Rationale for Periodontal Surgery

Question 1

What happens if we do not do any treatment?

Answer 1

We get worse:

• PD
• Furcation Involvement
• Mobility
• Prognosis

Question 2

Patients that have dental care are less likely to…

Answer 2

Lose attachment and teeth

Question 3

Surgical Therapy v Non-surgical therapy

Answer 3

Surgical therapy resulted in:
Greater and sustained probe depth reduction
Osseous surgery treated sites had the least incidence of breakdown
Better short term pocket reduction
Less additional treatment

Question 4

Indicators of attachment loss:

Answer 4

Increasing mean probe depths

Multiple residual probing depths greater at re-evaluation

Question 5

Regenerative surgery effect on hopeless teeth

Answer 5

Regeneration led to retention of 92% of hopeless teeth scheduled for extraction
These retained teeth were clinically stable, comfortable, and functional after 5 years

Question 6

T/F - This lecture was the biggest waste of time

Answer 6

True