Principles Of Periodontal Surgery
Principles Of Periodontal Surgery Short Essays
Question 1. Indications and contra-indications of Periodontal surgery.
Answer:
Periodontal surgery Indications:
- Irregular bony contours
- Mucogingival problems
- Deep pocket
- Infrabony pockets
- Grade 2 and 3 furcation
- Persistent inflammation
Periodontal surgery Contra-Indications:
- Advanced age
- Presence of systemic diseases
- Where conventional procedures can treat the case
- Inadequate patient motivation
- Presence of infection
- In case of poor prognosis.
Question 2. Enumerate Principles of Periodontal Surgery. (or) General Principles of Surgery.
Answer:
1. Preparation of Patient:
- A patient has to undergo the initial or preparatory phase of therapy (scaling and root planning)
Preparation of Patient Reason:
- Eliminates completely some lesion
- Makes the tissue more firm and consistent
- To obtain a good relationship between clinician and patient
2. General conditions:
- Premedication:
- Prophylactic use of antibiotics to prevent the infections
- Use of personal protective measures
- Use of prophylactic mouth rinser
- Sedation and Anaesthesia:
- To prevent pain during surgery
- Used in apprehensive patients
- Tissue management:
- Carry out the procedure as traumatically as possible
- Use of sharp instruments
- Suturing:
- For hemostasis
- Improves healing
- Reduces post-operative pain
- Prevents bone exposure
- 3. Complication management:
- Syncope
- Hemorrhage
Read And Learn More: Periodontics Question and Answers
Question 3. Periodontal pack/Periodontal dressing types.
Answer:
Periodontal dressing Types Zinc Oxide Eugenol Composition:
- Zinc acetate – Accelerator
- Asbestos – Binder
- Tannic acid
- Zinc oxide
- Eugenol
Example: Wondre-Pak
Periodontal dressing Disadvantages:
- Allergy to Eugenol
- Burning Sensation
- Erythematous area
Non-Eugenol Composition:
1. One tube:
- Zinc oxide
- Oil – Plasticity
- Gentle handling of tissues
- Gum – Cohesiveness
- Lorothiodol – Fungicide
2. Other tube:
- Coconut fatty acid
- Rosin
- Chlorophyll
3. Miscellaneous:
- Cyanoacrylate
Methacrylate Application:
Question 4. Suture materials used in surgery
Answer:
- Suture materials are classified as
1. Absorbable sutures:
- Natural-Surgical gut
- Synthetic- Polyglycolic acid- Dexon
2. Non absorable sutures:
- Natural- silk
- Synthetic- Prolene
Question 5. Dentin hypersensitivity.
Answer:
Hypersensitivity Definition:
- It is pain or sensitivity caused by opened dentinal tu- blues caused by attrition, abrasion, or cemental wear of teeth
Hypersensitivity Theories:
- Neural theory
- Odontoblastic theory
- Hydrodynamic theory
Hypersensitivity Management:
- At home
- Dentrifices are used
- In office
- Corticosteroid
- Varnishes
- Dentin bonding agents
- Fluoride compounds
- Restorative resins
- Patient’s education
Principles Of Periodontal Surgery Short Question and Answers
Question 1. Management of localized gingival bleeding.
Answer:
- Consult physician
- Carry out blood tests to rule out bleeding disorders
- Treat the cause
- Operate gently and carefully
- Use of sharp instruments
- Suture around the bleeding end
- Application of pressure
- Application of moist gauze soaked in sterile ice water for several minutes
- Use of local anesthesia with vasoconstrictor
- Use of hemostatic agents
- Gelfoam
- Oxidized cellulose
- Surgicel
Question 2. Types of periodontal dressing
Answer:
1. Zinc oxide eugenol Composition:
- Zinc acetate as an accelerator
- Asbestos as binder
- Tannic acid
- Zinc oxide
- Eugenol
2. Noneugenol Composition:
- One tube:
- Zinc oxide
- Oil for plasticity
- Gum for cohesiveness
- Lorothiodol as fungicide
- Other tubes:
- Coconut fatty acid
- Rosin
- Chlorophyll
- Miscellaneous:
- Cyanoacrylate
- Methacrylate
Question 4. Post-surgical Instructions.
Answer:
- To do
- Take medication
- Maintain pack for 1 week
- Chewing from non-operated area
- Application of ice
- Follow daily activities
- Not to do
- Avoid hot foods
- Avoid citric juices
- Avoid smoking
- Avoid brushing