Gingivectomy/Plasty

Question 1

We only do perio surgery to treat gingival overgrowth that’s caused by:

Answer 1

Inflammation or

Drugs

Question 2

Flaps heal by what intention?

Gingivectomies heal by what intention?

Answer 2

Primary

Secondary

Question 3

Healing is better with this intention.

Answer 3

Primary

Question 4

Cause ginginval enlargements.

Answer 4

• Anticonvulsants (Dilantin)
• Immunosuppressants (Cyclosporine)
• Calcium Channel Blockers (Nifedipine)

Question 5

Prograf

Answer 5

Immunosuppressant

Question 6

Conditions and Systemic diseases that cause gingival enlargement.

Answer 6

• Leukemia
• Granulomatous diseases (Wegener’s, sarcoidosis).
• Pregnancy
• Puberty
• Vit C deficiency
• Plasma cell gingivitis (allergy)

Question 7

We do perio surgery for these types of gingival overgrowth.

Answer 7

1) Inflammation

2) Drug-induced (Ca channel blockers, etc)

Question 8

Vit C deficiency is AKA what?

Answer 8

scorbutic gingivitis

Question 9

Mouth breathing causes this.

Answer 9

Gingivitis (mostly restricted to the maxillary incisors).

Question 10

This triggers the gingival overgrowth in people taking Dilantin.

Answer 10

Plaque

Question 11

Gingivitis that’s typically seen in patients that have a drug allergy.

Answer 11

Plasma cell

Question 12

Procedure to recontour the gingival surface.

Answer 12

Gingivoplasty

Question 13

Junctl epithelia is coronal to the alveolar crest.

Answer 13

Suprabony pocket

Question 14

Junctl epithelia is apical to the alveolar crest.

Answer 14

Infrabony pocket.

Question 15

Removes sulcular and JE.

Answer 15

Gingivectomy

Question 16

Need this incision for an infrabony pocket.

Answer 16

Internal beveled

Question 17

Most frequently performed perio procedure.

Answer 17

Flap with internal beveled incision.

Question 18

No bone or attachment loss in these pockets.

Answer 18

Pseudo

Question 19

These pockets can get an external bevel incision.

Answer 19

Pseudopockets and Suprabony pockets.

Question 20

Done to gain access to subgingival carious lesions.

Answer 20

Gingivectomies

Question 21

Crown lengthening is an indication for this.

Answer 21

Gingivectomy

Question 22

Contraindications to Gingivectomies:

Answer 22

• Inadequate attached gingiva
• Infrabony pockets
• Exostoses
• Poor oral hygiene
• Inadequate vestibular depth

Question 23

Disadvantages of gingivectomies.

Answer 23

• Exposed root- sensitivity, esthetics, caries.

- Phonetic/esthetic problems in anterior areas.

Question 24

Anesthesia for a gingivectomy.

Answer 24

Infiltrate the interproximal papilla so it causes blanching and there’s less blood during excision.

Question 25

Periodontal dressings stay on for how long after a gingivectomy?

Answer 25

7-10 days.

Question 26

No bleeding with this kind of gingivectomy.

Answer 26

Laser