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The flap is re-approximated, and the first suture should be placed in the interdental papilla. [2] After suturing the flap, a sterile damp gauze should be compressed on the wound for several minutes; an ice pack can be used (15 minutes on, 30 minutes off) by the patient. Sutures should be removed two to four days after surgery, depending on ...
A comparison of the outcome of periradicular surgery in teeth that had previously undergone surgical treatment versus teeth that were undergoing a surgical procedure for the first time showed that, after 5 years, 86% of surgically treated teeth healed with complete bone filling of the surgical cavity while only 59% of resurgically treated teeth ...
The procedural selection in a periodontal surgery should rely on simplicity, predictability, efficiency, Mucogingival considerations, osseous topography, anatomic and physical limitations, age and systemic factors. [1] The incisions should be clear, smooth, and well-defined to minimize the healing time.
The use of lasers in treating periodontal disease has been seen by some dental professionals as controversial. [6] The American Academy of Periodontology stated in 1999 that it was "not aware of any randomized blinded controlled longitudinal clinical trials, cohort or longitudinal studies, or case-controlled studies indicating that 'laser excisional new attachment procedure (or Laser ENAP)' or ...
Gum grafting, also known as a gingival graft or periodontal plastic surgery, is a surgical procedure to reverse gum recession. Gum recession exposes the roots of teeth, [9] which can lead to sensitivity and put teeth at a higher risk of damage or disease [10] due to the loosening of their attachment within the gums and bones of the jaw.
It can assist in periodontal healing and reduce periodontal pocketing by changing the subgingival ecological environment. [44] Prevention of periodontal disease and maintenance of the periodontal tissues following initial treatment requires the patient's ability to perform and maintain effective dental plaque removal. [ 44 ]
Periodontitis is very common, and is widely regarded as the second most common dental disease worldwide, after dental decay, and in the United States has a prevalence of 30–50% of the population, but only about 10% have severe forms. Chronic periodontitis affects about 750 million people or about 10.8% of the world population as of 2010. [86]
One type of procedure that can be executed is as follows: Removal of excess tissue under anesthesia through an internal bevel gingivectomy or undisplaced flap followed by gingivoplasty and continuous sling suture placements and periodontal dressing; after about a week of recovery after the surgery, remove sutures and periodically do ...