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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Principles of periodontal surgeries (Preparation of the operating room, operating team and the patient)

Introduction Periodontal surgical procedures require adequate asepsis and disinfection. The preparation of the operating room, operating team, and the patient should be done systematically. An appropriately performed surgical procedure in a complete aseptic condition minimizes the chances of post-operative complications related to infections and also minimizes the chances of transmission of infections. In the following…

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Principles of periodontal surgery (Asepsis and disinfection)

Introduction to asepsis and disinfection Sterilization and disinfection are the cornerstones of any surgical procedure. Before performing a periodontal surgical procedure, the standard protocol to sterilize and disinfect the instrument and equipment should be adhered strictly. There are many items in a dental office that are used during dental surgical procedures. Many od them can…

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Principles of periodontal surgery (Pre-operative evaluation of the patient, informed consent and pre-medication)

Introduction Similar to the general principles of surgery, there are three primary objectives which should be achieved during periodontal surgery, including inflicting the wound without pain, adequate control of bleeding during the procedure and adequate healing of the wound following the procedure. Adequate asepsis and gentle handling of the tissue during the procedure ensure appropriate…

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Surgical anatomy of periodontium and related structures

Introduction Periodontium consists of gingiva, periodontal ligament, cementum and alveolar bone. These structures surround and support the teeth and function as a unit to keep the teeth in position. The components of periodontium are supported and surrounded by various anatomical structures. Periodontitis and other pathologies associated with tooth and its supporting structures are commonly treated…

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Lasers in periodontics

Introduction to Lasers Periodontal diseases consist of a group of inflammatory diseases initiated by bacteria that colonize the teeth and infect their surrounding soft tissues. Bacteria and their products contaminate the root surface and make it biologically incompatible for soft tissue attachment. It is well established that a clean root surface is mandatory for the…

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