Osseous Surgery

Question 1

What are 5 contraindictations to Osseous surgery?

Answer 1

1. If aesthetics will be compromised
2. If result compromises the attachment
3. If result compromises adjacent teeth
4. Risk of root caries
5. Root hypersensitivity

Question 2

Define osteoplasty and ostectomy

Answer 2

Osteoplasty - nonsupport in bone is reshape do to achieve physiologic gingival and osseous contour

Ostectomy - radicular and interradicular supporting bone removed to eliminate Osseous defects

Question 3

Name the indications to ostectomys

Answer 3

1. Need sufficient bone remaining without compromising attachment
2. No aesthetic or anatomical limitations
3. Elimination of craters
4. Hemispta
5. Intrabony defects not amenable to regeneration
6. Horizontal bone loss (Reverse architecture)
7. moderate to advanced furcations involvement

Question 4

Name 3 advantages to ostectomys

Answer 4

1. Predictable pocket elimination
2. Establishment of physiologic architecture (soft and hard tissue)
3. Establishment of favorable prosthetic environment

Question 5

Name 3 disadvantages to ostectomys

Answer 5

1. Attachment loss
2. Aesthetic compromise
3. Root hypersensitivity

Question 6

Is the anterior or posterior gingiva more scalloped?

Answer 6

Anterior is more scalloped

Question 7

What generally comes first? Osteoplasty or ostectomy?

Answer 7

Osteoplasty generally precedes ostectomy

Question 8

What are 6 indications to Osseous surgery?

Answer 8

1. Reduction/elimination of Osseous defects
2. Possible management of furcations
3. Bony ledges
4. Exostosis
5. Root amputations or rejections
6. Crown lengthening