1/24/17 Basic principles of Perio surgery Flashcards

1
Q

What is the second classification of periodontal surgery?

A

-Correction of Osseous Defects/ Deformities

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2
Q

When doing an osseous resection surgery what do you typically use to irrigate?

A

-Saline

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3
Q

What is the third classification of periodontal surgery?

A

-Regenerative procedures

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4
Q

What are three examples of regenerative procedures?

A
  • GTR (Guided Tissue Regeneration)
  • Ridge augmentation procedures
  • Sinus lift
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5
Q

How often will you get a bacteremia with a bone graft procedure?

A

-nearly 100%

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6
Q

What is the goal scaling?

A

-Remove hard secretions on the teeth?

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7
Q

-What is the goal of root planing?

A

-Gets rid of diseased cementum and dentin

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8
Q

How long does it take for connective tissue regeneration to be complete?

A

-About 6 weeks

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9
Q

What is the fourth classification of surgical procedures in periodontal surgery?

A

-Correction of mucogingival defects

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10
Q

What are five examples of a correction surgery of mucogingival defects?

A
  • Apically positioned flaps
  • Frenectomy
  • Free gingival grafts
  • Connective tissue grafts
  • Pedicle flaps
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11
Q

If a patient does not have adequate plaque control should you perform surgery?

A

-No

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12
Q

What should incision when doing mucogingival defect surgeries look like?

A
  • Clean
  • Smooth
  • Definite
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13
Q

What is a secondary intention in a flap?

A

-A gap left between the two flaps

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14
Q

When you are doing a flap what should be the design of the flap?

A
  • Designed for a maximum utilization and retention of keratinized gingival tissue
  • Be large enough for adequate access and visibility
  • Prevent unnecessary bone exposure
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15
Q

What is the most common type of incision you will do in surgeries?

A

-Sulcular or intrasulcular incision

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16
Q

When you do extrasulcular incision what is ultimately going to be the outcome of the tissues?

A

-Recession

17
Q

What are two instruments you can use to perform and extrasulcular incision?

A
  • External bevel

- Internal bevel

18
Q

What type of incision do you do if you want to preserve as much tissue as possible?

A

-Intrasulcular incision

19
Q

What is the average width of the maxillary incisor attached gingiva?

A

-3.5 to 4.4 mm

20
Q

What is the average width of the maxillary premolar attached gingiva?

A

-1.9 mm

21
Q

What is the average width of the mandibular incisors attached gingiva?

A

-3.3 to 3.9 mm

22
Q

What is the average width of the mandibular premolars attached gingiva?

A

1.8 mm

23
Q

What is the biological width of the intrasulcular width?

A

-1 mm

24
Q

What is the biological width of the junctional epithelium?

A

-1 mm

25
Q

What is the biological width of the CT attachment?

A
  • 1 mm
26
Q

If you have a minimal amount of keratinized attached gingiva what type of incision should you perform?

A

-Intrasulcular incision

27
Q

If you have very limited keratinized attached gingiva left should you use an external bevel or perform a gingivectomy?

A

-No

28
Q

If you need to remove diseased epithelium and apically position the flap what type of incision should you perform?

A

-Extrasulcular incision

29
Q

If the goal is to remove excess tissue without raising a flap what type of incision should you perform?

A

-External bevel incision (conventional gingivectomy)

30
Q

What are the two basic types of flaps?

A
  • Full thickness (mucoperiosteal flap)

- Partial thickness

31
Q

What type of flap allows full access to the bone?

A

-Full thickness flap

32
Q

What type of flap is less technique sensitive?

A

-Full thickness flap

33
Q

What type of flap is the periosteum remaining attached to the bone?

A

-Partial Thickness Flap

34
Q

How much crestal resorption could occur when doing a full thickness flap?

A

-up to 1 mm