The patients were assigned randomly to one of the techniques, and results were analyzed yearly for up to 7 years after therapy. The flaps are then replaced to their original position and sutured using interrupted or continuous sling sutures. It is contraindicated in areas where the width of attached gingiva would be reduced to < 3 mm. The flap also allows the gingiva to be displaced to a different location in patients with mucogingival involvement. There are two types of incisions that can be used to include interdental papillae in the facial flap: One technique includes semilunar incisions which are. Areas which do not have an esthetic concern. It enhances the potential for effective periodontal maintenance and preservation of attachment levels. The most abundant cells during the initial healing phase are the neutrophils. Japanese Abstracts | Bone & Joint The area is anesthetized and bone sounding is done to evaluate the osseous topography, pocket depth, and thickness of the gingiva. Following is the description of marginal and para-marginal internal bevel incisions. After the area to be operated is irrigated with an anti-microbial solution, local anesthesia is applied and the area is isolated after profound anesthesia has been achieved. Unsuitable for treatment of deep periodontal pockets. Repair Technique for Displaced Meniscal Flap Tears Indicated by MRI The undisplaced (unrepositioned) flap improves accessibility for instrumentation, but it also removes the pocket wall, thereby reducing or eliminating the pocket. A technique using a mixture of bone dust and blood is called as a. bone blend technique b. bone swaging technique May cause esthetic problems due to root exposure. Contents available in the book .. Myocardial infarction / stroke within 6 months. Several techniques such as gingivectomy, undisplaced flap with or without osseous surgery, apically repositioned flap . This approach was described by Staffileno (1969) 23. The objectives for the other two flap proceduresthe undisplaced flap and the apically displaced flapinclude root surface access and the reduction or elimination of the pocket depth. Because the pocket wall is not displaced apically, the initial incision should eliminate the pocket wall. Rough handling of the tissue and long duration of the surgery commonly result in post-operative swelling. Contents available in the book .. Care should be taken to insert the blade in such a way that the papilla is left with a thickness similar to that of the remaining facial flap. - Undisplaced flap - Apicaliy displaced flap - All of the above - Modified Widman flap. After administrating local anesthesia, profound anesthesia is achieved in the area to be operated. In case of periodontitis with active pockets 5-6 mm deep or greater, that do not respond satisfactorily to the initial therapy. To preserve the present attached gingiva or even to establish an adequate strip of it, where it is narrow or absent. The first step, Trismus is the inability to open the mouth. The interdental papilla is then freed from the underlying bone and is completely mobilized. International library review - 2022-2023 | ,
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