INDICATED TO CONTROL THE PROGRESS OF PERIODONTAL DESTRUCTION AND ATTACHMENT LOSS
PERIODONTAL SURGERY
PERIO SURGERY IS USED TO CONTROL THE PROGRESS OF DISTRUCTION THAT IS CAUSED BY PERIODONTAL DISEASE
TRUE
WHEN IS PERIO SURGERY INDICATED
WHEN CONSERVATIVE TREATMENT IS NOT SUFFICIENT
THE ADVANTAGES OF PERIODONTAL SURGERY
TO GAIN ACCES TO ROOT SURFACES
TO IMPORVE ACCESS FOR PLAQAUE CONTROL BY THE PATIENT
TO DRAIN PERIO ABCESSES
TO AID IN RESTORATIVE DENTISTRY
TO IMPROVE ESTHETICS
GOALS OF PERIODONTAL SURGERY
REDUCE POCKET DEPTH
DRAIN PERIODONTAL ABCESSES
CORRECT MUCOGINGIVAL DEFECT
TO IMPROVE ESTHETICS
PROVIDE ACCESS
REGENERATE LOST TISSUE
PLACE IMPLANTS
SOME DISADVANTAGES OF PERIO SURGERY (FOR THE PATIENT)
HEALTH STATUS
TIME
COST
ESTHETICS
DISCOMFORT
POCKET DEPTH THAT INCREASES THE PROGNOSIS FOR SURGERY
5-9mm
POCKET DEPTH SHOULD NOT PROGRESS MORE THAN_____OVER TIME.
2mm
IS AGE A CONTRAINDICATION FOR PERIO SURGERY
NO
TYPES OF PERIODONTAL SURGERY
EXCISIONAL
INCISIONAL
TO REMOVE THE GINGIVAL TISSUE COMPLETELY
EXCISIONAL PERIODONTAL SURGERY
EXAMPLE OF INCISIONAL PERIODONTAL SURGERY
FLAP SURGERY
MOST BASIC EXCISIONAL PERIODONTIAL SURGERY IS:
GINGIVECTOMY
GINGIVOPLASTY
INCISIONAL PERIODONTAL SURGERY IS AKA:
PERIODONTAL FLAP SURGERY
MOST COMMON TYPE OF PERIO SURGERY, IT REDUCES POCKETS BY APICALLY POSITIONING FLAP
INCISIONAL PERIODONTAL SURGERY/FLAP SURGERY
POCKET REDUCTION IS NOT THE GOAL OF ACCESS FLAP PROCEDURES
TRUE
PROCEDURE FOR GAINING ACCESS TO THE ROOT SURFACE
MODIFIED WHIDMAN FLAP
2 PROCEDURES FOR THE TREATMENT OF OSSEOUS DEFECTS
1. OSTECTOMY
2. OSTEOPLASTY
THE FINAL DECISION FOR SURGERY IS NOT MADE UNTIL __________OF NONSURGICAL PROCEDURES HAVE BEEN DONE
4 WEEKS
DEEPENED GINGIVAL SULCUS WITH AN INFECTED ROOT SURFACE COVERED BY AN ULCERATED EPITHELIAL SURFACE WITH UNDERLYING INFLAMED CONNECTIVE TISSUE
PERIODONTAL POCKET
PATIENTS WITH MODERATE POCKET DEPTHS OF 5-6mm MAY BE MONITORED ON A "WAIT AND SEE" APPROACH.
TRUE
BONE LOSS CAUSED BY PERIODONTAL DISEASE
OSSEOUS DEFECTS
VERTICAL BONE LOSS IS USUALLY DESCRIBED BY THE # OF WALLS REMAINING
TRUE
PERIODONTAL SURGERY THAT INCLUDES MODIFICATION OF THE BONE LEVEL OR SHAPE
OSSEOUS SURGERY
OSSEOUS SURGERY IS USUALLY INDICATED WHEN AT LEAST HALF OF THE BONE SUPPORT REMAINS
TRUE
EXCISION OF THE GINGIVA
GINGIVECTOMY
SURGICAL RESHAPING OF GINGIVAL TISSUES
GINGIVOPLASTY
TO REDUCE PERIODONTAL POCKET DEPTH BY REMOVING SOFT TISSUE TO A LEVEL AT WHICH PLAQUE CONTROL ISEFFECTIVE
POCKET REDUCTION SURGERY
WHEN SHOULD PERIO SCALING AND ROOT PALNING BE COMPLETED BEFORE SURGERY
4-6 WEEKS
most common type of perio surgery; reduces pockets by apically positioning flap;for suprabony and infrabony
incisional periodontal surgery-
AKA: PERIODONTAL FLAP SURGERY
THE GOAL OF ACCESS FLAP PROCEDURES IS NOT POCKET REDUCTION
TRUE
NAME OF AN ACCESS FLAP
MODIFIED WHIDMAN FLAP
ALSO CALLED LIFTING A CURTAIN
PROCEDURES FOR THE TREATMENT OF OSSEOUS DEFECTS
OSTECTOMY
OSTEOPLASTY
perio surgery that involves shaping the alveolar bone with chisels or burs and remove bony defects
treatment of osseous defects
perio surgery: increases the predictability for growth of new tissue
guided tissue regeneration
T/F: REGENERATIVE PERIO SURGICAL PROCEDURES SELECTIVELY ENCOURAGE THE GROWTH OF CELLS OF THE ATTACHMENT APPARATUS
TRUE
MOST COMMON ORAL SITE FOR DONOR TISSUE
PALATE
FORMS AT THE SURGICAL SITE TO PROTECT THE WOUND AND ALLOWING THE TISSUE TO BEGIN TO HEALING
BLOOD CLOT
CELLS THAT BEGIN TO HEAL FIRST
EPITHELIAL
TIME FOR PERIO SURGERY SITE TO COMPLETELY HEAL
4-6 MONTHS
BEGINS LATE IN THE HEALING PROCESS-APPROXIMATELY 1 MONTH AFTER THE SURGERY
OSSEOUS (BONE)
REQUIRED TO CLOSE PERIO SURGICAL WOUNDS-SECURES GRAFTS INTO POSITION
SUTURES
SUTURES MUST BE REMOVED IN ____DAYS.
7-14
PLACED OVER THE SUTURES TO HOLD THE FLAPS TIGHTLY TO THE TEETH AND BONE WHEN POCKET REDUCTION SURGERY HAS BEEN PERFORMED
PERIODONTAL DRESSING
may includes a presctiption for an analgesic and possibly and antibiotic.
POSTOPERATIVE INSTRUCTIONS
POSTOPERATIVE INSTRUCTIONS INCLUDE:
1. LIMITED PHYSICAL ACTIVITY
2. PRESSURE ON GAUZE PLACED ON THE SITE TO STOP ANY BLEEDING
3. SOFT DIET
4. REVIEW RX
5. EXPLAIN THE PERIO DRESSING
6. WARN OF SWELLING: ICE PACK ON 10 MIN/OFF 10 MIN
7. AVOID SMOKING
8. PROPER BIOFILM CONTROL
9. WRITTEN LIST OF POST OP INSTRUCTIONS MUST BE GIVEN TO THE PATIENT
SCHEDULE A FOLLOW UP 7 DAYS AFTER SURGERY
WITHIN THE FIRST 24 HOURS ___SHOULD BE USED TO STOP SWELLING
ICE
AFTER 24 HOURS___IS USED FOR SWELLING
MOIST HEAT
HEALING BY SELECTED CELL REPOPULATION
GUIDED TISSUE REGENERATION
USED IN GUIDED TISSUE REGENERATION TO EXCLUDE EPITHELIAL CELLS BETWEEN THE PERIODONTAL FLAP AND THE ALVEOLAR BONE TO ALLOW ONLY CELLS FROM THE PDL SPACE ARE ALLOWED TO REPRODUCE
BARRIER MEMBRANE
MATERIAL THAT IS USED FOR BARRIER MEMBRANE IN GUIDED TISSUE REGENERATION
ePTFE - POLYTETRAFLUOROETHYLENE
BEST CANDIDATES FOR GUIDED TISSUE REGENERATION
INFRABONY DEFECTS, AND FURCATIONS
MOST PREDICTABLE METHOD FOR REGENERATING LOST PERIODONTAL TISSUE
GUIDED TISSUE REGENERATION
LIMITED SUCCESS OF GUIDED TISSUE REGENERATION HAS BEEN NOTED IN THESE CASES...
CLASS III FURCATIONS AND INFRABONY DEFECTS WITH FEWER THAN 2 WALLS.
WHY DO THE CLINICIANS PREFER THE ePTFE TO RESORBABLE MEMBRANE MATERIAL?
THE ePTFE IS EASIER TO HANDLE
IN GUIDED TISSUE REGENERATION-HEALING IS PERMITTED TO COME FROM WHERE??
THE BONE AND PDL
HEALING BY SELECTED CELL REPOPULATION
GUIDED TISSUE REGENERATION
FORMATION OF NEW ALVEOLAR BONE, NEW CEMENTUM, AND NEW PDL ON A PREVIOUSLY DISEASED ROOT SURFACE
REGENERATION SURGERY
T/F: ALL TYPES OF PERIODONTAL TREATMENT, INCLUDING SCALING AND ROOT PLANING-HAVE POTENTIAL TO YEILD PERIODONTAL REGENERATION
TRUE
GRAFTS CREATED FROM PT OWN BODY
AUTOGRAFTS
BONE FROM ANOTHER PERSON
ALLOGRAFT
GRAFTS USING SYNTHETIC BONE
ALLOPLASTIC
CREATED FROM BONE TAKEN FROM ANOTHER SPECIES
XENOGRAFTS
GRAFT BETWEEN GENETICALLY IDENTICAL PEOPLE (TWINS)
ISOGRAFT
COMBINATION OF 2 TYPES OF BONE GRAFTS @ THE SAME TIME
COMPOSITE GRAFT
WHICH WALL DEFECT HAS THE BEST OUTLOOK FOR REGENERATION
3 WALL
PROCEDURES FOR THE TREATMENT OF OSSEOUS DEFECTS
OSTECTOMY
OSTEOPLASTY
*THIS IS REMOVING OF BONE AND IS ALWAYS DONE TOGETHER
A VARIETY OF PLASTIC SURGERY TYPE PROCEDURES TO AUGMENT THE THICKNESS OF KERATINIZED GINGIVA TISSUE
MUCOGINGIVAL SURGERY
USED TO INCREASE THE ZONE OF ATTACHED GINGIVA, IMPROVE GINGIVAL ESTHETICS OR AUGMENT ENDENTULOUS SPACES.
MUCOGINGIVAL SURGERY
TREATED BY PEDICLE GRAFTS OR FREE MUCOSAL GRAFTS
AREAS OF RECESSION
CONNECTIVE TISSUE GRAFTS HAVE BEEN USED TO TREAT AREAS OF RECESSION
TRUE
IDEAL WIDTH OF ATTACHED GINGIVAL TISSUE
3mm
T/F: DURING SURGERY ALL INFLAMED TISSUE SHOULD BE TRIMMED, ROOT SURFACE CLEAN OF PLAQUE, CALCULUS AND CEMENTUM BIOTOXINS
TRUE
BEST TECHNIQUE TO COVER EXPOSED ROOT SURFACES
LATERAL PEDICLE GRAFT
WHY IS LATERAL PEDICLE GRAFT PREFERRED FOR COVERING EXPOSED ROOT SURFACES
BECAUSE THE TISSUE BRINGS THEIR OWN BLOOD SUPPLY WITH THEM
SLIDING OF THE GINGIVAL TISSUE FROM AN ADJACENT TOOTH OR PAPILLA
LATERAL PEDICLE GRAFT
LIMITATION TO THE LATERAL PEDICLE GRAFT
RECESSION AT THE DONOR SITE
DONOR SITE LOCATED WITHIN THE MOUTH AWAY FROM SITE TO BE GRAFTED
FREE GINGIVAL GRAFT
MOST COMMON DONOR SITE FOR THE FREE GINGIVAL GRAFT
PALATE OR EDENTULOUS AREAS
DONOR KERATINIZED EPITHELIUM WITH SOME UNDERLYING CONNECTIVE TISSUE IS REMOVED
FREE GINGIVAL GRAFTS
PRIMARY DISCOMFORT IN PERIO SURGERY IS COMMONLY FROM THE DONOR SITE.
TRUE
WHAT IS A POTENTIAL PROBLEM AT THE DONOR SITE POST SURGERY
POST-SURGICAL HEMORRHAGE
WHY IS POST HEMORRAGE A PROBLEM IN FREE GINGIVAL GRAFTS
BECAUSE THE EPITHELIUM AND CONNECTIVE TISSUE ARE REMOVED LEAVING AN OPEN WOUND.
WHICH GRAFTING PROCEDURE HAS BECOME THE PROCEDURE OF CHOICE
GRAFTING OF SUBEPITHELIAL CONNECTIVE TISSUE
WHY IS SUBEPITHELIAL CONNECTIVE TISSUE PROCEDURE OF CHOICE IN ROOT COVERAGE
DONOR SITE CAN BE CLOSED
TISSUE MATCHES BETTER IF IT COMES FROM ADJACENT SITES INSTEAD OF PALATE
MAJOR CONTRAINDICATION OF MUCOGINGIVAL SURGERY
LACK OF DONOR TISSUE
REMOVAL OF BONE CONTAINING PERIO FIBERS THAT SUPPORT TOOTH
OSTECTOMY
REMOVAL OF ONLY BONY LEDGES OR NONSUPPORTING BONE
OSTEOPLASTY
2 SURGICAL PROCEDURES THAT ARE DONE TOGETHER TO CREATE BONE FORM THAT ALLOWS TISSUE TO HAVE POSITIVE GINGIVAL ARCHITECTURE
OSTECTOMY
OSTEOPLASTY
PROCEDURE USED TO TREAT PERIODONTAL POCKETS IN ESTHETICALLY SENSITIVE AREAS
ACCESS FLAP
MAIN REASON FOR ACCESS FLAP TECHNIQUE
CLEANING ROOT SURFACE
WHY ACCESS FLAP PROCEDURE
TO PRESERVE AS MUCH GINGIVAL TISSUE AS POSSIBLE
PROVIDES ACCESS TO ROOT SURFACES FOR DEBRIDEMENT AND TO CREATE CONDITIONS FOR REATTACHMENT OF TISSUE TO ROOT SURFACE
ACCESS FLAP PROCEDURE
EXCISIONAL ATTACHMENT PROCEDURE AND OPEN FLAP CURETTAGE
MODIFIED WIDMAN FLAP
GOAL OF ALL ACCESS FLAP PROCEDURES
TO GAIN ACCESS TO ROOT SURFACE AND REMOVE PLAQUE AND CALCULUS
POCKET REDURCTION IS/IS NOT THE GOAL OF ACCESS FLAP PROCEDURE
IS NOT
FLAP SURGERY-FOR POCKET REDUCTION
PERIODONTAL FLAP SURGERY
TISSUE IS PUSHED AWAY FORM ROOT AND BONE LIKE A ENVELOP FLAP
PERIODONTAL FLAP SURGERY
MORE COMMON SURGERY DONE BY PERIODONTIST-BECAUSE OF FEWER CONTRAINDICATIONS
PERIODONTAL FLAP SURGERY
FLAP IS SUTURED MORE APICALLY ON THE TOOTH ROOTS TO REDUCE POCKET DEPTH
APICALLY POSITIONED FLAP
BEST TREATED BY FLAP SURGERY...
SUPRABONY POCKETS
TYPES OF PERIO SURGERY
POCKET REDUCTION
ACCESS TO ROOT SURFACE
TREATMENT OF OSSEOUS DEFECTS
CORRECTING MUCOGINGIVAL DEFECTS
NEW ATTACHMENT
REDUCES PERIO POCKET LEVEL
POCKET REDUCTION SURGERY
METHODS FOR POCKET REDUCTION
EXCISIONAL PERIODONTAL SURGERY(GINGIVECTOMY)
INCISIONAL PERIODONTAL SURGERY(FLAP)
REMOVES EXCESS TISSUE FROM WALL OF PERIO POCKET
EXCISIONAL PERIO SURGERY
MOST BASIC EXCISIONAL SURGICAL PROCEDURES
GINGIVECTOMY
GINGIVOPLASTY
PERFORMED IN COMBINATION
PERIO S&RP SHOULD BE COMPLETED _______WEEKS BEFORE SURGERY TO ALLOW FOR HEALING. (GINGIVECTOMY/PLASTY)
4-6
MAJOR CONTRAINDICATION OF EXCISIONAL SURGERY
DOES NOT PERMIT ACCESS TO INFRABONY POCKETS
BEST PROGNOSIS FOR PERIO SURGERY
5-9mm POCKETS
AGE IS NOT NECESSARILY A CONCERN IN PERIO SURGERY
TRUE
MODIFICATION OF THE BONE LEVEL OR SHAPE
OSSEOUS SURGERY
BONE LOSS CAUSED BY PERIO DISEASE
OSSEOUS DEFECTS
DESCRIBED BY NUMBER OF WALLS REMAINING
VERTICAL BONE LOSS
WHEN ALL WALLS OF THE OSSEOUS DEFECT ARE WITHIN THE BONE HOUSING
INTRABONY POCKETS
INDICATED TO CONTROL PROGRESS OF PERIODONTAL DESTRUCTION
