5.5 1-23-18 Flashcards
Common
to pseudo and true pockets
- Bacterial biofilm
- Calculus
- Chronically inflamed pocket wall(soft tissue)
- Destructive host response
In true pockets
only
In true pockets only - Altered (diseased) root cementum - Apical migration of attachment apparatus - Bone loss
Soft tissue
curettage
hard tissue
root planing
Both mandibular and maxillary teeth have concavities
at or within———–apical to their CEJ.
5 mm
• More recent studies show ——–more
loosely adherent than previously thought
endotoxin
• Ultrasonics can remove ——
endotoxin
• Conclusion: it is clinically sound to remove
some but not all
cementum
Critical probing depth
is the pocket depth
below which there is
attachment loss and
above which there is attachment gain for a
procedure.
For root planing, critical probing depth is
2.9 mm
Gingival Curettage
• Definition:
the process of debriding the soft tissue wall of a periodontal pocket • Involves removal of: – Ulcerated epithelium – Inflamed connective tissue (granulation tissue)
When intentional curettage is performed, the
root is
always planed, therefore it is
impossible to separate the procedures