Mucogingival surgery Flashcards
Types of Mucogingival surgery
- Gingival augmentation
- Root coverge
- Correction of mucosal defects on implants
- Crown lengthening
- Gingival preservation at ectopic tooth eruption
- Removal of aberant frenulum
Mucogingival surgery
- Surgical procedures to correct anatomic, traumatic or diseased defects of periodontium
Gingival augmentation procedures
Grafting procedures
* Pedicle grafts
* Free grafts
Pedicle grafts
Maintain connection w/ donor site
Free grafts
No connection w/ donor area
Indications for root coverage
- Root sensitivity
- Aesthetic demands
- Plaque control
Class I millers recession
- Marginal tissue recession to MGJ
- No loss of interdental bone or soft tissue
Class II millers recession
- Marginal tissue recession to or beyond MGJ
- No loss of interdental bone or soft tissue
Class III millers recession
- Marginal tissue recession to or beyond MGJ
- Loss of interdental bone and soft tissue apical to CEJ but coronal to recession
Class IV millers recession
- Marginal tissue recession beyond MCJ
- Loss of interdental bone apical to recession
Pedicle soft tissue graft procedures
- Rotational flap procedures
- Advanced flap procedures
Rotational flap procedures
- Lateral sliding flap
- Double papilla flap
- Oblique rotated flap
Advaned flap procedures
- Coronally repositioned flap
- Semilunar coronally repositioned flap
Free soft tissue graft procedures
Autogenous free soft tissue grafts
Types of surgery
🔸Gingival surgery
🔸Mucogingoval surgery
🔸Osseous surgery
🔸Periodontal regeneration
Types of gingival surgery
🔸Gingivectomy- excision eliminating supra pockets or gingival enlargements
🔸Gingivoplasty-excision to reshape tissue deformities
Types of mucoginvival surgery
🔸Free gingival graft (widen keratinised tissue)
🔸Connective tissue graft (root coverage)
🔸Frenectomy (removal of frenulum)
🔸Frenotomy (incision of frenulum)
🔸Vestibuloplasty (deepen vestibule)
Types of osseous surgery
🔸Ostectomy(removal of supporting bone)
🔸Osteotomy(removal of non supporting bone)
Periodontal regeneration
🔸Regenerate bone, cementum and PDL
🔸Barrier membrane(prevention of soft tissue down growth and permits tissue in growth)
🔸Bone graft (osteoconductive, osteoinducive and osteogenic)
🔸Biological agent (creates environment conducive to tissue formation)
Bone graft materials
🔸Autograft
🔸Allograft
🔸Xenograft
🔸Alloplast
-osteoconductive(scaffold)
-osteoinductive convert progenitor cells into osteoblasts)
-osteogenic(make bone)
