perio surgery treatment procedure

2. An operative procedure used to
treat disease or repair abnormalities in
the tissues of the teeth and
surrounding
areas.

3. • To eliminate all etiologic factors
• Reduction of pocket depths
• Reduction in gingival inflammation
• Prevent the recurrent of the disease
• Prevent further advancement of the
disease.

4.
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Basic instruments
Cotton pliers
Periodontal probe
Periodontal pocket marker
Periodontal knife
Periodontal scalers and files
Betadine 10%
Needle gauge 27
Anesthesia (lidocaine epinephrine 2% 1:80000)
Dappen dish Cotton balls
Cotton balls with gauze
syringe
Suturing needle
Hemostat
Surgical scissor
Austin retractor
Gum separator
NSS
Orahex (chlorhexidine)
Scalpel
Suction machine and tip
Mucoperiosteal elevator
Tissue forcep
neddle holder
Surgical blade 15
Disposable syringe
Topical gel

5. 1. Deep pockets where complete removal of
root irritants is not possible, especially in
inaccessible
areas
like
incisors
and
premolars areas
2. In case of Grade II and III Involvement
3. Persistent inflammation in areas with
moderate and deep pockets

6. • All
conditions
that
could
be
considered
contraindications for oral surgery concerning the age
of the patient and general health problems, such as
severe
cardiovascular
diseases,
Hypertension,
uncontrolled diabetes, leukemia, tuberculosis, etc.
• In patients of advanced age where teeth may last for
life without resorting to radical treatment
• Where thorough subgingival scaling and good home
care will remove or control the lesion
• Where patient motivation is inadequate
• In the presence of infection
• Where the prognosis is so poor that tooth loss is
inevitable

7. Mefenamic acid (500mg)
Disp. #2
Take 1 cap 1 hour before the treatment to lessen pain.
Amoxicillin (500mg)
Disp. #1
Take 1 cap 1 hour before the treatment to prevent
infection.
Tranexamic acid (500mg)
Disp. #1
Take 1 cap 1 hour before the treatment to prevent
excessive bleeding.

8. •
•
Preliminary phase
– Treatment of emergencies
– Rechecking
• Dental or periapical
• Pocket depth and gingival
inflammation
• Periodontal
– Extraction of hopeless teeth
•
Phase
phase)
I
therapy(etiotropic
calculus
and
– Correction of restorative
and prosthetic irritational
factors
– Excavation
restoration
• Plaque and calculus
•
Phase II therapy(Surgical Phase)
– Periodontal Surgery
– Plaque control
– Removal of
root planing
Evaluation of response to phase
I
of
caries
and
•
Phase III therapy (maintenace
phase)
– Periodic
checking
recall
visits,
• Plaque and calculus
• Gingival
condition
(pockets, inflammation)
• Tooth mobility

9. 1.
Anaesthetized
infiltration
the
area
using
local
2. Pockets marking.
3. Removal of the marginal and interdental
gingiva.
4. Appraise the field of operation.
5. Removal of the granulation tissue and
calculus(Scaling and root planing).
6. Perform hygiene procedure and Placement
of the periodontal pack.

10. • Relax after surgery. Physical activity may
increase bleeding.
• Have a soft diet and gradually add solid foods
to your diet as healing progresses.
• Do not drink alcohol or hot fluids such as tea
or coffee and avoids spicy foods until the
gum is fully healed.
• After the first day, gently rinse your mouth
with warm salt water several times a day to
reduce swelling and relieve pain.
• Avoid rubbing the area with your tongue or
touching it with your fingers.

11. Mefenamic acid (500mg)
Disp. #6
Sig. Take 1 cap every 6 hours with full stomach for
pain (p.r.n)
Amoxicillin (500mg)
Disp. #21
Sig. Take 1 cap every 8 hours for 7 days to prevent
infection.
Tranexamic acid (500mg)
Disp. #1
Take 1 cap incase of excessive bleeding