THIRD MOLAR EXTRACTION FLAP DESIGNS: A Guide to Optimal Access & Minimal Trauma

IMPORTANT REVISION NOTES ๐Ÿ“Œ INTRODUCTION: ๐Ÿ”นSurgical extraction of third molars (wisdom teeth) often requires carefully planned flap designs to ensure optimal access, visibility, and minimal trauma. A well-designed flap provides adequate exposure while preserving blood supply and ensuring smooth post-operative healing. ๐Ÿ’กIn this blog, we will discuss the most commonly used flap designs for third […]

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INTERDISCIPLINARY APPROACH PERIO-PSYCHIATRY

๐ŸŒŸ PERIODONTICS-PSYCHIATRY RELATIONSHIP ๐Ÿ“Œ POINTS TO PONDER ๐Ÿ”นPsychosomatic disorder in the oral cavity may be caused by either the development of habits that injure theย periodontium, or the direct effect of the autonomic nervous system. ๐Ÿ”นPsychosocial factors can modify the periodontal status through behavioural changes regarding oral hygiene, smoking, dietary intake, bruxism and drug use. ๐Ÿ”นFour […]

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INTERDISCIPLINARY APPROACH PERIO-ORAL SURGERY

๐ŸŒŸ PERIODONTICS-ORAL SURGERY RELATIONSHIP ๐Ÿ“Œ POINTS TO PONDER ๐Ÿ”นTeeth should be extracted in an atraumatic manner to conserve alveolar bone. ๐Ÿ”นClinicians should avoid applying pressure at the crest of the socket to compress the rim of the alveolar bone as it results in the collapse of the remaining buccal plate of the bone and also […]

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INTERDISCIPLINARY APPROACH PERIODONTICS-ORTHODONTICS RELATIONSHIP

PERIODONTICS-ORTHODONTICS RELATIONSHIP ๐Ÿ“Œ POINTS TO PONDER ๐Ÿ”นThe effects of orthodontic treatment on periodontium are: โ€“ Favors plaque accumulation โ€“ Modifies the gingival ecosystem โ€“ Gingival recession and hyperplasia โ€“ Excessive force causes necrosis of periodontal ligament and alveolar bone. ๐Ÿ”นAfter 4โ€“6 weeks of regenerative osseous therapy, orthodontic treatment can be initiated. ๐Ÿ”นPAOO is contraindicated in […]

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INETERDISCIPLINARY APPROACH PERIO-RESTORATIVE

๐ŸŒŸ PERIO-RESTORATIVE RELATIONSHIPย  ๐Ÿ“Œ POINTS TO PONDER ๐Ÿ”นOver contoured crowns and restorations accumulate plaque and prevent self-cleansing mechanism of adjacent cheek, lips and tongue. ๐Ÿ”นOverhanging can be removed with the help of files, enamel shavers or EVA prophylaxis system. ๐Ÿ“ฃ Periodontal Considerations In Restorative Dentistry ๐Ÿ”ธMargins of restorations ๐Ÿ”ธGingival management for making impressions ๐Ÿ”ธContour of […]

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INTERDISCIPLINARY APPROACH PERIO-PROSTHO RELATIONSHIP

TOPIC: PERIO-PROSTHO RELATIONSHIP ๐Ÿ“Œ POINTS TO PONDER ๐Ÿ”นCrown-lengthening surgery is the surgical procedure which exposes adequate clinical crown to prevent theย  placement of the crown margin into the area of the biologic width.ย  ๐Ÿ”นBiologic width is defined as the dimension of healthy gingival tissue, which is attached to the tooth coronal to the crest of […]

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INTERDISCIPLINARY APPROACH PERIO-ENDO RELATIONSHIP

ย ๐ŸŒŸ PERIO-ENDO RELATIONSHIP ๐Ÿ“Œ POINTS TO PONDER ๐Ÿ”นPeriodontal probing, pulp vitality test and radiographs are the cornerstones for diagnosis and classifying endo-perio lesions. ๐Ÿ”นWhen fistula with gutta percha point is traced to radiograph apex, then endodontic etiology can be considered. ๐Ÿ”นWhen fistula with gutta percha point is traced to midroot, then periodontal etiology/ pulpal necrosis […]

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INTERDISCIPLINARY APPROACH IN PERIODONTOLOGY- PERIO-PROSTHO RELATIONSHIP

ย ๐ŸŒŸ PERIO-PROSTHO RELATIONSHIP ๐Ÿ“Œ POINTS TO PONDER ๐Ÿ”นCrown-lengthening surgery is the surgical procedure which exposes adequate clinical crown to prevent theย  placement of the crown margin into the area of the biologic width.ย  ๐Ÿ”นBiologic width is defined as the dimension of healthy gingival tissue, which is attached to the tooth coronal to the crest of […]

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CHEMOTHERAPEUTIC AGENTS

โญ CHEMOTHERAPEUTIC AGENTS ๐Ÿ“Œ POINTS TO PONDER ๐Ÿ”นPin Cushion Effect- One charged end of chlorhexidine (CHX) molecule binding to the tooth surface and the other remaining available to interact with bacterial membrane as microorganism approaches the tooth surface as pin-cushion effect. ๐Ÿ”นSubstantivity of CHX is around 12 hrs. ๐Ÿ”นSubstantivity of Triclosan is around 5 hrs. […]

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TREATMENT PLAN

โญ TREATMENT PLAN OF PERIODONTOLOGYย  ๐Ÿ“Œ POINTS TO PONDER ๐Ÿ“ฃ Sequence of periodontal therapy: ๐Ÿ”นEmergency/preliminary phase. ๐Ÿ”นPhase I:ย  Etiotropic phase. ๐Ÿ”นPhase II:ย  Surgical phase. ๐Ÿ”นPhase III:ย  Restorative phase. ๐Ÿ”นPhase IV:ย  Maintenance phase. ๐Ÿ“ฃ PALLIATIVE TREATMENT ๐Ÿ”บFollowing are the candidates for palliative treatment: ๐Ÿ”นPatients with short-life expectancy either due to advanced age/systemic diseases with poor survival […]

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