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Periodontal surgery is designated to treat patient with pocket depth 6 mm. or deeper. The objectives of surgery are:- 1) To gain access to clean up the root surfaces 2) To eradicate the bacteria which the cause of periodontal diseases 3) To reduce the pocket depth 4) To regenerate the new periodontal apparatus. After the patients finish the initial treatment (SC & RP), the patient will be evaluated for periodontal surgery. The mouth is devided into 4 quadrants and therefore the maximum is 4 surgeries. One quadrant periodontal surgery under local anesthesia is approximately 30-45 minutes for Dr. Aubonrutt. The patient can choose to undergo surgery 1-2 quadrants and in selected cases a full mouth periodontal surgery can be done in single visit depending on the patient’s schedule. We also offer full mouth periodontal surgery under local anesthesia or under general anesthesia at the affiliated hospital or (Click Fear of Dental Treatment). Types of Surgery 1) Periodontal Flap Surgery is designed to achieve objective 1-3. It is the most widely used technic. 2) Osseous Surgery is designed for the disease that cause destruction to the supporting bone. It is considered a negative treatment since the surgery is involved in removal of the bony wall of the defect. This technic is popular the 70’s and mid 80’s. As a result, the patient would have “longer teeth”. However, the pocket will be illiminated quite effectively and some of the indications are still applicable at present. 3) Grafting and Regenerative Procedure is designed to regenerate the periodontal tissue that has been destroyed by the disease. Therefore, it is considered a positive treatment. However, the result of regeneration is sensitive to a number of factors and limited to a few milimeters. New research is directed to delvelop new materials and technics to facilitate tissue engineering. However, the cost of the new materials used in the regenerative procedures are sometimes cumbersome. Soft Tissue Graft :-
2)Allograft:- Processed Human bone from the accredited tissue banks, available in various forms and shapes. 3)Xenograft:- Processed Bovine Bone. Guided Tissue Regeneration :-The relatively new technic utilizing resorbable or non-resorbable membrane to regenerate the soft and hard tissue that has been destroyed by the periodontal disease.
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Periodontal
