Performed when the existing tooth structure is inadequate to support a necessary
restoration (decay below the gingival margin):
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functional crown lengthening
,Grafting materials from a framework outside the graft during the formation of the new
bone:
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Osteoconduction
Type of plastic surgery used to augment width of the attached gingiva and cover
areas, or recession, of the gingival margin:
Requires harvesting donor section of tissue, usually from the palate. Includes surface
epithelium and underlying connective tissue.
Two wounds - donor site and recipient site.
Healing usually results in successful augmentation of the gingiva and coverage of
roots. Color match at donor site is not ideal. (May appear lumpy and thick)
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Free Soft Tissue Autograft (Free Gingival Graft)
_________ is inflammation around the implant
- osseointegration is lost
- can be seen on radiographs
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Peri implantitis
, Being studied for it's possible ability to enhance the healing process:
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Platelet rich plasma (PRP)
Special considerations for the dental hygienist with a Gingivectomy:
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- healing phase can be very uncomfortable for the patient
- can be managed with a periodontal dressing over the wound
- prescribe analgesics
- dressing may need to be changed several postsurgical visits until total
epithelization has occurred (connective tissue totally covered by the
epithelium)
light amplified by stimulated emission of radiation, focuses a beam of light of a single
wavelength at a periodontal site. Can incise am coagulate soft tissues with efficiency.
Has the capability to stimulate periodontal regeneration:
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Laser therapy
Synthetic bone-like material:
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