Rationale for Surgery

Question 1

What happens in the absence of treatment for periodontitis?

Answer 1

Tooth loss in susceptible individuals

Question 2

What are the advantages to surgery?

Answer 2

1. Direct vision

2. Easier manipulation and removal of tissue

Question 3

What are some disadvantages to surgery?

Answer 3

1. Morbidity
2. Esthetics
3. Cost

Question 4

During what period of time post SRP does all of the regeneration occur?

Answer 4

3 months after SRP

Question 5

T/F: Open SRP (with surgical flap) will result in more calculus removal than closed SRP.

Answer 5

True

Under 3mm pocket it doesn’t matter

Question 6

T/F: Taking a flap approach will remove the most calculus.

Answer 6

True

Question 7

T/F: Reduction in calculus leads to reduction of inflammation and disease onset.

Answer 7

True

Question 8

T/F: Surgical approach results in less deep pockets (7 mm or more) than normal SRP.

Answer 8

True

Question 9

T/F: Surgical therapy results in greater, and sustained PD reduction.

Answer 9

True

Question 10

What is the greatest indicator of further breakdown years after treatment?

Answer 10

Initial pocket depth

Question 11

Which treatment is the best at preventing long term breakdown?

Answer 11

Osseous surgery