History of periodontal regenerative therapy

Introduction With the introduction and advancements in the surgical periodontal pocket therapy, our understanding regarding the type of bone defects and healing following flap surgeries improved dramatically. 1970’s and 80’s may be regarded as two decades when our basic understanding regarding surgical periodontal therapy improved and it was demonstrated that lost periodontal tissue can be…

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Osseous resective surgeries

Introduction to osseous resective surgeries The aim of surgical periodontal pocket therapy is to eliminate or reduce the periodontal pocket depth, achieving a healthy periodontium and creating a periodontal tissue architecture that facilitates the self-performed oral hygiene measures by the patient. The ideal method to treat periodontal pocket and periodontal bony defects is the regeneration…

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History of surgical periodontal pocket therapy and osseous resective surgeries

Introduction The primary etiology of periodontal diseases is various periodontopathogenic bacteria and their products. Plaque formation and maturation is the first step in the initiation of the periodontal disease process. The calcified plaque or calculus harbor plaque on its surface, thereby facilitating more plaque accumulation. Historically, it was well understood that achieving plaque and calculus…

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Periodontal dressing

Introduction to periodontal dressing The rationales 29, 30 for placing periodontal dressing are protection of wounds from post-operative irritation, preventing trauma, preventing salivary contamination, preventing gingival detachment from root surface, preventing coronal displacement of the flap where the flap has been apically positioned, providing additional support to free gingival grafts, splinting mobile teeth, reducing tooth…

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Principles of periodontal surgery (Intra-operative management of the patient)

Introduction The intra-operative management of the patient primarily includes soft tissue management and hemostasis. Because periodontal surgeries are delicate surgeries and the final outcome of the surgical procedure depends upon the vascularity of tissue, gentle handling of the tissue is very important during periodontal surgeries. In the following paragraphs, we shall read about the above-stated…

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