Access Flaps Flashcards

1
Q

Patients have minimal post-op recession and root sensitivity with this new attachment procedure.

A

LANAP

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2
Q

What does LANAP leave?

A

Connective tissue

Because it just removes the sulcular epithelium.

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3
Q

T/F: LANAP Steps:

1) Local anesthesia
2) Laser fiber parallel to the root surface
3) Photothermolysis removes pocket epithelium.
4) Pathogens killed
5) Plaque and calculus removed with an ultrasonic scaler.
6) Second laser pass debrides the pocket and achieves hemostasis.

A

True

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4
Q

According to the ADA, have lasers consistently demonstrated the ability to reduce microorganisms within a periodontal pocket?

A

NO!

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5
Q

Blunt dissection is used for which flap?

A

Full thickness

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6
Q

Sharp dissection is used for which flap?

A

Split thickness

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7
Q

This flap is used in areas of thin bone, dehiscence, and fenestration.

A

Split thickness flap

Bc there’s already bone loss present, and we don’t want more by creating a full thickness flap.

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8
Q

Name for loss of alveolar bone on the buccal of the tooth.

A

Dehiscence

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9
Q

2 types of flap placement.

A

1) Replaced

2) Positioned

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10
Q

Replaced Flap

A

Put back

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11
Q

Types of positioned flaps

A

Apically, coronally, or laterally positioned.

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12
Q

Positioned flap AKA

A

Moved

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13
Q

Procedure in which you scale and RP WITHOUT reflecting a flap.

A

Closed procedure.

Has poorer results in deeper pockets,

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14
Q

A procedure in which you reflect a flap to visualize and access:
Root surfaces
Alveolar bone
Furcations

A

Open procedures

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15
Q

This procedure has no reattachment, and it removes a good amount of keratinized gingiva.

A

Gingivectomy

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16
Q

Modified Widman has what kind of beveled incision?

A

Internal

17
Q

Type of flap done in a MWF

A

Full thickness

18
Q

Pocket depth that’s an indication for a MWF.

A

5 -7 mm

19
Q

Is the MWF pocket elimination?

A

NO

20
Q

MWF replaced or positioned?

A

Replaced

21
Q

Minimal loss of crestal alveolar bone and minimal post-op discomfort with this flap.

A

MWF

22
Q

MWF heals by primary or secondary intention?

A

Primary

23
Q

Modified Widman is AKA what?

A

Open flap curettage

24
Q

MWF Protocol:

A

1) First incision - Paramarginal
2) Full thickness flap reflection
3) Second incision - Sulcular
4) Third incision - Horizontal/Interdental
5) Remove soft tissue collar
6) Root debridement
7) Reposition flap and suture

25
Q

Modified Widman is known as what kind of flap surgery?

A

Mini Flap

26
Q

What is a Mini Flap?

A

You don’t reflect the flap past the MGJ - you STAY WITHIN THE ATTACHED GINGIVA.