Perio final volume 2 Flashcards
Is age a factor to implant success
no
What are the suitable graft materials for defects around implants
Allograft = Autograft > Alloplast
Bone healing rates
following injury to bone, initial response is resorption at 3-4 days which peaks at 8-10 days. Resorption and bone formation co-exists from 14-21 days with a predominance of bone formation at 3 weeks.
Pedicle grafts
o Lateral sliding graft
o Double papillae graft
o Split thickness or full thickness
o Base of the flap contains its own blood supply which nourishes the graft and facilitates the re-establishment of vascular union with the recipient site.
intraoral sources of autogenous bone graft
Osseous coagulum Bone blend Maxillary tuberosity Edentulous ridges *Extraction sites *Ramus/chin
What are some Growth Factors
Bone Morphogenic Protein/Osteogenin Epidermal Growth Factor (EGF)- Monocyte Derived Growth Factor (MDGF)- Tumor Necrosis Factor alpha and beta (TNF-)-- Platelet Derived Growth Factor (PDGF)*- Platelet Derived Growth Factor (PDGF)*- Platelet Derived Growth Factor (PDGF)*- Transforming Growth Factor (TGF)-
Branemark’s Classification of Bone Quality
1 - homogenous compact bone (typically found in anterior mandible)
2 - thick cortical bone with marrow cavities
3 - thin cortical bone with dense trabecular bone of good strength
4 - thin cortical bone with low density trabecular bone of poor strength (typically found in posterior maxilla)
Whats the average amount of bone removed during osseous respective surgery
average loss of .6mm circumferentially—most on 1 surface was 1.5 mm
Why use a lingual approach for Man osseous respective surgery
Tibbets–used for pocket elimination in the mandible, bone ramped toward lingual
more vestibular depth on the lingual
teeth tilted 20 degrees toward lingual, lingual embrasures wider
easier access to defects, which are usually located apical to contact point, which is toward lingual
more attached ging. on lingual
What is alloderm
Allogenic soft tissue graft
What is the post op antibiotic regimen for GTR
- Doxycycline 100mg x 14, 2 tabs bid first day then 1 tabs qd till gone
- can also use Amoxicillin for 1 week post surgery (500 mg qid X 7 days)
Which is better–connective tissue attachment or long junctional epithelium?
In animals a LJE was equally resistant to breakdown as a CT attachment
Why is it a faulty to assume that body will establish its own bio width
it is difficult to “turn off’ bone resorptive inflammatory stage of the process, that visual signs of inflammation are usually present and may be unesthetic.
Cementum healing rates
cementum formation can be detected as early as 3 weeks but up to 6 months are required for maturation.
Seibert class 1 defect
Buccolingual loss of tissue with normal ridge height apicocoronally.
What is a miller class 1 recession
Recession not exceeding the MGJ; no loss of interproximal soft tissue or bone. 100% root coverage is anticipated.
How did wilsons compliance numbers change
32% compliant
48% erratic
20% non compliant
Def of hemisection
The surgical separation of a multirooted tooth, esp. a mandibular molar, through the furcation in such a way that a root and the associated portion of the crown may be removed.
Types of coronally positioned flaps
o Coronally positioned flap without autogenous grafts or GTR
o Tarnow’s semilunar coronally positioned flap
Def of root resection
The separation of a root that may or may not include the retention of that root or the removal of the root with accompanying odontoplasty
Bone fill def
The clinical restoration of bone tissue in a treated periodontal defect
What are indications to return to active therapy from maintenance status
Bleeding on Probing > 20% Evidence of radiographic bone loss Increase in pocket depth Increase in mobility Main reason for treatment failure Inadequate home care by patient Other reasons for treatment failure Inadequate root planing poor surgical technique
What is ENAP
(a gingival curettage with a knife)
sulcular epith. Removed (Although histologically it is not likely we remove all pocket epithelium, furthermore, it is not necessary to remove all pocket epithelium.)
first incision goes to the base of the pocket
Contraindications for root ressection
Its stupid
Insufficient bone supporting remaining roots
Unfavorable anatomic situations (long root trunk, fused roots)
Unable to perform endo treatment in remaining roots
Lack of usefulness of remaining roots
Large discrepancies in adjacent proximal bone heights
Expense or time constraints
Inadequate oral hygiene
Nonrestorability of remaining roots
Bisphosphonate use (especially IV) this is true for most periodontal surgeries