthrinse. Principles for hospital periodontal surgery o treating the full mouth at one surgery in a hospital operating room under general anaesthesia o principles are. Practical periodontal plastic surgery begins by outlining the place and development of periodontal plastic surgery, and the factors, chiefly periodontal health, that affect surgical outcomes. The supporting tissues are known as the periodontium, which includes the gingiva gums, alveolar bone, cementum. It discusses the ways in which systemic conditions and their treatment affect dental health. They receive up to three additional years of specialized training in periodontal disease treatment in both nonsurgical treatments and periodontal plastic surgery procedures. Its methodology improves existing surgical practice and introduces the possibility for better patient care to periodontics. The main cause of periodontal disease is bacteria in the form of a sticky, colorless plaque that constantly forms on your teeth.
Principles of periodontal instrumentation periodontology i 4th year 2322012 dr. The most reliable means of providing painless surgery is the effective administration of local anesthesia. Atlas of cosmetic and reconstructive periodontal surgery. Periodontic surgery an overview sciencedirect topics. The area to be treated should be thoroughly anesthetized by means of regional block and local infiltration. The needle is inserted 2 to 4 mm from the flap margin and passed through both flap segments. It is an evolution of surgical techniques to reduced trauma. The good practitioners guide to periodontology british society of. The primary and secondary prevention of periodontal disease by controlling infection and inflammation and 2. New ebook highlights the most effective natural tattoo removal methods. Periodontic surgery videos, surgery, dental education online. Periodontal microsurgery does not compete with conventional periodontal surgery. Giannobile 1and homlay wang 1department of periodontics and oral. Stress is known to affect both the general and periodontal health of patients.
Nonsurgical periodontal therapy includes selfhelp measures, periodontal instruments and chemicals to prevent or control the raidinduced chronic gingivitis or periodontitis. A periodontal infection that cant be fixed through ordinary periodontal therapy techniques may require surgery and will likely fall into 1 of 4 categories. Periodontal disease weakens support of the teeth by separating the gum from the teeth and possibly destroying some of the bone that supports the tooth roots. Gingivectomy, osseous resection, and periodontal plastic surgery. Periodontal disease is an infection of the gums and the supporting structures of the teeth. Surgical periodontal therapy with and without initial. This is useful for nonsurgical periodontal procedures as initial steps in periodontal treatment for the patient, but for many patients, these initial steps necessary to bring the disease under control. Fundamental principles in periodontal plastic surgery and. The closure of the periodontal flaps postsurgery is a necessity for attainment of a primary union between the flap margins and the establishment of a healthy dentogingival junction. Klokkevold and others published general principles of periodontal surgery find, read and cite all the research you need on researchgate. Arrange the anticipated procedures of the three phases in numerical order to. Incisions and tissue management in periodontal surgery. An overview of periodontal regenerative procedures for the. Practice management resources even the most skilled clinician can sometimes find practice management a challenge.
General principles of periodontal surgery kvg dental college and dr. Basic principles of periodontal surgery periodontology surgery. Access flaps for surgical root surface debridement 5. The following form generic guiding principles for operative surgical management. Next once a diagnosis has been made as to the type of pocket present, a treatment plan can be formulated. General principles of periodontal surgery dentistry. After a careful oral examination and study of your dental condition, the dentist has advised you that periodontal disease is active in your mouth.
The maintenance and improvement of the health, function, comfort and aesthetics of all supporting structures and tissues gingivae, periodontal ligament pdl, cementum and alveolar bone. Supportive periodontal therapy spt following completion of the active phase of periodontal treatment, a personalized program of supportive periodontal treatment will help you maintain periodontal health. General principles of periodontal surgery request pdf. Phase ii procedures such as preprosthetic surgery, periodontal surgery, socket preservation surgery, bone grafting procedures gbr, and implant surgery. Sedation and anesthesia retention of packsby interlocking in interdental spaces nitrous oxide benzodiazepammore effective than inhalation but iv in patients with severe anxiety zinc oxide eugenol packs universal precaution tissue management 1.
General principles of periodontal surgery slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Periodontal surgery is an essential part of modern periodontal therapy. A myriad of flap designs exist in periodontal surgery. Develop the phase i procedures, including any necessary temporization. Principles of periodontal surgery and wound healing i. He has shifted over time from a suggested that the cells that repopulate the philosophy based on resection to root surface after periodontal surgery will one based on regeneration. Klokkevold and others published general principles of periodontal surgery find, read and cite all the research you. General principles of periodontal surgery periodontology. Wound healing the healing of wounds in nonoral sites has been studied in great detail fig.
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