GINGIVAL CURETTAGE

⭐ GINGIVAL CURETTAGE 📌 POINTS TO PONDER  🔹 Gingival curettage – Surgical procedure designed to remove the soft tissue lining of the periodontal pocket with a curette, leaving only gingival connective tissue lining.  🔹Inadvertent curettage – Curettage which is done unintentionally when scaling and root planing procedure is performed.  🔹Subgingival curettage – Procedure that is […]

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GINGIVECTOMY

⭐ GINGIVECTOMY 📌 POINTS TO PONDER 🔹Gingivectomy is defined as “an excision of the soft tissue wall of the periodontal pocket”. 🔹Failure to produce beveled incision leaves a broad plateau which takes more time than ordinarily required to develop the physiologic contour of gingiva, thus the incision should be beveled at approximately 45° to the tooth […]

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PERIODONTAL FLAP

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 […]

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PERIODONTAL PLASTIC SURGERY

⭐ 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 […]

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CONGENITAL DISEASE AND SYNDROMES – Radiological Guide

 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 […]

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FURCATION IN PERIODONTOLOGY

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 […]

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RESECTIVE OSSEOUS SURGERY

📌 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 […]

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REGENERATIVE OSSEOUS SURGERY

 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 […]

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GENERAL PRINCIPLES OF PERIODONTAL SURGERY

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.  🔹 […]

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Soft and Hard Tissue Lesions

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 […]

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