A a periapical radiograph before surgery showed a bone defect around the apex of the left maxillary central incisor. Review articles, reports of scientific meetings in periodontology and other short communications are also published in the journal. Practical periodontal plastic surgery practical serge dibart. The goal of periodontal surgery is to remove all necrotic tissues from the surgical site and facilitate the regeneration of hard and soft tissue along with the formation of new attachment apparatus 7.
Atlas of cosmetic and reconstructive periodontal surgery. Pdf bioactiveglass in periodontal surgery and implant. The american association of oral and maxillofacial surgeons aaoms, is a notforprofit professional association serving the professional and public needs of the specialty of oral and maxillofacial surgery, the surgical arm of dentistry. Pdf periodontal therapy in the form of nonsurgical and surgical procedures. Mar 21, 2020 periodontal regeneration versus extraction and dental implant or prosthetic replacement of teeth severely compromised by attachment loss to the apex. Postoperative complications after periodontal surgery international. O main objective of periodontal surgery is to contribute to the longterm preservation of the periodontium by facilitating plaque removal and plaque control jan lindhe o patient preparation is an important aspect of the intervention. C at 11 years after surgery, the root was fused with the adjacent hard tissue, similar to ankylosis. Anatomical considerations in periodontal surgery michael a. The significance of maintenance care in the treatment of periodontal. As clinicians, we should be able to diagnose the aetiology and provide the proper management of these complications without causing much of discomfort to the patients. Mild inflammation of the gums gingivitis can be prevented by regularly brushing and flossing teeth to remove plaque buildup of a film on the teeth. Incisions and tissue management in periodontal surgery raphael borchard, heinz erpenstein periodontal surgery is an essential part of modern periodontal therapy. You may be referred to a periodontist, a dentist who specializes in the treatment of diseases that affect the supporting structures of the teeththe gum and bone tissuefor treatment.
Mar 18, 2020 the following is a list of the most cited articles based on citations published in the last three years, according to crossref. Periodontal plastic surgery to improve aesthetics in patients. The article published by prichard in 1957 on treatment of. This study showed that periodontal plastic surgery including osseous resection leads to predictable outcomes in the treatment of altered passive eruptiongummy smile. Periodontal treatment protocol ptp for the general dental. Dentistry journal free fulltext regeneration of the. Journal of periodontal research wiley online library. The spongy bone has receded due to infection under tooth, reducing the bony support for the tooth. Radiograph showing bone loss between the two roots of a tooth black region.
Periodontal microsurgery is then introduced before the stepbystep description of the surgical procedures with their expected outcome. The aim of this book is to provide a comprehensive theoretical and practical guide to advanced surgical techniques in the field of plasticaesthetic periodontal and implant surgery. Bone graft used was gbone that consists of synthetic calcium hydroxyapatite in low crystalline form. Antimicrobial agents administered systemically or locally can help suppress periodontal pathogens in periodontal sites and in the entire mouth 5, 11. Periodontal retreatment in patients on maintenance following. In addition, considerations for implementation of adjunctive local delivery antimicrobials is presented. Periodontal regeneration versus extraction and dental implant or prosthetic replacement of teeth severely compromised by attachment loss to the apex. Radiographic and histologic evaluation of endo periodontal lesion. Explores the multitude of options in periodontal surgery with an emphasis on contemporary regenerative procedures. Using his own cases as illustrations, sato author and dental practitioner in japan elucidates clinically effective procedures step by step, comparing his clinical results to those of related studies, and comparing many therapeutic outcomes over time. Fundamental principles in periodontal plastic surgery and mucosal. Walter cohen an online journal of the american academy of periodontology. Complications after periodontal surgery mostly includes postoperative pain, bleeding, swelling, root hypersensitivity, delayed healing, trismus, bruising, taste changes.
Treating periodontal diseases american dental association. Periodontal list of high impact articles ppts journals. Periodontal surgery improves oral healthrelated quality of life in chronic periodontitis patients in asian population. The following is a list of the most cited articles based on citations published in the last three years, according to crossref. Results of this study showed that when periodontal surgical procedures were performed following strict asepsis, the. This applies not only to periodontal surgery but also to oral surgery and. Pdf the goal of a dental treatment is to achieve and maintain the optimal. Too often, teeth with deep periodontal pockets or furcational disease will be treated with closed root planing only, which is insufficient for treatment of these areas and will result in continued infection. Atlas of cosmetic and reconstructive periodontal surgery edward s. Periodontal disease patient information jama jama network. Evaluation of the role of antibiotics in preventing postoperative.
If the periodontal pockets are deep and the supporting bone is lost, surgery may be necessary to help prevent tooth loss. Periodontal diseases comprise a wide range of inflammatory conditions that affect the supporting structures of the teeth the gingiva, bone and periodontal ligament, which could lead to tooth. Apr 09, 2012 the purpose of this article is to limelight the benefit of periodontal microsurgery in the surgical disciplines. Surgical periodontal therapy with and without initial. Oral healthrelated quality of life and healthrelated quality of life instruments were used to assess the participants quality of life before surgery and 4 weeks after surgery. What appears as gentle handling of tissues is discovered to be gross crushing and tearing. A careful preoperative planning avoids unpleasant complications and enhances postsurgical stability of the gingival margin.
Original article periodontal surgery improves oral healthrelated. In academic publishing, a scientific journal is a periodical publication intended to. The journal of periodontal research is an international research periodical which publishes original investigations concerned with every aspect of periodontology and related sciences. Selection of the appropriate incision technique is one of the main preconditions for a complicationfree healing process involving minimum esthetic impairment. Periodontal surgery viewed under the microscope reveals the coarseness of most surgical manipulation. Practical periodontal plastic surgery begins by outlining the place and development of periodontal plastic surgery, and the factors, chiefly periodontal health, that affect surgical outcomes. B an endo periodontal lesion was filled with hard tissue. Impact factor listing for journals on dentistry, oral. Plaque makes acids and toxins that can make gums red or lead to bleeding of gums. Periodontal science evaluation of 2 techniques of epithelial removal in subepithelial connective tissue graft surgery. This stops the development of tartar hardened accumulation of. Nov 19, 2015 general principles of periodontal surgery dr.
There has been interest recently in the cost effectiveness of various health care treatment options, including nonsurgical periodontal therapy nspt and periodontal surgery. May 10, 2016 objectives and techniques of periodontal surgery objectives and methods of periodontal surgery objectives of periodontal surgery periodontal surgery comprises initial treatment, in which the original cause of periodontal disease is eliminated, and definitive surgery, in which an environ ment conducive to longterm health and maintenance is. The ultimate objective of periodontal surgical treatment is the long term preservation of the periodontium. Bioactiveglass in periodontal surgery and implant dentistry article pdf available in dental materials journal 345. The purpose of this study is to evaluate and compare, retrospectively, the outcome of two different periodontal regeneration procedures in patients suffering from aggressive periodontitis agp. Jun 21, 2019 the origin of granulation tissue and its impact on postoperative results of mucogingival surgery. The microscope is a tool that permits less traumatic and minimally invasive surgery. Pdf antibiotics and periodontal surgery researchgate. I would recommend this book to dental students studying periodontal surgery or to dentists in. Pdf incisions and tissue management in periodontal surgery. The major advantage of periodontal flap surgery is effective removal of periodontal infection while maintaining the diseased tooth. Overview in response to increasing concerns on the part of health care providers, thirdparty payers, and consumers about the quality, cost, and access to dental. Incisions and tissue management in periodontal surgery.
Pdf postoperative complications of periodontal surgery. Patients in this study had received periodontal treatment, which included. Anatomical considerations in periodontal surgery clarke. Periodontal disease unhealthy gums and teeth often reflects serious health risks. When periodontal pockets do not heal after scaling and root planing, surgery may be needed. While oral hygiene measures and conventional periodontal treatment were sufficient to control the gingival involvement of olp, patient education and awareness of triggering factors were important to control olp activity with the aid of topical corticosteroids. International journal of a pplied dental sciences 2017. Periodontal surgery can improve patients quality of life by alleviating the physical pain and psychological discomfort. The earlier rationale for osseous surgery was that the bone surface was. Postoperative complications occurring after periodontal surgery can be categorized as following. Antibiotics and periodontal surgery article pdf available in journal of indian society of periodontology 185.
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