Periodontal Surgery II Flashcards
Indications for apically repositioned flap?
Pocket elimination
Crown lengthen
Disadvantage of apically repositioned flap?
Root exposed - sensitive/ risk caries
Poor aesthetic
Black triangles
Stages apical positioned flap?
- Incision
- Raise flap - apical direction
- Curettage and RSD
- Reposition apical
- Suture
- Post op care
What are indications for frenectomy?
Prominent labial frenum attached dental papilla
Stages of frenectomy?
- Incision around frenum
- Lip wound and undermining of edge
- Suture
- Coe-pack dressing over gingival wound
Example of perio-plastic procedures?
- Gingival augmentation
- Root coverage
- Papilla reconstruction
What is gingival augmentation?
Increase width of keratinised tissue
Indication gingival augmentation?
Localise recession
Lack attached gingival tissue
Indication tx of localised gingival recession?
Continued inflammation
Progressive breakdown
Aestheitc
Pocket beyond MGJ
How tx local recession defect?
Coronal repositioned flap
Laterally repositiond flap
GTR
Pre-op assessment prior perio surgery?
Surgical tx needed - pt complaint and expectation Recession stable MH Tooth vitality Radiographic exam ICG Clinical records
What type of Millers classification are not amenable to coverage procedures?
Class IV
Millers class I?
Recession past CEJ but not MGJ
Papilla intact
Millers class II?
Recession reach/below MGJ
Papilla intact
Millers class III?
Recession reach/below MGJ
Loss interdental papilla above MGJ
