The indications for crown lengthening are: . Excisional procedure of gingiva = gingivectomy. (undisplaced flap), flap surgery without osseous surgery, flap surgery with osseous surgery, apically positioned flap with or without ostectomy [9]. The approach for these types of fractures is via a coronal flap with craniotomy. 34. 1 he following findings may indicate the need for a surgical phase of therapy: 1. A:-Undisplaced flap B:-Modified Widman flap C:-Conventional flap D:-Papilla preservation flap Correct Answer:- Option-A Question80:-Which of the following treatment procedures is included under surgical phase of periodontal therapy ? To surgically remove pocket wall: external bevel gingivectomy and undisplaced flap (internal bevel gingivectomy) *undisplaced most used Undisplaced flap surgery with osseous recontouring was performed to increase the clinical crown length and to maintain the biologic width (Fig.4). Click again to see term . Indications for meniscal repair, he said, include the location/zone of the tear with the more peripheral red-on-red and red-on-white the better, short size of 1 cm to 2.5 cm, vertical tears and . (Undisplaced Flap)14 It can also be referred as flap surgery with or without osseous surgery. Two basic flap designs are used. fall on outstretched hand (FOOSH) is most common in older population. when it contacts tooth. Flap Reflection, ostectomy, gingivectomy, positioning Indications for Surgery • Relative indications • Axial malalignment • Instability in full extension • Articular incongruity • >3mm in young, active • Condyle widening. Undisplaced •Cast x 6-8 weeks Displaced (or high level athlete) •ORIF -IM Screw . In one . Indications for crown lengthening include teeth with subgingival caries or extensive caries that shortens the tooth, fractures, and short clinical crowns caused by incomplete exposure of the anatomic crowns. [5] When minimal gingival recession is desired. Periodontal therapy, flap, periodontal flap, full thickness flap, partial thickness flap, nondisplaced flap, displaced flap, conventional flaps, papilla preservation . Final placement of flap determined by first incision. PD reduction. Indications for a full thickness flap. The indications for crown lengthening can be sub divided into three ca CL is one of the most common surgical procedures in periodontal practice. Tap again to see term . Indications: 1. Generalized aggressive periodontitis results in rapid destruction of the periodontium and can lead to early tooth loss in the affected individuals if not diagnosed early and treated appropriately. ( in the book it says '' this flap for mild to moderate periodontitis for pockets up to 6 mm ). Cortellini et al. THE UNDISPLACED FLAP TECHNIQUE Step 1: Measure pockets by periodontal probe,and a bleeding point is produced on the outer surface of the gingiva by pocket marker. Conventional flap for regenerative surgery • Distal molar surgery. Oral Epithelium. The talar dome cartilage was evaluated using the following grading system: 0, normal cartilage; 1, abnormal signal but intact; 2, fibrillation or fissures not extending to bone; 3, flap present or bone exposed; 4, loose undisplaced fragment; 5, displaced fragment. The papilla preservation flap ` ` Indications There must be adequate interdental space to allow the intact papilla to be reflected with facial and lingual flap. . In case of periodontitis with active pockets 5-6mm deep or greater that do not respond satisfactorily to initial therapy. New attachment techniques offer the ideal result because they eliminate pocket depth by reuniting the gingiva to the tooth »it a position coronal to the bottom (»1 the preexisting pocket. b. . . Intra bony pocket. Tears that can be left untreated are lateral flap root tears and undisplaced stable medial/lateral meniscal tears. • The undisplaced flap The palatal flap • The apically displaced flap • Flaps for regenerative surgery The papilla preservation flap. Tap card to see definition . Displaced fractures. • Type I = all undisplaced fx, regardless of number of fracture lines. distal radius fractures are a predictor of subsequent fractures. Unstable fractures. It covers the crest and outer surface of marginal gingiva and surface of the attached gingiva. Scapula Fractures are uncommon fractures to the shoulder girdle associated with high energy trauma, associated pulmonary or head injury, and increased injury severity scores. Some authors have reported high incidence of complications with percutaneous fixation. 2. Gravitational forces make it difficult to keep an implant in place from the orbital side of the fracture. Then use a burr to remove cartilage & subchondral bone from posterior facets of calcaneum & talus. Indications for crown lengthening include teeth with subgingival caries or extensive caries that shortens the tooth, fractures, and short clinical crowns caused by incomplete exposure of the anatomic crowns. 2). the.undisplaced flap and the gingivectomy 30 A soft tissue graft that is rotated or otherwise repositioned to correct an adjacent defect is called a:• free gingival graft• pedicle graft• connective tissue graft• frenectomy "An unstable tear consists of a tear length that is more than one-half of the . Click card to see definition . Elimination of gingival overgrowth c. Elimination of . Meniscus tears occur frequently. Methods Of Pocket Therapy. 34. Areas of suspected incomplete removal of local deposits. 9. Where does the blood supply to a flap come from? indications to gingivectomy include ? A pericranial flap may also be useful in reconstructing the anterior cranial fossa floor; this must be planned for prior to making the coronal flap incision. Ostectomy followed by osteoplasty was performed to maintain an overall distance of 3mm between the gingival margin and the alveolar crest. A recent American . List of Donors The Department of Otolaryngology and the University of Iowa wish to acknowledge the support of those who share our goal in improving the care of patients we serve. • Full thickness • Partial thickness • Modified partial thickness • Beveled flap • Undisplaced flap 89. Implants of osseous transplant into infra bony pockets 4. 1 Once thought to have minimal healing capacity, these tears have traditionally been treated with partial or total menisectomy. Apical positioned flap. CONTENTS INTRODUCTION & DEFINITION CLASSIFICATION INDICATIONS&CONTRAINDICATIONS DESIGN & INCISION DIFFERENT FLAPS SUTURING TECHNIQUES. Undisplaced 2 Arch Fractures 3 Unrotated Body Fractures 4 Medially Rotated Body Fractures 5 Pathophysiology. Definition "A periodontal flap is a section of gingiva and/or mucosa surgically separated from the underlying tissues to provide visibility and access to the bone and root surface. reduction to be done. (1995, 1999) described modifications of the flap . Internal Bevel Gingivectomy With or Without Ostectomy (Undisplaced Flap)26 It is the procedure done in cases with both low and high bony contours which may or may not require osteoplasty and osteotomy. Enter the length or pattern for better results. More than 3-4 weeks delay in initial presentation. Takei et al. INTRODUCTION The surgical phase of periodontal therapy seeks to improve the prognosis & esthetics of teeth Primary objective of surgical therapy is elimination of pathologic pocket walls,creation of stable, easily maintainable State . Oral epithelium, also called as an outer epithelium, is a keratinized stratified squamous type of epithelium. xviii Periodontics Revisited 5. Undisplaced Flap Procedure ... 358 Apically Displaced Flap Procedure . 3. Indications: The modified widman flap is indicated in cases of periodontitis with pocket depth of 5-7 mm. Before planning for the surgery, complete plaque and calculus removal was done. Local anesthesia - indications, anatomical considerations, needle puncture site, path of the needle, target area for infiltration, depth of needle penetration, zone anesthetized via: terminal infiltration, intraligamentary anesthesia, tuberosity anesthesia/superior posterior In Figure 2, the frequency of the types of flap surgical techniques followed were analyzed. Periodontal flap surgeries by Dr. Jerry. 1. Undisplaced flap, Apically displaced flap, and Flap for regenerative procedures.
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