Role of Perio surgery

• role?

  final stage of tx, performed only when pt oh is very good
• surgical procedure in periodontology:

  • biopsy
  • simple gingivectomy
  • flap procedure
  • grafts
• aims

  • access
  • create a dento-gingival complex more conducive to patient home care
  • adjunct to conservation treatment, eg crown lengthening
  • encourage new periodontal attachment
  • recontour diseased and unsightly tissues
• indications:

  • highly motivated pt
  • good OH
  • when non-surgical failed
  • improve function
  • relieve pain
  • remove pathological tissue
  • promote new attachment
• contraindication

  • poor motivation/OH
  • MH
  • Failed attempts
  • pt management issues
  • purely aesthetics