periodontal surgery

Question 1

objective of surgery

Answer 1

1) create a cleansable environment
2) augment keratinized gingiva
3) improve esthetics
4) establish biologic width
5) regeneration

Question 2

contraindications

Answer 2

1) poor plaque control
2) medical
3) psychology
4) age
5) teeth too seriously involved
6) failure to accept entire treatment plan
7) esthetic considerations
8) patient wishes

Question 3

selection of surgical techniques

Answer 3

1) objective
2) predictability
3) cost / benefit

Question 4

gingivectomy indications

Answer 4

1) pocket reduction (gingival enlargements)
- can be caused by calcium channel blockers
- epilepsy medications
2) establish physiologic contours

Question 5

initial therapy

Answer 5

1) remove dense fibrotic tissue
2) external bevel incision
3) thin excess tissue with kirkland knife at 45 degrees
4) orban knife loosens up the excess and peels it off
5) debride the root surfaces
6) gingivoplasty
7) exposed CT needs periodontal dressing

Question 6

gingivectomy contraindications

Answer 6

1) inadequate keratinized gingiva
2) infrabony defects
3) esthetics

Question 7

flap surgery objectives

Answer 7

1) access and pocket reduction

Question 8

informed consent

Answer 8

1) diagnosis
2_ prognosis
3) reason for treatment
4) nature of the therapy
5) risks of the therapy
6) prospects for success
7) expected outcome without treatment

Question 9

hypertension

Answer 9

1) BP above 140/90
1) more prevalent in blacks
3) increases with age in all groups
4) avoid surgery when 160/100