PERIODONTAL FLAP 📌 POINTS TO PONDER : 🔸 Incisions are either coronally directed incisions (external bevel incision) or apically directed incisions (internal bevel, sulcular incision). 🔸 Undisplaced flap is considered as internal bevel gingivectomy. Undisplaced flap and gingivectomy procedures surgically remove the pocket wall. 🔸 Apically positioned flap surgery is one of the most reliable techniques […]
⭐ PERIODONTAL PLASTIC SURGERY 📌 POINTS TO PONDER 🔹Cut back incision is given at the distal corner of the lateral displaced flap into the alveolar mucosa, pointing in the direction of the recipient site. 🔹The free epithelial graft is usually covered by whitish mass, termed as ghost graft, which consists of sloughing epithelial cells after […]
GORLIN SYNDROME (Basal Nevus Cell Carcinoma Syndrome) ⭐IMPORTANT POINTS TO PONDER Gorlin syndrome is an autosomal dominant neurocutaneous (phakomatosis) disease characterized by a triad of multiple basal cell nevi, jaw odontogenic keratocysts, and skeletal anomalies. 🔹An odontogenic (primordial) keratocyst is a cyst that arises from a tooth before its calcification. 🔹It is most commonly located […]
TOPIC: FURCATION 📌 POINTS TO PONDER 🔹The dimensions of furcation entrance should be taken into consideration during the selection of instruments. 🔹Furcation defects of maxillary molars are more difficult to interpret on radiographs because of the superimposition of the large palatal root. 🔹In hemisection, two-rooted molar tooth is converted into two single-rooted teeth. 🔹Furcation is […]
📌 POINTS TO PONDER 🔹Father of Resective Osseous Surgery : Schluger 🔹Resective osseous surgery is the most predictable pocket reduction technique. 🔹Spheroiding or parabolizing: It is the removal of supporting bone to produce a positive gingival and osseous architecture. 🔹Scribing: It is the technique by which high-speed rotary instruments are used to outline the radicular […]
TOPIC: REGENERATIVE OSSEOUS SURGERY 📌 POINTS TO PONDER ⭐ Various stars healing are as follows: 🔹 One-star healing: Control of inflammation 🔹 Two-star healing: Long junctional epithelium 🔹 Three-star healing: New attachment 🔹 Four-star healing: Partial regeneration 🔹 Five-star healing: Complete regeneration ⭐ Root conditioning, now also called as chemically GTR. ⭐ The advantage of […]
TOPIC: PERIODONTAL SURGERY 📌 POINTS TO PONDER 🔹Causes of excessive bleeding during surgery include laceration of large blood vessels, incomplete removal of granulation tissue, hypertensive patient, bleeding disorder patient and patient on anticoagulant therapy. 🔹 If the surrounding tissue blanches, however, the suture is too tight, which may cause necrosis because of poor vascularization. 🔹 […]
TOPIC: SOFT AND HARD TISSUE LESSION 📌 POINTS TO PONDER 🔹Wickham striae – Interlacing white lines are the hallmark of Reticular oral lichen planus. 🔹Nikolsky’s sign is the hallmark of Pemphigus vulgaris. 🔹Target or iris lesions with central clearing are the hallmark of erythema multiforme. 🔹Pemphigus vulgaris lesions demonstrate a characteristic intraepithelial clefting or vesiculation […]
TOPIC: PERIODONTAL ABSCESS 📌 POINTS TO PONDER 🔹A Periodontal Abscess is defined as suppurative lesion associated with periodontal breakdown and localized accumulation of pus within the gingival wall of a periodontal pocket. 📣 CLASSIFICATION : 1. Depending on the location of the lesion : 🔺Periapical abscess 🔺Periodontal abscess 🔺Pericoronal abscess 2. Depending on the course of […]
TOPIC: PERIODONTAL POCKET 📌 POINTS TO PONDER 🔹Periodontal pocket is pathologically deepened gingival sulcus. 🔹Periodontal pocket is a soft-tissue change, thus can not be detected during radiographic examination. 🔹Biologic/histologic depth is the distance between the gingival margin and base of the pocket (coronal end of the junctional epithelium). 🔹 Clinical/probing depth is the distance between […]
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