PERIO CHAPTER 13

INDICATED TO CONTROL THE PROGRESS OF PERIODONTAL DESTRUCTION AND ATTACHMENT LOSS

PERIO SURGERY IS USED TO CONTROL THE PROGRESS OF DISTRUCTION THAT IS CAUSED BY PERIODONTAL DISEASE

WHEN IS PERIO SURGERY INDICATED

THE ADVANTAGES OF PERIODONTAL SURGERY

GOALS OF PERIODONTAL SURGERY

SOME DISADVANTAGES OF PERIO SURGERY (FOR THE PATIENT)

POCKET DEPTH THAT INCREASES THE PROGNOSIS FOR SURGERY

POCKET DEPTH SHOULD NOT PROGRESS MORE THAN_____OVER TIME.

IS AGE A CONTRAINDICATION FOR PERIO SURGERY

TYPES OF PERIODONTAL SURGERY

TO REMOVE THE GINGIVAL TISSUE COMPLETELY

EXAMPLE OF INCISIONAL PERIODONTAL SURGERY

MOST BASIC EXCISIONAL PERIODONTIAL SURGERY IS:

INCISIONAL PERIODONTAL SURGERY IS AKA:

MOST COMMON TYPE OF PERIO SURGERY, IT REDUCES POCKETS BY APICALLY POSITIONING FLAP

POCKET REDUCTION IS NOT THE GOAL OF ACCESS FLAP PROCEDURES

PROCEDURE FOR GAINING ACCESS TO THE ROOT SURFACE

2 PROCEDURES FOR THE TREATMENT OF OSSEOUS DEFECTS

THE FINAL DECISION FOR SURGERY IS NOT MADE UNTIL __________OF NONSURGICAL PROCEDURES HAVE BEEN DONE

DEEPENED GINGIVAL SULCUS WITH AN INFECTED ROOT SURFACE COVERED BY AN ULCERATED EPITHELIAL SURFACE WITH UNDERLYING INFLAMED CONNECTIVE TISSUE

PATIENTS WITH MODERATE POCKET DEPTHS OF 5-6mm MAY BE MONITORED ON A "WAIT AND SEE" APPROACH.

BONE LOSS CAUSED BY PERIODONTAL DISEASE

VERTICAL BONE LOSS IS USUALLY DESCRIBED BY THE # OF WALLS REMAINING

PERIODONTAL SURGERY THAT INCLUDES MODIFICATION OF THE BONE LEVEL OR SHAPE

OSSEOUS SURGERY IS USUALLY INDICATED WHEN AT LEAST HALF OF THE BONE SUPPORT REMAINS

EXCISION OF THE GINGIVA

SURGICAL RESHAPING OF GINGIVAL TISSUES

TO REDUCE PERIODONTAL POCKET DEPTH BY REMOVING SOFT TISSUE TO A LEVEL AT WHICH PLAQUE CONTROL ISEFFECTIVE

WHEN SHOULD PERIO SCALING AND ROOT PALNING BE COMPLETED BEFORE SURGERY

most common type of perio surgery; reduces pockets by apically positioning flap;for suprabony and infrabony

THE GOAL OF ACCESS FLAP PROCEDURES IS NOT POCKET REDUCTION

NAME OF AN ACCESS FLAP

PROCEDURES FOR THE TREATMENT OF OSSEOUS DEFECTS

perio surgery that involves shaping the alveolar bone with chisels or burs and remove bony defects

perio surgery: increases the predictability for growth of new tissue

T/F: REGENERATIVE PERIO SURGICAL PROCEDURES SELECTIVELY ENCOURAGE THE GROWTH OF CELLS OF THE ATTACHMENT APPARATUS

MOST COMMON ORAL SITE FOR DONOR TISSUE

FORMS AT THE SURGICAL SITE TO PROTECT THE WOUND AND ALLOWING THE TISSUE TO BEGIN TO HEALING

CELLS THAT BEGIN TO HEAL FIRST

TIME FOR PERIO SURGERY SITE TO COMPLETELY HEAL

BEGINS LATE IN THE HEALING PROCESS-APPROXIMATELY 1 MONTH AFTER THE SURGERY

REQUIRED TO CLOSE PERIO SURGICAL WOUNDS-SECURES GRAFTS INTO POSITION

SUTURES MUST BE REMOVED IN ____DAYS.

PLACED OVER THE SUTURES TO HOLD THE FLAPS TIGHTLY TO THE TEETH AND BONE WHEN POCKET REDUCTION SURGERY HAS BEEN PERFORMED

may includes a presctiption for an analgesic and possibly and antibiotic.

POSTOPERATIVE INSTRUCTIONS INCLUDE:

WITHIN THE FIRST 24 HOURS ___SHOULD BE USED TO STOP SWELLING

AFTER 24 HOURS___IS USED FOR SWELLING

HEALING BY SELECTED CELL REPOPULATION

USED IN GUIDED TISSUE REGENERATION TO EXCLUDE EPITHELIAL CELLS BETWEEN THE PERIODONTAL FLAP AND THE ALVEOLAR BONE TO ALLOW ONLY CELLS FROM THE PDL SPACE ARE ALLOWED TO REPRODUCE

MATERIAL THAT IS USED FOR BARRIER MEMBRANE IN GUIDED TISSUE REGENERATION

BEST CANDIDATES FOR GUIDED TISSUE REGENERATION

MOST PREDICTABLE METHOD FOR REGENERATING LOST PERIODONTAL TISSUE

LIMITED SUCCESS OF GUIDED TISSUE REGENERATION HAS BEEN NOTED IN THESE CASES...

WHY DO THE CLINICIANS PREFER THE ePTFE TO RESORBABLE MEMBRANE MATERIAL?

IN GUIDED TISSUE REGENERATION-HEALING IS PERMITTED TO COME FROM WHERE??

HEALING BY SELECTED CELL REPOPULATION

FORMATION OF NEW ALVEOLAR BONE, NEW CEMENTUM, AND NEW PDL ON A PREVIOUSLY DISEASED ROOT SURFACE

T/F: ALL TYPES OF PERIODONTAL TREATMENT, INCLUDING SCALING AND ROOT PLANING-HAVE POTENTIAL TO YEILD PERIODONTAL REGENERATION

GRAFTS CREATED FROM PT OWN BODY

BONE FROM ANOTHER PERSON

GRAFTS USING SYNTHETIC BONE

CREATED FROM BONE TAKEN FROM ANOTHER SPECIES

GRAFT BETWEEN GENETICALLY IDENTICAL PEOPLE (TWINS)

COMBINATION OF 2 TYPES OF BONE GRAFTS @ THE SAME TIME

WHICH WALL DEFECT HAS THE BEST OUTLOOK FOR REGENERATION

PROCEDURES FOR THE TREATMENT OF OSSEOUS DEFECTS

A VARIETY OF PLASTIC SURGERY TYPE PROCEDURES TO AUGMENT THE THICKNESS OF KERATINIZED GINGIVA TISSUE

USED TO INCREASE THE ZONE OF ATTACHED GINGIVA, IMPROVE GINGIVAL ESTHETICS OR AUGMENT ENDENTULOUS SPACES.

TREATED BY PEDICLE GRAFTS OR FREE MUCOSAL GRAFTS

CONNECTIVE TISSUE GRAFTS HAVE BEEN USED TO TREAT AREAS OF RECESSION

IDEAL WIDTH OF ATTACHED GINGIVAL TISSUE

T/F: DURING SURGERY ALL INFLAMED TISSUE SHOULD BE TRIMMED, ROOT SURFACE CLEAN OF PLAQUE, CALCULUS AND CEMENTUM BIOTOXINS

BEST TECHNIQUE TO COVER EXPOSED ROOT SURFACES

WHY IS LATERAL PEDICLE GRAFT PREFERRED FOR COVERING EXPOSED ROOT SURFACES

SLIDING OF THE GINGIVAL TISSUE FROM AN ADJACENT TOOTH OR PAPILLA

LIMITATION TO THE LATERAL PEDICLE GRAFT

DONOR SITE LOCATED WITHIN THE MOUTH AWAY FROM SITE TO BE GRAFTED

MOST COMMON DONOR SITE FOR THE FREE GINGIVAL GRAFT

DONOR KERATINIZED EPITHELIUM WITH SOME UNDERLYING CONNECTIVE TISSUE IS REMOVED

PRIMARY DISCOMFORT IN PERIO SURGERY IS COMMONLY FROM THE DONOR SITE.

WHAT IS A POTENTIAL PROBLEM AT THE DONOR SITE POST SURGERY

WHY IS POST HEMORRAGE A PROBLEM IN FREE GINGIVAL GRAFTS

WHICH GRAFTING PROCEDURE HAS BECOME THE PROCEDURE OF CHOICE

WHY IS SUBEPITHELIAL CONNECTIVE TISSUE PROCEDURE OF CHOICE IN ROOT COVERAGE

MAJOR CONTRAINDICATION OF MUCOGINGIVAL SURGERY

REMOVAL OF BONE CONTAINING PERIO FIBERS THAT SUPPORT TOOTH

REMOVAL OF ONLY BONY LEDGES OR NONSUPPORTING BONE

2 SURGICAL PROCEDURES THAT ARE DONE TOGETHER TO CREATE BONE FORM THAT ALLOWS TISSUE TO HAVE POSITIVE GINGIVAL ARCHITECTURE

PROCEDURE USED TO TREAT PERIODONTAL POCKETS IN ESTHETICALLY SENSITIVE AREAS

MAIN REASON FOR ACCESS FLAP TECHNIQUE

WHY ACCESS FLAP PROCEDURE

PROVIDES ACCESS TO ROOT SURFACES FOR DEBRIDEMENT AND TO CREATE CONDITIONS FOR REATTACHMENT OF TISSUE TO ROOT SURFACE

EXCISIONAL ATTACHMENT PROCEDURE AND OPEN FLAP CURETTAGE

GOAL OF ALL ACCESS FLAP PROCEDURES

POCKET REDURCTION IS/IS NOT THE GOAL OF ACCESS FLAP PROCEDURE

FLAP SURGERY-FOR POCKET REDUCTION

TISSUE IS PUSHED AWAY FORM ROOT AND BONE LIKE A ENVELOP FLAP

MORE COMMON SURGERY DONE BY PERIODONTIST-BECAUSE OF FEWER CONTRAINDICATIONS

FLAP IS SUTURED MORE APICALLY ON THE TOOTH ROOTS TO REDUCE POCKET DEPTH

BEST TREATED BY FLAP SURGERY...

TYPES OF PERIO SURGERY

REDUCES PERIO POCKET LEVEL

METHODS FOR POCKET REDUCTION

REMOVES EXCESS TISSUE FROM WALL OF PERIO POCKET

MOST BASIC EXCISIONAL SURGICAL PROCEDURES

PERIO S&RP SHOULD BE COMPLETED _______WEEKS BEFORE SURGERY TO ALLOW FOR HEALING. (GINGIVECTOMY/PLASTY)

MAJOR CONTRAINDICATION OF EXCISIONAL SURGERY

BEST PROGNOSIS FOR PERIO SURGERY

AGE IS NOT NECESSARILY A CONCERN IN PERIO SURGERY

MODIFICATION OF THE BONE LEVEL OR SHAPE

BONE LOSS CAUSED BY PERIO DISEASE

DESCRIBED BY NUMBER OF WALLS REMAINING

WHEN ALL WALLS OF THE OSSEOUS DEFECT ARE WITHIN THE BONE HOUSING

INDICATED TO CONTROL PROGRESS OF PERIODONTAL DESTRUCTION