Its methodology improves existing surgical practice and introduces the possibility for better patient care to periodontics. Arrange the anticipated procedures of the three phases in numerical order to. If nonsurgical treatments are not effective or if the amount of bone loss is severe, periodontal surgery may be recommended. General principles of periodontal surgery by lamis murad. Biology and principles of periodontal wound healing.
The distinction netween periodontal and other forms of oral surgery is made, principally that in periodontal surgery, the contour and quality of the tissues postoperatively is vital to longerterm success and therefore careful soft tissue management is pivotal. Periodontal probes used to locate and measure the periodontal pocket and determine its configuration. An additional benefit of laser surgery is the antibacterial effect that helps disinfect periodontal pockets. Common questions about periodontal surgery what causes the gums to need periodontal surgery. The microscope is a tool that permits less traumatic and minimally invasive surgery. Selection of the appropriate incision technique is one of the main preconditions for a complicationfree healing process involving minimum esthetic impairment. Fundamental principles of leadership training in surgery 2. Periodontal microsurgery is then introduced before the stepbystep description of the surgical procedures with their expected outcome. Miamis gallardo periodontics and implant dentistry knows the importance of healthy gums. It is an evolution of surgical techniques to reduced trauma. Gtr guided tissue regeneration gtr with bone grafts gtr without bone grafts 4. Such pain is usually accompanied by lymphadenopathy and there may be slight elevation in temperature place a topical antibiotic ointment eg. Nov 19, 2015 general principles of periodontal surgery dr.
Principles for hospital periodontal surgery o treating the full mouth at one surgery in a hospital operating room under general anaesthesia o principles are. A clinical atlas translation of the japanese title was first translated into english and later into german, spanish, french, italian, korean and portuguese. The lanap laser is used to clean the tooths surface and the gums of infection. Practical periodontal plastic surgery practical serge dibart.
Frequently asked questions about periodontal disease. Using 60 to 90 microsutures allows more precise wound closure. Demineralized periodontal regeneration in infrabony defect periodontal surgery revolution from resection to regeneration. The goal of regenerative periodontal therapy is to completely restore the tooths supporting apparatus that has been lost due to inflammatory periodontal disease or injury. Widely used in the late 1980s and 1990s, they were extensively researched and found to predictably provide more attachment gain than open flap periodontal surgery. Aug 07, 2017 hemorrhage because periodontal surgery ordinarily involves only small blood vessels, significant hemorrhage is not a frequent complication of periodontal surgery when local anesthetics and vasoconstrictor drugs are used average amount of blood loss during one session of periodontal surgery has been reported to be 37ml. Hemorrhage because periodontal surgery ordinarily involves only small blood vessels, significant hemorrhage is not a frequent complication of periodontal surgery when local anesthetics and vasoconstrictor drugs are used average amount of blood loss during one session of periodontal surgery has been reported to be 37ml. A clinical atlas 2000 became a bestseller and is highly regarded, which was a great honor for me. In the 1990s, laser gum surgeries started gaining attention. Basic principles of periodontal surgery periodontology surgery. 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. This initial screening can be expanded to involve plaque and bleeding scores, recording of probing depths where indicated and the use of radiographs.
Comparison of surgical and nonsurgical treatment of. Fundamental principles in periodontal plastic surgery and mucosal. This laser specifically targets the highly pathogenic black pigmented. Schwartzs principles of surgery pdf 11th edition free. It depends on possession of and or exposure to risk factors. Principles of periodontal surgery background o definition of periodontal surgery. This treatment involves the surgical opening and later suturing of gum tissue in order to remove the tartar, plaque, bacteria, and diseased tissue from deep below the gumline. The fundamental principles governing flap surgery may also be. Periodontal surgery encompasses a broad range of procedures involving the supporting tissues of the teeth. The periodontal risk assessment risk is the likelihood of either developing a particular disease or of having a particu lar disease progress over a given period of time. One of the most important elements of any postgraduate training is the. Develop the phase i procedures, including any necessary temporization. Many well designed clinical studies have established the effectiveness of periodontal therapy.
Dumitrescu as stated by the cochrane collaboration on their website, the practice of evidencebased medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research. Pihlstrom bl, mchugh rb, oliphant th, ortizcampos c. There are a number of disadvantages and contraindications to periodontal surgery. General principles of periodontal surgery free download as powerpoint presentation. 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 parallel suture. For more information about periodontal disease, laser bacterial reduction, irrigation or to book an appointment, please contact 714 4249099 or visit us online at. Periodontal microsurgery does not compete with conventional periodontal surgery. Periodontal examination an overview sciencedirect topics. Probing depth mm gingival margin mm attachment level mm the probing depth p.
Below is the complete table of contents offered inside schwartzs principles of surgery pdf 10th edition. Periodontal surgery is an essential part of modern periodontal therapy. Phase ii procedures such as preprosthetic surgery, periodontal surgery, socket preservation surgery, bone grafting procedures gbr, and implant surgery. Download practical periodontal plastic surgery pdf ebook. Incisions and tissue management in periodontal surgery. Infection infection usually does not start until 24 days following surgery. Statistics show that approximately 9 out of 10 adults and 3 out of 10 children have some form of periodontal disease. Advanced periodontal treatment should not be performed if oral hygiene will be absent or cursory. This goal can be better achieved applying proper therapy when the etiology and.
Jan 17, 2015 periodontal surgery encompasses a broad range of procedures involving the supporting tissues of the teeth. As discussed in chapter 3, the basic periodontal examination bpe provides an indication of the treatment needs of the patient box. 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. Periodontal chart department of periodontology school. It is characterized by formation of new cementum with inserting collagen fibers, new. The needle is inserted 2 to 4 mm from the flap margin and passed through both flap segments. The purpose is to determine and segregate any problems arising from marginal periodontal problems. Practical periodontal plastic surgery gives the licensed and trainee periodontist with a sensible technique to mucogingival beauty surgical procedure, imparting info and expertise by means of its stepbystep examination of the actual medical requirements of each course of. A clinical manual oral wounds heal according to wellestablished biological principles.
In flap surgery, the tissue are not removed but are pushed away from the underlying tooth roots and alveolar bone, similar to the flap of an envelope. The surgical procedures were discussed in the light of a flap design and preparation, b flap mobilization and c flap adaptation and stabilization. Integrating implant surgery into your practice is not difficult or threatening, and it will certainly be. Comparison of surgical and nonsurgical treatment of periodontal disease. Atlas of cosmetic and reconstructive periodontal surgery. Because the tissue is being grafted, there is still a surgical site. Practical periodontal plastic surgery practical serge. Klokkevold and others published general principles of periodontal surgery find, read and cite all the research you. Of course, maintenance visits and good plaque control will be necessary following laser treatment. Basic principles of periodontal surgery free download as powerpoint presentation. Systemic response to injury and metabolic support 3. General principles of periodontal surgery kvg dental college and dr. In more moderate disease, there is a variety of treatment regimes. 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 most common reason for the gums to need surgical treatment is an infection in the gum, when the site of infection has progressed far enough below the gum that it requires surgery to address it. You can reduce stomach upset by taking it with food andor plenty of liquid. These vary in complexity from simple exodontia to technically demanding periodontal plastic surgery and include the management of periodontal and endodontic disease, preparation for and placement of implants, and preparatory treatment for. 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. The periodontal wound also includes tissue resources from the alveolar bone and the periodontal ligament. Periodontal surgery viewed under the microscope reveals the coarseness of most surgical manipulation. The goal of a dental treatment is to achieve and maintain the optimal aesthetics function and heath of the dentition. Aim and outcome of periodontal surgery ear, nose, throat. If you develop a rash or difficulty breathing, discontinue the medication and call our office. Such risk factors known to be involved in periodontal disease include. A periodontal infection that cant be fixed through ordinary periodontal therapy techniques may require surgery and will likely fall into 1 of 4 categories.
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. General principles of periodontal surgery slideshare. In microsurgery, the hand should either directly or. This goal can be better achieved applying proper therapy when. Periodontal surgery postoperative instructions antibiotic if an antibiotic has been prescribed, start taking it the first day unless directed otherwise and use to completion.
Clot formation at the interface between the tooth and a gingival. 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. General principles of periodontal surgery free download as word doc. Request pdf basic principles of periodontal plastic surgery. The closure of the periodontal flaps post surgery is a necessity for attainment of a primary union between the flap margins and the establishment of a healthy dentogingival junction. General principles of periodontal surgery dentistry. Fluid and electrolyte management of the surgical patient 4. You will take antibiotics after the surgery, and pain medications help keep you comfortable. Fundamental principles in periodontal plastic surgery and.
Discussion of patient risk factors checklist instructions. Explores the multitude of options in periodontal surgery with an emphasis on contemporary regenerative procedures. This applies not only to periodontal surgery but also to oral surgery and implant surgery. Clinical advances in periodontics the lanap protocol. In more moderate disease, there is a variety of treatment regimes available to the clinician. 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. The importance of diligent and ongoing oral hygiene cannot be too highly stressed. General principles of periodontal surgery surgery anesthesia.
A general periodontal examination should be performed to characterize the periodontal status as part of the overall treatment plan, resulting in a basic periodontal examination bpe score fig. Review each of the six elements listed below mark your initial by each specific consideration. Periodontal materials darby 2011 australian dental. What appears as gentle handling of tissues is discovered to be gross crushing and tearing. Attached gingiva augmentation free autogenous gingival grafts pedicle gingival. This is achieved by making incisions in the base of the gingival sulcus till the crest of the alveolar bone and then reflecting the gingival to uncover the underlying root surface.
Periodontal flap surgery incisional surgery performed when excisional surgery is not indicated. Fundamental principles in periodontal plastic surgery and mucosal augmentation. The first and foremost aim of periodontal surgery is to provide the doctor adequate access and visibility so that all the diseasecausing factors can be eliminated. These include the health status or age of the patient and the specific limitations of each procedure. The attachment level will be calculated for each site based upon to the following formula. Typically tapered, rodlike instrument calibrated in millimeters, with a blunt, rounded tip furcation areas nabers probe. During a surgical procedure, patient and chair position must be adjusted to the surgeon and the microscope. General principles of periodontal surgery request pdf. Flap preparation flap design in periodontal plastic surgery is substantially based on the vascularization of the oral mucosal and periodontal tissues to be incorporated in the surgery. As a result, there is urgency to go for regular periodontal checkups so that treatment plans can be followed in the earliest stages.