Perio surgery


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perio surgery
treatment procedure

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Perio surgery

  1. 1. An operative procedure used to treat disease or repair abnormalities in the tissues of the teeth and surrounding areas.
  2. 2. • To eliminate all etiologic factors • Reduction of pocket depths • Reduction in gingival inflammation • Prevent the recurrent of the disease • Prevent further advancement of the disease.
  3. 3.   • • • • • • • • • • • • • • • Basic instruments Cotton pliers Periodontal probe Periodontal pocket marker Periodontal knife Periodontal scalers and files Betadine 10% Needle gauge 27 Anesthesia (lidocaine epinephrine 2% 1:80000) Dappen dish Cotton balls Cotton balls with gauze syringe Suturing needle Hemostat Surgical scissor Austin retractor Gum separator NSS Orahex (chlorhexidine) Scalpel Suction machine and tip Mucoperiosteal elevator Tissue forcep neddle holder Surgical blade 15 Disposable syringe Topical gel
  4. 4. 1. Deep pockets where complete removal of root irritants is not possible, especially in inaccessible areas like incisors and premolars areas 2. In case of Grade II and III Involvement 3. Persistent inflammation in areas with moderate and deep pockets
  5. 5. • All conditions that could be considered contraindications for oral surgery concerning the age of the patient and general health problems, such as severe cardiovascular diseases, Hypertension, uncontrolled diabetes, leukemia, tuberculosis, etc. • In patients of advanced age where teeth may last for life without resorting to radical treatment • Where thorough subgingival scaling and good home care will remove or control the lesion • Where patient motivation is inadequate • In the presence of infection • Where the prognosis is so poor that tooth loss is inevitable
  6. 6. Mefenamic acid (500mg) Disp. #2 Take 1 cap 1 hour before the treatment to lessen pain. Amoxicillin (500mg) Disp. #1 Take 1 cap 1 hour before the treatment to prevent infection. Tranexamic acid (500mg) Disp. #1 Take 1 cap 1 hour before the treatment to prevent excessive bleeding.
  7. 7. • • Preliminary phase – Treatment of emergencies – Rechecking • Dental or periapical • Pocket depth and gingival inflammation • Periodontal – Extraction of hopeless teeth • Phase phase) I therapy(etiotropic calculus and – Correction of restorative and prosthetic irritational factors – Excavation restoration • Plaque and calculus • Phase II therapy(Surgical Phase) – Periodontal Surgery – Plaque control – Removal of root planing Evaluation of response to phase I of caries and • Phase III therapy (maintenace phase) – Periodic checking recall visits, • Plaque and calculus • Gingival condition (pockets, inflammation) • Tooth mobility
  8. 8. 1. Anaesthetized infiltration the area using local 2. Pockets marking. 3. Removal of the marginal and interdental gingiva. 4. Appraise the field of operation. 5. Removal of the granulation tissue and calculus(Scaling and root planing). 6. Perform hygiene procedure and Placement of the periodontal pack.
  9. 9. • Relax after surgery. Physical activity may increase bleeding. • Have a soft diet and gradually add solid foods to your diet as healing progresses. • Do not drink alcohol or hot fluids such as tea or coffee and avoids spicy foods until the gum is fully healed. • After the first day, gently rinse your mouth with warm salt water several times a day to reduce swelling and relieve pain. • Avoid rubbing the area with your tongue or touching it with your fingers.
  10. 10. Mefenamic acid (500mg) Disp. #6 Sig. Take 1 cap every 6 hours with full stomach for pain (p.r.n) Amoxicillin (500mg) Disp. #21 Sig. Take 1 cap every 8 hours for 7 days to prevent infection. Tranexamic acid (500mg) Disp. #1 Take 1 cap incase of excessive bleeding