Rationale For Surgery

Question 1

T/F: All people will become edentulous by age 35 without treatment.

Answer 1

False

Only those who are susceptible to rapid attachment loss

Question 2

How long will it take a normal person to lose a tooth? Rapidly progressing person?

Answer 2

Normal = 77 years
Rapid = 19 years

Question 3

What are the advantages and disadvantages of surgical therapy?

Answer 3

Advantages: Direct vision, easier manipulation

Disadvantages: morbidity, esthetic compromises, cost

Question 4

T/F: Open SRP will remove more calculus than closed SRP.

Answer 4

True

Question 5

T/F: Open SRP is more effective in both moderate and severe pocket depths.

Answer 5

True

Question 6

Why can open SRP be a beneficial procedure?

Answer 6

Removes more calculus

Less calculus -> less inflammation -> better healing

Question 7

T/F: Studies show that more deep pockets will remain at 6 and 12 months with SRP than with surgery.

Answer 7

True

Surgery can all but eliminate deep pockets

Question 8

T/F: Surgery is the most effective for deep pockets.

Answer 8

True

Question 9

What type of surgery had the least amount of future breakdown in severe pockets?

Answer 9

Osseous surgery

Question 10

T/F: Surgical treatment shows significantly stronger results for probing depths, furcations, prognosis, and mobility.

Answer 10

True

Question 11

Can regenerative surgery have a positive effect on a tooth if it is hopeless?

Answer 11

Yes

Stable 5 years after treatment