Atlas · Plate X · Periodontology · 06

Surgical therapy

When pockets persist after nonsurgical care, flap and osseous surgery give access and recontour bone, guided tissue regeneration uses a membrane to regrow support, and gingival or connective tissue grafts treat thin tissue and recession. The hygienist supports aftercare: periodontal dressings protect the wound for about a week, and sutures usually come out in 7-10 days.

High-yield facts · 6

  1. Gingivectomy removes excess gingiva (e.g., drug-induced enlargement) when there is adequate attached gingiva.T3
  2. Flap surgery gives access to roots and bone; osseous surgery reshapes bone.T3
  3. Guided tissue regeneration uses a barrier membrane to keep epithelium out so PDL and bone can regrow.T3
  4. Free gingival graft (palate donor) increases keratinized tissue; connective tissue graft covers recession roots better.T3
  5. Sutures are usually removed in about 7-10 days; periodontal dressings protect the wound for about a week.T3
  6. Crown lengthening exposes more tooth to respect the supracrestal tissue attachment (about 3 mm from margin to bone).T3

Facts are written in our own words; each tag links to its source. Values marked "sources vary" differ between references, so check the one your program uses.