Over time these pockets become deeper and create more room for bacterial plaque to form and invade under the gum. The controversy surrounding the removal or reshaping of supporting bone is discussed. Osseous surgery memphis tn periodontal associates of memphis. Read on to learn more about the osseous gum surgery, is it. However, for those for whom lanap is not an option, osseous surgery may still be the best choice. We want your treatment recovery to be as comfortable as possible.
Resective osseous surgery osseous surgery may be defined as the procedure by which changes in the alveolar bone can be accomplished to rid it of deformities induced by the periodontal disease process or other related factors, such as exostoses and tooth supra eruption. Periodontal resective treatment modalities aiming at pocket elimination apically positioned flap with osseous resective surgery will result in an immediate surgical. Osseous resective surgery is a welldocumented treatment approach that aims at the elimination of residual periodontal pockets associated with shallow intrabony defects prevalently located at the. Pdf soft tissue regrowth following fiber retention osseous. Osseous surgery may be defined as the procedure by which changes in the alveolar bone can be accomplished to rid it of deformities induced by the periodontal disease process or other related factors, such as exostoses and tooth supra eruption additive or subtractive additive osseous surgery includes procedures directed at estoring the alveolar bone to its. The aim of this study is to test a surgical protocol including flap surgery and osseous resective surgery to improve aesthetics in patients with ape at upper anterior teeth. Osseous surgery, also known as pocket depth reduction, is a relatively new method of treating periodontal disease. After the first 24 hours, rinse twice a day with listerine or the prescribed rinse. Osseous resective surgery necessitates following certain guidelines for proper recontouring of the alveolar bone and proper management and positioning of the. Osseous surgery champaign il, infected gums charleston. Use the link below to share a fulltext version of this article with your friends and colleagues. Osseous resective surgery university of toronto faculty. Osseous surgery removes the infected gum tissue and diseased bone, making the area easier to maintain and stops the periodontal disease from getting worse.
Osseous resectiona basic principle in periodontal surgery. Oral health is an important component of being healthy in general. Patients were enrolled at the department of periodontology, university of. A comprehensive periodontal examination is necessary in order to determine whether osseous resective surgery can be used as a potential treatment modality. Patients with a diagnosis of moderate to advanced or refractory periodontal disease when less invasive therapy i. If osseous resective surgery is used in advanced lesions, a compromise in the amount of probing depth continue reading. The osseous surgery procedure at central ohio periodontics.
Periodontal plastic surgery to improve aesthetics in. Osseous surgery periodontist central ohio periodontics. Osseous resective surgery is the combined use of both osteoplasty and ostectomy to reestablish the marginal bone morphology around the teeth to resemble. Osseous resective surgery request pdf researchgate. Hard tissue management osseous resective surgery reshapes the abnormal inverted bone topography, caused by periodontitis, to a form that resembles the normal physiological positive architecture.
The role of resective periodontal surgery in the treatment of furcation defects. About book practical osseous surgery in periodontics and implant dentistry is a stepbystep manual that guides readers through osseous surgery procedures for treating periodontal issues as well as for ensuring proper anchorage of dental implants. I ach of these factors must be controlled to the best of the clinicians ability to obtain the optimal result, making osseous resective surgery an extremely precise technique. You will probably have some discomfort when the anesthesia wears off. Flap and osseous surgery postoperative instructions plano, tx. A historical opinion article based on 10 years of experience with osseous resection.
Osseous surgery by definition is a dental procedure in which periodontist or oral surgeon removes and reshapes gum tissue and jaw bone affected by periodontal disease to a more ideal contour. Do not eat anything until the anesthesia wears off, as you might bite your lips, cheek, or tongue and cause damage. Pocket elimination after osseous resective surgery. Osseous surgery procedure recovery time and cost remedy land. An experimental study of a surgical technique which aids in repair of periodontal tissues to their original. It has limited use in treating cases with very deep intrabony or hemiseptal defects, which should be treated with a different surgical approach. Recently, a novel surgical approach using the piezoelectric. Flap surgery is, by far, the most common surgery used in periodontal therapy. Resective periodontal surgery is a technique used for pocket elimination. More advanced cases of periodontal disease involve gum pockets that are too deep to clean without reflecting back the gum tissue for access. Although this is still an effective way of treating gum disease, new and more sophisticated procedures are used routinely today, such as osseous surgery, or pocket reduction healthy bone and gum tissue fit snugly around the teeth. Pdf soft tissue regrowth following fiber retention.
Osseous gum surgery nyc new jersey top periodontists. Associate professor of periodontology and oral pathology, school of dentistry, university of southern california, beverly hills, california. Indications and endpoints of osseous resective surgery residual pockets following causerelat. An alternative to osseous surgery is the laser assisted new attachment procedure lanap, which typically results in less gum shrinkage and tooth sensitivity, and a more even look. The objective is to facilitate debridement of root surfaces through access. If you have periodontal disease, the bacteria in your mouth can carry easily to other. Much like a turtleneck tightly encircling your neck, your bone and gum tissue should fit snugly around your teeth. Osseous resective surgery is the most predictable pocket reduction technique. Osseous surgery osseous surgery is indicated for the following. A careful survey of all the techniques for gingivectomies has revealed that each of these named operations has its special application in which it is peculiarly the best. Practical osseous surgery in periodontics and implant.
They may also be indicated when there is a need to expose or lengthen the clinical crown for the. Osseous resective surgery is the most predictable surgical treatment modality for achieving stable pocket reduction1. Osseous surgery postoperative instructions champaign il. Resective surgery is indicated for the removal of excessive soft periodontal tissue on the gingival margin gingivectomy in pseudopockets, or when there is no loss of. The results from osseous resective surgery are technique sensitive. These holes can eventually cause teeth to loosen and fall out or to require surgical extraction. Osseous surgery additive resective bone grafts gtr osteoplasty ostectomy. View the article pdf and any associated supplements and figures for a period of 48 hours. The aim of resective procedures is the reestablishment of a healthy periodontium at a reduced level, accepting.
Examination and treatment planning associated with osseous resective surgery. Osseous resective surgery is a highly effective procedure in the treatment of periodontitis and is the best way to ensure healthy gums and bones which support your teeth and prevent tooth loss. Besides the treatment of intrabony and hemiseptal defects, osseous resective surgery is also utilized in preprosthetic, restorative and cosmetic surgery to increase the clinical crown length andor to reestablish an adequate zone of. The aim of this study was to assess soft tissue regrowth following fiber retention osseous resective surgery fibreors or osseous resective surgery ors over a 12month healing period. This case report evaluated the longterm effects of osseous resective therapy in the treatment of a patient with moderately advanced periodontal disease. Follow these postop instructions after flap and osseous surgery with dr. Pdf this case report evaluated the longterm effects of osseous resective therapy in the treatment of a patient with moderately advanced periodontal. Periodontal osseous surgery postoperative instructions antibiotic if an antibiotic has been prescribed, start taking it the first day unless directed otherwise and use to completion. If osseous resective surgery is used in advanced lesions, a compromise in the amount of probing depth reduction should be expected. Click here to download and print out osseous surgery post operative instructions. Not only is having a clean mouth necessary for being able to eat comfortably and your appearance, it is also needed for reducing your risk of infection. You can reduce stomach upset by taking it with food andor plenty of liquid. Three databases pubmed, embase and cochrane were searched up to january.
When there are no pockets left in the gums, it will make it easier for the patient to remove the bacteria by brushing, flossing and the use of. Periodontal osseous surgery postoperative instructions. While this procedure at called surgery, it really is more like a very thorough cleaning. Osseous resective surgery necessitates following certain guidelines for proper recontouring of the alveolar bone and proper management and positioning of the gingival tissues. Historically, periodontitis has been treated by resective techniques to reduce probing depths. Periodontal plastic surgery to improve aesthetics in patients with altered passive eruptiongummy smile. Rose and mealey, resective osseous surgery, pg no 502552. Osseous resective surgery can be defined as a procedure to modify osseous support either by reshaping the alveolar bone to achieve physiologic form without the removal of supporting bone osteoplasty andor by the removal of some alveolar bone ostectomy, thus changing the position of the crestal bone relative to the tooth root2. Traditionally, gum disease has been treated by trimming away infected gum tissue and recontouring the uneven bone tissue. Request pdf osseous resective surgery osseous resective surgery necessitates following certain guidelines for proper recontouring of the alveolar bone and. Osseous resective surgery university of toronto faculty of. These instructions will assist you in caring for your mouth following periodontal surgery. Traditionally, periodontal surgical procedures such as osseous resective surgery and open flap debridement have been used as a treatment modality in order to control the progression of periodontal disease. Thirty patients with chronic periodontitis showing persistent.
When you have periodontal disease, supporting tissue and bone around the teeth are destroyed and pockets develop. Osseous surgery is necessary to clean those pockets to prevent the spread of bacteria, which can cause bone loss. Osseous surgery is designed to get rid of the deep pockets in order to preserve the affected teeth and. Randomized clinical trial accepted article soft tissue regrowth following fiber retention osseous resective surgery or osseous resective. Usually, the whole affected area is treated at one time, so there is minimal chance of reinfection. How have the principles of both hard tissue resection and soft tissue management changed over time. Read osseous resective surgery, periodontology 2000 on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. To present the principles of osseous resection in periodontal surgery.
Periodontic surgery an overview sciencedirect topics. Methods of osseous resective surgery periodontal disease. Traditionally, manual or motor driven instrument are used to perform osseous surgery, but both have their own advantage and disadvantages. Radiographs are more accurate in assessing mandibular craters than maxillary, there is no difference in disease resistance between connective tissue attachment and long junctional epithelium. Osseous resective surgery patients at the faculty of.
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