Gingivectomy and Gingivoplasty...Gingivectomy • The excision of a portion of the gingiva; usually...
Transcript of Gingivectomy and Gingivoplasty...Gingivectomy • The excision of a portion of the gingiva; usually...
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Gingivectomy and Gingivoplasty
Hamad Alzoman, BDS, M.S.Diplomate, The American Board of Periodontology
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Gingivectomy• The excision of a portion of the
gingiva; usually performed to reduce the soft tissue wall of a periodontal pocket
Glossary of Periodontal Terms 4rth Edition. The American Academy of Periodontology.
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Gingivoplasty• A surgical reshaping of the gingiva.
Glossary of Periodontal Terms 4rth Edition. The American Academy of Periodontology.
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Gingivectomy Gingivoplasty
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Indications• Elimination of periodontal pocket 3-5
mm• Elimination of gingival enlargement • Asymmetrical or unaesthetic gingival
topography• Suprabony pockets which need access
for restorative dentistry
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• Elimination of periodontal pocket 3-5 mm
X X
Indications
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Indications• Elimination of gingival enlargement
Localized Generalized
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IndicationsAsymmetrical or unaesthetic gingival
topography
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Indications• Suprabony pockets which need access
for restorative dentistry
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Contraindications
• Presence of intrabony defect• Pockets extending to or beyond the
mucogingival junction or when there is minimal attached gingiva
• Esthetic consideration• High caries rate • Severely inflamed tissue
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Contraindications
• Presence of intrabony defect
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Contraindications• Pockets extending to or beyond the
mucogingival junction or when there is minimal attached gingiva
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Instruments
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Instruments
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Instruments
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Local anesthesia injection
Technique
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Pocket Marking
Technique
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Uninterrupted bevelled incision with Krickland knife
Technique
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Technique
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Use of Orban papilla knife
Technique
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Excised tissue
Technique
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Scaling and root planing
Technique
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Smoothing Sharp edges
Technique
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Periodontal dressing
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Six months after GV
Technique
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Internal Beveled GV
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Technique Examples
Elimination of periodontal pocket 3-5 mm
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Technique Examples
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Technique Examples
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Technique Examples
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• Elimination of gingival enlargement
Technique Examples
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Technique Examples
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Technique ExamplesAsymmetrical or unaesthetic gingival topography
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Pre-Tx Post-Tx
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Need of access for restorative dentistry
Technique Examples
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Diagnostic Wax-up
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Healing following gingivectomy
• Clot formation begins immediately after surgery
• 12-24 hours, migration of epithelial cells from the margin of the wound
• 5-14 days for complete epithelialization ( 0.5 mm per day )
• 10-30 days for connective tissue healing
Gingivectomy and Gingivoplasty GingivectomyGingivoplasty Gingivectomy GingivoplastyIndicationsSlide Number 6Slide Number 7Slide Number 8Slide Number 9ContraindicationsSlide Number 11Slide Number 12InstrumentsSlide Number 14Slide Number 15TechniqueSlide Number 17Slide Number 18Slide Number 19Slide Number 20Slide Number 21Slide Number 22Slide Number 23Slide Number 24Slide Number 25Slide Number 26Internal Beveled GVSlide Number 28Slide Number 29Slide Number 30Technique ExamplesSlide Number 32Slide Number 33Slide Number 34Slide Number 35Slide Number 36Technique ExamplesTechnique ExamplesSlide Number 39Slide Number 40Slide Number 41Slide Number 42Pre-TxPost-TxSlide Number 44Slide Number 45Slide Number 46Slide Number 47Slide Number 48Slide Number 49Diagnostic Wax-upSlide Number 51Slide Number 52Slide Number 53Slide Number 54Slide Number 55Slide Number 56Slide Number 57Slide Number 58Healing following gingivectomy