Term
| What is resective surgery? |
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Definition
| removal(cut away) infected tissues |
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Term
| What is modern perio surgery focused on? |
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Definition
| regeneration rather than resectionn |
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Term
| What are regenerative surgeries? |
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Definition
| attempt to rebuild or regenerate lost periodontal tissues |
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Term
| Is regerneration expected with all types of periodontal surgery? |
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Definition
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Term
| What is the fundamental goal of periodontal therapy? |
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Definition
| provide an enviorment in the periodontium where health can be maintained |
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Term
| When is periodontal surgery indicated? |
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Definition
| when the periodontitis cannot be controlled with nonsurgical therapy alone |
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Term
| What are some indications for periodontal surgery? |
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Definition
1.bone grafts for damaged bones
2.improve the appearance of the periodontium
3.enhance prosthetic dental care (alterning alveolar ridge, lengthing crowns, etc)
4.dental implant replacement |
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Term
| What are some contradictions for periodontal surgery? |
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Definition
-pts with certain systemic diseases
-pts that are totally noncomplaiant with homecare
-high dental caries risk
-have unrealistic expectations for outcome of surgery |
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Term
| What are some systemic diseases that contridicts the use of periodontal surgery? |
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Definition
-hist of heart attack
-uncontrolled hypertension
-uncontrolled diabetes
-certain bleeding disorders
-kidney dialysis
-radiation of the jaws
-HIV |
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Term
| Why are people with a high caries risk contridicted for periodontal therapy? |
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Definition
| because it can expose root surfaces |
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Term
| How does periodontal flap surgery work? |
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Definition
--incisions made in gingiva or mucosa to seperate epithelium and connective tissues from underlying tooth root and bone
-once elevated can be repositioned or moved somewhere else |
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Term
| What are the indications for periodontal flap surgery? |
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Definition
-to gain access to root surfaces
-to provice access to reshape or treat alveolar bone defects |
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Term
| What are the classifications for periodontal flap surgery based on? |
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Definition
1.based on bone exposure
2.based on location of flap |
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Term
| What are the two different bone exposures for periodontal flap surgery? |
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Definition
-full thickness flap
-partial thickness flap |
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Term
| What are the two classifications for location of the flap margin for periodontal flap surgery? |
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Definition
-nondisplaced flap
-displaced flap |
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Term
| What is another name for a full thickness flap? How does it work and what kind of instruments are used? |
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Definition
-mucoperiosteal flap
-completely exposes bone
-blunt instruments used to completely lift periodontium off of bone |
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Term
| What is a patrial thickness flap? What kind of instruments are used? |
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Definition
-life off epithelium and thin layer or connective tissue but leave periosteum
-sharp instruments used |
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Term
| What is a displaced flap? where can it be replaced? |
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Definition
-flap sutured at a position other than its original position to the CEJ
-apically, coronally, laterally |
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Term
| What is another name for "flap for access"? |
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Definition
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Term
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Definition
-provides access to tooth and roots for improved root preparation
-tissue lifted long enough for procedure
-after surgery tissues is sutured back in place |
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Term
| What does flap for access surgery allow? |
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Definition
| -better access for more meticlious instrumentation of root surfaces |
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Term
| What is open flap debridement? |
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Definition
-similar to flap access but more extensive elevation
-may displace flap to new location |
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Term
| What is occeous resective surgery? What is its goal? |
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Definition
-corrects deformities of the alveolar bone resulting from advanced periodontitis
-to eliminate periodontal pockets |
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Term
| What is an ostectomy? Osteoplasty? |
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Definition
ostectomy- removal of the alveolar bone attached to tooth
Osteoplasty- reshaping the alveolar bone without removing supporting bone |
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Term
| What is apically positioned flap with osseous resective surgery? |
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Definition
| -combines displaced flap in the apical direction with the resective oseous surgery |
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Term
| What are bone replacement grafts? |
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Definition
| procedure used to encourage the body to rebuild the alveolar bone lost due to periodontal disease |
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Term
| What makes bone grafts challenging in dentistry? |
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Definition
-subject to constant contamination
-healing can be disrupted by the growth of epithelium in the wound |
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Term
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Definition
| potential for new bone cells to develop following bone graft |
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Term
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Definition
| grafting materials form a framework outside the graft during the formation of new bone |
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Term
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Definition
| cells within the grafting material are converted into bone-forming cells to form new bone |
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Term
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Definition
| bone taken from patients own body |
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Term
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Definition
| bone taken from another human |
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Term
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Definition
| bone taken from another species (bovine bone) |
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Term
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Definition
| synthetic bone-like material |
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Term
| Where are some cells that can be used in tissue regenertitve surgery? (4) |
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Definition
-gingival epithelial cells
-gingival connective tissue cells
-bone cells
-PDL cells |
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Term
| What do tissue regeneration surgeries require? |
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Definition
| -barrier membrane(helps to delay the normally rapid development from the flap margin into the wound) |
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Term
| What are the two types of barrier membrane? |
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Definition
-resorbable
-nonresorbable |
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Term
| When are flap surtures removed? How long is it before you can brush the area? What are these sites rinsed with? |
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Definition
-2-4 weeks for the sutures
-do not brush site for 6 weeks
-chlorhexidine rinse |
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Term
| What is periodontal plastic surgery for? |
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Definition
-correcting problems with esthetics
-corrects problems of the attached gingiva, aberrant freenum, vestibular depth |
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Term
| What is the free gingival graft? |
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Definition
-takes gingiva from donor site like palate
-covers recession
-includes surface epithelium and underlying connective tissue
-2 wounds covered with periodontal dressing
-color match not always possible |
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Term
| What is a subepithelial connective tissue graft? |
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Definition
-plastic surgery used to augment width of attached gingiva and recession
-also contours alveolar ridges and improve esthetics
-uses only connective tissue not epithelium from donor site
-excellent tissue match color |
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Term
| What is a laterally positioned flap? |
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Definition
-covers root surfaces of isolated gingival recession
-donor site adjacent to receptor site
-tissue from donor site is lifted to cover recepient site
-maintains its own blood supply unlike gingival graft |
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Term
| Coronally positioned flap |
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Definition
-used for slight gingival recession
-does not require 2nd donor site, difficult to stabilize site with sutures |
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Term
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Definition
-plastic surgery used to repair minor recession and where there is adequate thickness of ketatinized tissue
-curved incision made from one interdental area to the adjacent inderdental area
-flap is displaced coronally |
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Term
| What does a crown lengthining remove? |
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Definition
| gingiva and sometimes bone |
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Term
| What is a functional crown lengthining? |
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Definition
| decay below the gingival margin |
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Term
| What is an esthetic crown lengthening? |
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Definition
| performed to improve appearance of teeth when there is access gingiva |
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Term
| What is the crown lengthening surgical procedure? |
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Definition
-flap elevated to access bone
-bone recontoured
-tissue sutured back in place
-final healing results in apical position of gingiva |
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Term
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Definition
-removal of gingiva
-used to be more popular than it is now |
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Term
| What is gingival curratage? |
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Definition
-intentional removal of the lining of a periodontal pocket
-not popular anymore(NOT RECOMMENDED)
-curet cutting edge not against tooth but against tissue |
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Term
| What are some indications for gingival curettage? |
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Definition
-more defenitive surgery cannot be done due to health issues
-part of periodontal maintence where inflammation is still present
-healing(long JE) |
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Term
| What is the function of your nondominant hand in gingival curettage? |
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Definition
| to press against the outside of the pocket to stabilize tissue |
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Term
| What are some types of nonabsorbable sutures? |
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Definition
-black silk(simple, most common)
-nylon expanded polytetrafluorethlene
-braided polyester(synthetic) |
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Term
| What are some types of absorbable sutures? |
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Definition
-plain and chromic gut(intestines of sheep or cow)
-polyglactin 910, polyglecaprone 25 (synthetic) |
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Term
| noneugenol type of periodontal dressing |
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Definition
-no irritation in tissue
-puddy-like
-held in place by placing it interproximally
-careful to not obstruct occlusion, does not adhere to tissue |
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Term
| Postoperative instructions |
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Definition
-aspirin should not be used
-swelling peak 48-72 hrs
-bleeding not unusual
-limit activities for day, working out for week
-no hot liquids for 24 hours, no alcohol for 1 week
-sutures removed 7-14 days |
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Term
| When can pt resume normal home care after minor surgery? Major? |
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Definition
minor- 10-14 days
major- 4-6 weeks |
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Term
| What should be done with excessive granulation tissue after surgery? |
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Definition
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Term
| How long is the second postsurgucal visit? |
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Definition
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