principles of surgical treatment

Question 1

rationale of periodontal theraphy -13

Answer 1

• eliminate pain
• el gingival inflammation
• el gingival bleeding
• reduce periodontal pockets
• stop formation of pus
• eliminate infection
• arrest destruction of soft tissues n bone
• restore tissue destructed by disease
• establish optimal occlusal func
• reestablish physiologyical gingival contour
• prevent reoccurenc of disease
• reduce tooth loss
• reduce abnormal tooth mobility

Question 2

cause of gingivitis and periodontiitis is…

Answer 2

bacterial plaque accumulation

Question 3

local factors effecting plaque accumulation

Answer 3

poor hygiene
calculus
ovrganging margins of restorations
food impactions
crowding

Question 4

factors that affect healing

Answer 4

local
-microbial dental plaque
-excessive tissue manipulation during treatment
-trauma to tissues
-repetitive treatment that disrupt healing
\+removal of degenerated granulation tissue
\+immobilization of area
\+ pressure on wound
systemic
-age
-generalized infections
-diabetes
-glucocorticoids
-stress

Question 5

general principles of surgery

Answer 5

careful planning of all procedures
preparation of patient
-eliminate periodontal lesions beforehand
-make the tissues firm

*the type and number of procedures
expected outcome
post op care should b known beforehand

Question 6

reevaluation after op

Answer 6

pocket probing
reexamining previous findings
confirmation surgery when needed