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GINGIVAL   CURETTAGE PARTH M THAKKAR DENTOMEDIA
   gingival curettage    curette    subgingival curettage
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
   gingival curettage    subgingival curettage
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],a. removal of pocket lining b. subgingival  curettage
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ay also eliminate all o
Ultrasonic curettage-  using ultrasonic devices ultrasonic vibrations disrupt ts continuity & lift off the epithelium results in a narrow band of necrotic ts  ed infl n  & less removal of C.T These inst’s are not as effective as hand inst’s in  removing c.t. & leaving a smooth pocket wall Chemical curettage-  using caustic drugs sodium sulfide alk sodium hypochlorite phenol These were discarded after studies showed their  ineffectiveness The extent of ts destruction cannot be controlled They may    rather than reduce the amount of ts to be  removed by enzymes & phagocytes
HEALING:    immediately after curettage, a bld clot fills the  pocket area ( this is organized into granul n  ts) haemorrhage in ts (dilated cap’s) &    PMNL’s on  wound surface    rapid proliferation of granul n  ts    ts maturation (   smal bld vs)    epithelization of sulcus takes 2-7 days CLINICAL APPEARANCE: immediately after curettage, gingiva appears hemorrhagic &  bright red after 1 wk, gingiva is slightly redder than normal   apical shift in position of marginal gingiva after 2wk, normal color, contour, consistency, s.t.  gingival margin well adapted
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Gingival curettage

  • 1. GINGIVAL CURETTAGE PARTH M THAKKAR DENTOMEDIA
  • 2.  gingival curettage  curette  subgingival curettage
  • 3.
  • 4.  gingival curettage  subgingival curettage
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 12. Ultrasonic curettage- using ultrasonic devices ultrasonic vibrations disrupt ts continuity & lift off the epithelium results in a narrow band of necrotic ts  ed infl n & less removal of C.T These inst’s are not as effective as hand inst’s in removing c.t. & leaving a smooth pocket wall Chemical curettage- using caustic drugs sodium sulfide alk sodium hypochlorite phenol These were discarded after studies showed their ineffectiveness The extent of ts destruction cannot be controlled They may  rather than reduce the amount of ts to be removed by enzymes & phagocytes
  • 13. HEALING:  immediately after curettage, a bld clot fills the pocket area ( this is organized into granul n ts) haemorrhage in ts (dilated cap’s) &  PMNL’s on wound surface  rapid proliferation of granul n ts  ts maturation (  smal bld vs)  epithelization of sulcus takes 2-7 days CLINICAL APPEARANCE: immediately after curettage, gingiva appears hemorrhagic & bright red after 1 wk, gingiva is slightly redder than normal apical shift in position of marginal gingiva after 2wk, normal color, contour, consistency, s.t. gingival margin well adapted
  • 14.

Editor's Notes

  1. con