Perio Surgery Revision Questions

Question 1

Aim of perio surgery

Answer 1

Arrest the disease by gaining access to complete RSD

Regenerate lost perio tissue

Question 2

Perio surgery requirements

Answer 2

re-evaluate non surgical phase after completion of 4-6weeks
Pockets >=5mm persist
Excellent OH
Furcations could be involved

Question 3

What do you do after surgery to support them

Answer 3

review OH and TIPPS
Remove supra and sub ging calc routinely
Carry out RSD routinely
Re-apprasie
Perio pocket chart and plq and bledding scores (annually)
Monitor diease and review

Question 4

What are the aims supportive perio therapy

Answer 4

to prevent a bluid up of plq on the patients teeth
prevent loss of any more teeth due to perio
avoid patient heaving perio flare ups
stop new disease developing

Question 5

Gingivectomy

Answer 5

reduction of gingval excess
facilitate plq control, resotrative work, appearance

Contraiindicated - where large external wound would exist