Osseous Defects Flashcards
Causes of Alveolar Bone Loss
Extension of gingival inflammation
Trauma from occlusion- does NOT cause but effect bone loss
Systemic Disorders
Pathways of Gingival Inflammation Extension
Along collagen fibers
Along blood vessels
Enters alveolar bone
Enters maxillary sinus
Bone loss caused by inflammation invasion thru septum
Horizontal
Bone loss caused by inflammation invasion thru cortical bone
Vertical
If interdental septum is >2.5mm or have thick bone…
Angular bone loss
If interdental septum is < 2.5mm or have thin bone …
Horizontal bone loss
Model of bone formation - episodic disease and periods of exacerbation and remission
Random multiple burst model
When does bone form?
During periods of remission
2 Types of buttressing bone
Central - within the jaw
Peripheral- on external surface of jaw
Pocket with Horizontal bone loss
Suprabony pocket
Pocket with Vertical bone loss
Infrabony pocket
Reverse architecture
interproximal areas apical to midfacial or midlingual
Treatment options for Horizontal Bone Loss
SRP
Gingivectomy
Open Flap Debridement
Osseous Surgery
Treatment options for Angular defects
Osseous Surgery
Guided Tissue Regeneration
Treatment options for Furcation defects
SRP
Open flap debridement
Osseous Surgery - class 3
GTR - class 2