Periodontal Surgery

Question 1

Define Gingivectomy

Answer 1

The surgical removal of excess gingival tissue due to Supra alveolar pockets or gingival hyperplasia

Question 2

What are the objectives for periodontal surgery?

Answer 2

1) Pocket elimination
2) Root surface is made accessible for root planing
3) After healing- self performed teeth cleaning
4) Eliminate inflammation and bleeding
5) Minimise tooth loss
6) Prevent recurrence of disease

Question 3

What are the indications for periodontal surgery?

Answer 3

1) Impaired access for SRP
2) Impaired access for self performed plaque control
3) Access for osseus surgery/ regenerative techniques

Question 4

Define Gingivoplasty

Answer 4

A type of gingival surgery used to reshape gingival tissue around teeth

Question 5

True/False:
Osteoplasty is shaping the bone with removal of any supporting bone

Answer 5

False!
It is the shaping of bone WITHOUT the removal of any supporting bone

Question 6

Ostectomy vs Osteoplasty

Answer 6

Ostectomy: REMOVAL of supporting bone
Osteoplasty: SHAPING of bone without removal of supporting bone

Question 7

True/False:
Gingivectomy is does not involve the removal of excess gingival tissue

Answer 7

False!
Gingivectomy is the surgical removal of excess gingival tissue

Question 8

True/False: Curretage is a simple periodontal technique

Answer 8

True

Question 9

True/False: Gingivectomy must be done only if there is enough unattached keratinized gingiva and not so much of attached keratinized gingiva

Answer 9

False!
Gingivectomy can only be done if there is enough ATTACHED keratinized gingiva

Question 10

Define Gingivoplasty

Answer 10

It is a type of gingival surgery used to reshape gingival tissue around the teeth

Question 11

Additional objectives of periodontal surgery:

Answer 11

1) eliminate periodontal pocket
2) eliminate inflammation and bleeding
3) minimize tooth loss
4) prevent recurrence of disease

Question 12

True/False: currettage is the removal of pocket epithelium only

Answer 12

False!
It is the removal of pocket epithelium AND inflamed connective tissue

Question 13

True/False:
Tissue shrinkage = pocket reduction

Answer 13

True!

Question 14

T/F: Chlorhexidine mouthwash and anti-inflammatory medication is to be given after the procedure for 5-7 days.

Answer 14

False!
They are both given BEFORE and AFTER surgery. CHX for 5-7 and anti-inflammatory for 5days

Question 15

T/F: one of the indication of osseous surgery is if the removal of the bony defects compromises the periodontal tissue support of adjacent teeth

Answer 15

False!
It’s a contraindication

Question 16

T/F: flap operation that may/may not involve osseous surgery has a less unpleasant post operative period compared to Gingivectomy

Answer 16

True!