DT 5 Periodontics Flashcards
Define Periodontics
treatment of diseases of the supporting tissues
PERIOdontis requires __ years of educational training
3 years
PERIO Indications
improve esthetic
OSC access
Improve prognosis -restore contour of bone
PERIO Ccontraindications
Cost $
Esthetic
Age/health
Limtiation of procedure
Of PERIO probing measurement for each tooth is ____
6 measurements are taken
2 nonsurgical PERIO procedures
Scaling and root planing
Gingival curettage
remove necrotic cell from pocket wall
1-2 units prior to scaling and root planing
usually local anesthetic is administered
often require 1-2 appt if suture and dressing placed
PERIO SURG 3 procedure that remove, reshape and contour tissue
Curettage
Gingivectomy
gingivoplasty
Gingivectomy
removing excess gingiva with surg knife
4-6 units billed by sextants
multiple appts
Ginivoplasty
reshaping and contour of gingival tissue
AFTER Gingevectomy
1-2 units
multiple appts
Soft Tissue Grafts
Creates root coverage
e.g if recession is present
4-6 units
2 appts- dressing and suture
Pedicle graft
moves gingiva from adjacent tooth
retain own blood supply
Free Gingival soft tissue graft
usually harvested from palate,
blood supply is not attached
Periodontal flap surgery
gingiva is pushed to create flap”
allows for scaling and root planning
to recontour/ remove bone
2 appts Periodontal dressing/suture
purpose of a periodontal dressing
hold flap in place
protect tissue (during eating or drinking)
minimize post op pain /infection
support mobile teeth during healing
Perio:OSSEOUS Surgery
reshape /contour bone
To remove defect
Osteoplasty
bone contoured and reshaped
units combined with ostectomy or implant
req 2 appt- preio dress/suture
Ostectomy
remove bone/ defects in bone
4-8 units
for crown lengthening and recontouring
2 appts- preio dressing/suture
IMPLANT
anchored to support prosthodontics
require 4 appt
1- place implant/tighten 3-6 month
2- attach abutment
3- check healing
4- crown appt
IMPLANT PURPOSE
support dentures and bridges
eliminate need partial dentures
prevent bone loss and recession
enhance pt confidence
3 Types of Implants
ENDOsteal - MOST COMMON
SUBPERIOsteal
TRANSOsteal
Specialists Involved in placement of implants POPE
- Oral and maxillofacial surgeon
- Prosthodontist
- Periodontist
- experienced dental lab technician
Periodontal Surgery Follow up Appts
1-2 weeks post sugery
to remove dressing and check healing
DRC DOES NOT BIL, NO CHARGE
Debridement.
removal of calculus, deposits, and stains
Mobility
Movement of a tooth in its socket
1-2 mm healthy
Use of laser Advantages
heals faster
less procedure time
reduce contamination and bleeding
Splint or Ligation
Stabilizes mobile teeth, may be placed to support teeth involved with Soft Tissue and Osseous surgical procedures
