Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Lecture 13
Chapter 29
| Term | Definition |
|---|---|
| resective | procedures that simply cut away and remove some of the periodontal tissues |
| indications for perio surgery | provide access for instrumentation, reduce pocket depths, access to osseous defects, resect or remove tissues, regenerate the periodontium, graft bone, improve appearance, enhance prosthetic dental care, placement of implant |
| osseous defect | a deformity in the alveolar bone usually resulting from periodontitis. |
| relative contraindications | conditions that may make periodontal surgery inadvisable for some patients, i.e., uncontrolled high blood pressure |
| types of wound healing | repair, reattachment, new attachment, regeneration |
| repair | healing of a wound by formation of tissues that do not precisely restore the original architecture or original function of the body part, i.e., scar on finger; formation of a long junctional epithelium |
| reattachment | healing of a periodontal wound by the reunion of the connective tissue and roots where these two tissues have been separated by incision or injury but not by disease; i.e., need to move healthy tissue for access |
| new attachment | the union of a pathologically exposed root with connective tissue or epithelium where periodontitis previously destroyed the attachment |
| regeneration | the architecture and function of lost tissue is completely restored of lost cementum, perio ligament, and alveolar bone |
| degree of wound closure | primary intention, secondary intention, tertiary intention |
| primary intention | the wound margins or edges are closely adapted to each other, i.e., stitches in your finger |
| secondary intention | the margins or edges of the wound are not closely adapted (the 2 wound edges are not in close contact with each other). |
| tertiary intention | healing of a wound that is temporarily left open with the specific intent of surgically closing that wound at a later date. This type of healing is not a normal type of healing for perio procedures. |
| periodontal flap | incisions are made in the gingiva or mucosa to allow for separation of the surface tissues (epi & CT) from underlying roots and alveolar bone |
| elevation | this term is used to convey the concept of lifting the tissues away from the tooth roots and bone |
| full thickness flap or mucoperiosteal flap | includes elevation of entire thickness of the soft tissue including epi, CT, and periosteum revealing the bone |
| blunt dissection | the flap is lifted or pried up using periosteal elevators that are blunt to prevent damage to the flap |
| partial thickness flap | elevation of only the epi and thin layer of underlying CT rather than the entire thickness which would include the periosteum |
| sharp dissection | used for a partial thickness flap, requires incising the epi from the CT leaving the periosteal tissues covering the bone |
| nondisplaced flap | a flap that is sutured with the margin of the flap at its original position in relationship to the CEJ on the tooth |
| displaced flap | a flap that is sutured with the margin of the flap placed at a position other than its original position in relationship to the CEJ of the tooth |
| horizontal incisions | incisions that run parallel to the gingival margins in a mesiodistal direction |
| crevicular incision (sulcular incision) | surgical scalpel is carefully placed into the gingival crevice or sulcus and the tissues are incised apically to bone |
| internal bevel incision | surgical scalpel enters the marginal gingiva but is not placed directly into the crevice or sulcus; the blade enters the gingival margin .5 to 1.0 away from the margin and follows the general contours of the scalloped marginal gingiva |
| vertical incisions | incisions that run perpendicular to the gingival margin in an apicoocclusal direction |
| flap for access (modified Widman flap surgery) | to provide access to the tooth roots: tissue is incised and temporarily elevated from the tooth roots, provides excellent access for instrumentation and adaptation of healthy CT to the debrided tooth roots |
| open flap debridement | a periodontal procedure similar to the Widman's flap but with more extensive flap elevation to the roots and all alveolar bone defects |
| osseous resective surgery (periodontal osseous surgery) | having to do with surgery involving the alveolar bone |
| ostectomy | refers to removal of alveolar bone that is actually attached to the tooth |
| osteoplasty | refers to reshaping the surface of alveolar bone without actually removing any of the supporting bone |
| apically positioned flap with osseous resective surgery | surgical procedure involving a combination of a displaced flap plus resective osseous surgery |
| bone replacement graft | surgical procedure used to encourage the body to rebuild alveolar one hat has been lost usually as a result of periodontitis |
| osteogenesis | term used to describe the potential for new bone cells and new bone to form following bone grafting |
| osteoconductive | grafts where the grafting material form a framework for bone cells existing outside the graft to use to penetrate the graft during the formation of new bone |
| osteoinductive | grafts where the actual cells within the grafting material are converted into bone forming cells, and these cells then form the new bone |
| autografts | bone replacement materials taken from the patient who is receiving the graft |
| allografts | bone replacement grafts taken from individuals who genetically dissimilar to the donor (another human) |
| xenografts | bone replacement grafts taken from another species such as bovine bone |
| alloplasts | bone replacement grafts that are synthetic materials or inert foreign materials |
| guided tissue regeneration | periodontal surgical procedure employed to encourage regeneration of lost periodontal structures - cementum, PDL, alveolar bone; typically uses barrier membranes to delay rapid growth of epithelium |
| periodontal plastic surgery | surgery that is directed toward correcting problems with attached gingiva, aberrant frenum or vestibular depth |
| mucogingival surgery | surgical procedures that alter the relationship between gingiva and mucosa |
| free gingival graft | requires harvesting a donor section of tissue usually from the palate so there are two wounds: the donor site and the recipient site |
| subepithelial connective tissue graft | used to augment the width of attached gingiva and to cover areas of recession; uses connective tissue without the epithelium |
| laterally positioned flap | involves a displaced flap (laterally) taken from an adjacent tooth that is thick and healthy |
| coronally positioned flap | used to repair recession if it is not advanced |
| semilunar flap | used to repair recession if it is not advanced, used where the keratinized tissues have an adequate thickness |
| frenectomy | removal of a frenum including removal of the attachment of the frenum to the bone |
| crown lengthening surgery | surgery designed to create a longer clinical crown for a tooth by removing some of the gingiva and usually by removing some alveolar bone from the necks of the teeth |
| functional crown lengthening | crown lengthening performed on a tooth where the remaining tooth structure is inadequate to support a needed restoration |
| esthetic crown lengthening | crown lengthening performed on teeth to improve the appearance of the teeth where there is excessive gingiva or a "gummy smile" |
| gingivectomy | procedure designed to excise and remove some of the gingival tissue |
| gingival curettage | procedure that involves an attempt to scrape away the lining of the pocket usually with a periodontal curette |
| periodontal microsurgery | periodontal surgery performed with the aid of a surgical microscope |
| periodontal dressing (periodontal pak) | protective material applied over a periodontal surgical wound |
Created by:
schubring