Perio Nbde Flashcards
(25 cards)
Finishing mine and gingival margin will be less than 2mm to bony crest
Inverse bevel incision with Osseous resection with apically positioned flap
Grade 3 and grade 4 furcation
- apically positioned flap for access
- Tunnel procedure (mostly obsolete)
- Root resection
MCG defect like lack of keratinized gingiva tx
- Free gingival graft
- CT graft
- Pedicure graft (if suitable donor tissue)
What medication to prescribe for refractory periodontitis?
Combination therapy: metronidazole/amoxicillin or tetracycline
Treatment for shallow edematous pocket
SRP
What antibiotics needed for chronic periodontitis
None
Tx for deep pockets maxillary anterior like for esthetics
- SRP than maintain
- Modified widman flap
- Regeneration
Management of ANUG/NUP (including NUP) found in HIV positive patients with fever, pain, and lymphadenopathy
Metronidazole-effective against anaerobes
Grade 2 furcation involvement <3 mm horizontal penetration
Osseous resection and apically positioned flap
What medications to prescribe for patient with aggressive periodontitis. Pt is allergic to amoxicillin.
Ciprofloxacin and metronidazole
Unphysiologic/unesthetic gingival contours
Gingivoplasty
What medication to prescribe for acute periodontal disease (periodontal abscess)- very important!!! Include option if pt has allergy
Amoxicillin and clindamycin
Deep 1 walled defect ex: hemiseptum tx
Regeneration (not predictable) GTR with bone graft to maintain space
Tx for gingival recession especially in esthetic zone
- CT
- Pedicle graft
- Coronally positioned flap (if adequate keratinized gingiva, must be greater than or equal to 2 bc flap will not increase keratinized gingiva
Tx for shallow Osseous defect equal to it greater than 2mm
Osseous resection with Apically positioned flap
Tx for moderately deep 2 and 3 walled bony defects greater or equal to 3mm
Regeneration: Osseous graft and or GTR
Crown lengthening with adequate biological width finish line >2 mm to bony crest
- Gingivectomy
2. Inverse bevel excision without Osseous resection (internal gingivectomy)
Grade 2 defect greater than 3mm tx
GTR
What anatomical concern is with the mandibular buccal first/second premolar for perio surgery or flaps?
Mental artery and nerve-important!!!
What anatomical concern is with a mandibular lingual flaps or wedge distal to second molars?
Lingual nerve
Lateral pharyngeal space
Tx for fibrotic suprabony pocket like gingival enlargement
Gingivectomy
Internal beveled flap excision
What antibiotics are recommended for aggressive periodontitis? Pt has Nkda
Metronidazole and amoxicillin
Management of ANUG/NUP (including NUP found in HIV positive patients)
Ultrasonic debridement
Chlorhexidine rinse
Furcation incipient grade 1/shallow 2 involvement
SRP then maintain
