What is gingivectomy: The term gingivectomy means excision of gingiva (Gingiva means the gum, which is the area around the root of a gingiva is. A gingivoplasty was performed 3 months postoperatively to achieve a . This procedure is becoming more common in the aging population using many of the . Feb 11, Gingivoplasty is a reshaping of the gingiva to create physiologic gingival In all reshaping procedures, electrode is activated and moved in a.
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The term gingivectomy means excision of gingiva Gingiva means the gum, which is the area around the root of a tooth.
Gingivectomy and Gingivoplasty – Athens, GA Periodontist
The gingiva is attached in part to the cementum of the tooth and in part to the alveolar bone. The gingiva is composed of mucosa that is designed for chewing to provides visibility and accessibility of the periodontal pocket for complete removal of irritating surface deposits and through smoothing of the roots. By removing diseased tissue and local irritants it also create a favorable environment for surgical healing and the restoration of physiological gingival contour.
Periodontal knives-For incision on facial and Ingual surface and distal to the terminal tooth. Start on the facial surface of the last tooth, carried forward without interruption, following the course of the pockets. The procedure is repeated on teh lingual surface. To avoid blood vessels and nerves of the incisive canal and also to produce a better postoperative gingival contour, the incision should carried along the side of the incisive papilla, not horizontally across it.
II In addition, a single incision is made across the edentulous ridge apical to the pockets on the teeth and close to the bone. If we excise the pocket separately, this will create gingival troughs. III Place the instrument deep in the incision in contact with the teeth surface and moves coronally with a slow, firm motion. After the pocket wall is excised and the field is cleaned, the following features should be observed.
I Remove the granulation tissue first by a curettage, so that hemorrhage from granulation tissue does not obscure the scaling operation. The curettage is guided along the tooth surface and under the granulation tissue, so that it is separated from the underlying bone. Removal of granulation tissue reveals either the surface of the underlying bone or a covering field of fibrous tissue. II Remaining calculus and necrotic cementum are removed and root surface is smoothed with a sealer and curettes.
III Cover the area with a gauze sponge folded in a U-shaped, and instructs the patient to bite on the pack until the bleeding stops. I Persistent bleeding should stop with a pled jet of cotton saturated with hydrogen peroxide. Because it interferes with adapation and setting of pack. II A moderate type of clot should have to be developed before pack applied. Because it protects the wound and provides a scaffolding for the new blood vessel and connective tissue.
III Excessive clot should be avoided, because it interfere with retention of pack and provide excellent media for bacterial growth. Artificial reshaping the gingiva to create physiological gingival contours is termed gingivoplasty. To correct the deformaties in the gingiva that interfere with normal food excretion, collect irritating plaque and food debris, prolong and aggravate the disease process.
Gingivectony is performed to eliminate periodental pocket and includes reshaping as part of the technique. Gingivoplasty is done with the sole purpose of recontouring the gingiva in the absence of pocket. Gingivoplasty and Gingivectomy Procedures Advertisement What is gingivectomy: Advertisement The term gingivectomy means excision of gingiva Gingiva means the gum, which is the area around the root of a tooth.
Elimination of suprabony coronal to crestal bone pockets, regardless of their depth, if the pocket wall is fibrous. Elimination of gingival enlargement.
Elimination of suprabony periodontal abscess. The need for bone surgery, even for examination of the bone shape and morphologic features. The location of the bottom of the pocket apical to the mucogingival junction.
The procedures are as follows: Resection of the gingiva.
Removal of the marginal and interdental gingiva. Appraise the field of operation. Removal of the granulation tissue and calculus. Placement of the periodontal pack. Marking of the pockets: Pockets surface are explored with pocket marker. Pockets are marked with a pocket marker.
The instrument is held with the marking end in line with the vertical axis of the tooth. The straight end is inserted to the base of the pocket. The level is marked pressing the pliers together and producing a bleeding point on the outside surface. Marking starting on the distal surface of the last tooth moves to the facial surface and proceeding anteriorly to the mid line. The procedure is repeated on the lingual tooth surface next to your tongue surface.
Each pocket is marked in several areas to out line it’s course on each surface. Based on individual experiences- i. Orban periodontal knives-For gingiivoplasty interdental incision, iii. II, 12 and scissors- For auxiliary use. Depends upon operators preference i.
Discontinuous or continuous incision for lingual and facial surface, ii. Distal incision for distal surface of the last tooth. Gongivoplasty on the facial surface at the distal angle of the last teeth, carried forward, following the course of the pocket and extending through the interdental gingiva to the distofacial angle of the next tooth. The next incision is begun where first one cross the interdental space, and is carried to the distofacial angle of the next gingiboplasty.
Individual incisions are repeated for each tooth to be operated on. Incision situating on the distal surface of the last eruptive teeth and connective the facial and lingual incision is called distal incision. It is made with a periodontal knives, inserting below the bottom of the pocket and is beveled so that it blends with the facial and lingual incision.
How tingivoplasty make the incision: The incision is started apical to the points marking the course of the pockets and Is directed coronally to point between the base of the pocket and the crest of the alveolar bone. Incision should be as close as possible to the bone, without exposing it, to remove the soft tissue coronal to the bone. Incision should be beveled at pap proximately 45 degree to the tooth surface. The incision should recreate the normal festooned pattern of the gingiva as far as possible, but not if this means leaving part of the pocket wall intact.
The incision should pass completely through the soft tissue of the teeth. If the incision seems to be inadequate, it should be corrected. Teeth adjacent to the edentulous areas: Pprocedure The usual incision are made on the facial and lingual surfaces. Removal of the marginal and interdental gingiva: I Start from the distal surface of the last eruptive teeth. II Detach it from the incision line with hoes and scalars.
Appraise the field of operation: After the pocket wall is excised and the field is cleaned, the following features should be observed- I Bead like granulation tissue.
II Calculus remnants closed to the pocket where it was attached. III Band like light zone on the root, where the base of the pocket was attached.
Gingivoplasty and gingivectomy | Our blog | Centres Dentaire Lapointe
IV Softening of the root surface due to cellular resorption and cementum protuberance. Remove the granulation tissue and calculus: Oral hygiene maintain and periodontal pack replacement: I Cheek every tooth surface for caluclus and other soft tissue. II Wash the area several times with warm water. The deformaties are- Gingival clefts and crater. Shelf like interdental papilla caused by acute necrotizing ulcerative givgivitis and Gingival enlargement.
Periodontal knife, a scalpel, rotatory coarse diamod stones. I Tapering the gingival margin. II Creating an escalloped gingiva. III Thinning the attached gingiva. IV Gingivplasty vertical groves and V Shaping the interdental papilla to provide sluiceway for the passage of food.
Gingivoplasty and Gingivectomy Procedures
Difference between gingivoplasty and gingivectomy: You may also be interested in. Post new comment Your name: The mouth – especially the teeth, lips, and tongue – is essential for speech.
So wouldn’t it be better to prevent cavities before they begin? Your mouth is a window into what’s going on in Simple, Cheap Way To Detect the Bone-Thinning Disease Osteoporosis Osteoporosis, which means “porous gjngivoplasty causes bones to become weak and brittle — so brittle that even mild stresses like bending over, lifting a vacuum cleaner or coughing can cause a fracture. Believe it or not, more than half of prrocedure have some form of gum disease.
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Do your gums bleed proecdure you floss or brush your teeth? Plaque is a tenacious adherent deposit that forms on tooth surface. It consist of an organic matrix containing a dense concentration of bacteria. Gum disease may even affect your unborn child. Home Privacy Contact The contents of this site are for informational purposes only.