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Questions and Answers
Which of the following is NOT a type of gingivectomy?
Which instrument is commonly used for incisions during a gingivectomy?
What is one of the key steps in the gingivoplasty procedure?
Which phase describes the initial healing response after a surgical gingivectomy?
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What is a common complication associated with electrosurgery in gingivectomy?
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What is the primary purpose of curettage in periodontal therapy?
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What should be done after removing the excised pocket wall during gingivectomy?
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Which of the following is NOT an indication for performing curettage?
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In the healing process after a surgical gingivectomy, granulation tissue appears after what initial response?
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What can occur during curettage as a result of the procedure?
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What is one reason curettage is considered in the presurgical phase?
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What is the angle at which the incision should be beveled during a gingivectomy?
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How does curettage affect bacterial presence in the periodontal pocket?
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Which of the following is a disadvantage of gingivectomy by electrosurgery?
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What is a primary indication for performing gingivoplasty?
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Which of the following laser types is most commonly used for excision of gingival overgrowth?
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What is a significant complication associated with electrosurgery in gingivectomy?
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Which statement about chemosurgery for gingivectomy is true?
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What distinguishes subgingival curettage from other types of gingival curettage?
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What is a disadvantage of performing gingivectomy by chemosurgery?
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What surgical instrument is primarily used in gingival curettage?
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How does the healing process after electrosurgery compare to traditional methods?
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What condition is NOT indicated for gingivectomy?
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What is the primary objective of a gingivectomy?
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Which type of gingivectomy is primarily surgical in nature?
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What is gingivoplasty primarily aimed at?
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What is NOT a prerequisite for performing a gingivectomy?
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Which factor would contraindicate a gingivectomy procedure?
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What is a potential complication of electrosurgery used in gingivectomy?
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What is the significance of creating bilateral symmetry during gingivectomy?
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Which instrument is typically used in surgical gingivectomy?
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What post-operative care is crucial after gingivectomy to prevent complications?
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What is one of the primary indications for performing a gingivectomy?
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What is the primary purpose of curettage in periodontal treatment?
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In the basic technique of curettage, where should the cutting edge of the instrument be positioned?
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Which procedure is referred to as a definitive subgingival curettage?
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What is done after adequate local anesthesia in the ENAP procedure?
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How are the epithelium and tissue continuity affected in ultrasonic curettage?
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What crucial step should follow the curettage procedure to ensure thorough cleaning?
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What is an important factor to retain during the ENAP incision procedure?
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What complication might arise from the use of electrosurgery in gingivectomy procedures?
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During subgingival curettage, how should the curette be moved?
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What is the significance of the flushing step after curettage?
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Gingivectomy can be performed using lasers as one of the methods.
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Surgical curettes are unnecessary instruments for performing a gingivectomy.
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The shaping of interdental papillae during gingivoplasty helps facilitate the passage of food.
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Healing after a surgical gingivectomy is primarily by primary intention.
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Electrosurgery has a higher risk of complications compared to other gingivectomy methods.
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Bard Parker blades are not typically used for incisions during a gingivectomy.
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A key step in the healing process after gingivectomy is the formation of a clot within the first 24 hours.
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Gingivoplasty involves only the removal of tissue without reshaping the gingiva.
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Electrosurgery is beneficial because it eliminates all potential complications associated with gingivectomy.
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The primary lasers used for gingivectomy are carbon dioxide and Nd:YAG lasers.
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Chemicals such as potassium hydroxide can be used in chemosurgery for gingival removal.
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Gingivoplasty specifically involves the removal of gingival enlargements.
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Inadvertent curettage occurs when curettage is performed intentionally during the scaling process.
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Healing after electrosurgery has been reported to cause a greater reduction in gingival height compared to traditional methods.
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Gingival curettage is a technique meant to remove deposits from the surface of teeth.
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The heat generated by electrosurgery can cause tissue damage, resulting in conditions like cemental necrosis.
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Gingivectomy by electrosurgery is indicated for the relocation of frenum and muscle attachments.
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One of the advantages of gingivectomy by electrosurgery is its ability to leave no odor after the procedure.
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Ultrasonic curettage is a type of surgical curettage used for treating periodontal pockets.
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The primary instrument utilized in gingivectomy procedures is a laser.
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A type of gingivectomy that is primarily surgical in nature is known as surgical gingivectomy.
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Gingivoplasty is primarily aimed at reshaping the gingiva rather than removing it.
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Gingivoplasty is primarily aimed at the elimination of periodontal pockets.
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Granulation tissue appears immediately after the initial healing response following a surgical gingivectomy.
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The healing process after a surgical gingivectomy generally includes the formation of granulation tissue after initial tissue response.
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Electrosurgery in gingivectomy is associated with fewer complications compared to traditional methods.
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Electrosurgery used in gingivectomy can lead to complications such as denervation of the surrounding tissue.
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The presence of infrabony pockets is a prerequisite for performing a gingivectomy.
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Surgical instruments used in gingivectomy include retractors and electrocautery devices.
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Gingivectomy procedures can be performed without considering the patient's oral hygiene maintenance.
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Creating bilateral symmetry is a primary goal of both gingivectomy and gingivoplasty.
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Gingivectomy is always performed alone, without the combination of gingivoplasty.
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Electrosurgery is the only method used for gingivectomy procedures.
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Curettage is an elective procedure that does not require local anesthesia.
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Electrosurgery in gingivectomy does not carry any significant complications.
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ENAP stands for Excisional New Attachment Procedure, which is a type of gingivectomy.
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Gingivoplasty primarily aims to reduce pocket depths for better oral hygiene but is not a surgical procedure.
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In the healing process after a surgical gingivectomy, granulation tissue appears after the initial inflammatory response.
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Ultrasonic curettage uses high-frequency vibrations to disrupt tissue continuity and is a non-invasive procedure.
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During curettage, it is essential to follow up with scaling and root planing to remove local factors like plaque.
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The primary surgical instrument used in gingival curettage is the scalpel.
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A common technique used in gingivoplasty is the internal bevel incision.
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The purpose of curettage is to completely eliminate the need for any future periodontal procedures.
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Study Notes
Gingivectomy Techniques
- Types of Gingivectomy: Includes surgical, electrosurgery, laser, and chemotherapeutic methods.
- Surgical Gingivectomy Armamentarium: Requires instruments such as mouth mirrors, periodontal probes, Kirkland and Orban knives, Bard Parker handles, curettes, tissue forceps, scissors, and periodontal dressing.
Surgical Procedure Steps
- Step 1: Explore periodontal pockets using a probe; mark sites with a pocket marker.
- Step 2: Incisions made with periodontal knives; continuous or discontinuous incisions beveled at 45 degrees.
- Step 3: Excised tissue is removed; root surfaces cleaned for any deposits.
- Step 4: Remove granulation tissue and calculus for a smooth root surface.
- Step 5: Cover the area with a surgical pack.
Gingivoplasty Steps
- Instruments include scalpel and diamond stones.
- Involves tapering margins, scalloping outlines, thinning attached gingiva, and shaping papillae for food passage.
Healing Post-Surgery
- Healing occurs by secondary intention involving clot formation, granulation tissue, and migration of connective tissue cells.
- Initial epithelialization takes 5-14 days with complete healing around one month.
Electrosurgery Advantages/Disadvantages
- Advantages: Effective tissue contouring and hemorrhage control.
- Disadvantages: Risks include damage to pacemakers, undesirable odors, potential irreversible tissue damage, and risk of necrosis.
Indications for Electrosurgery
- Useful for gingival enlargements, gingivoplasty, relocating attachments, and abscess incisions.
Laser Gingivectomy
- Commonly uses carbon dioxide and Nd:YAG lasers; efficacy in periodontal surgery lacks substantial research support.
Chemosurgery Details
- Chemicals like 5% paraformaldehyde or potassium hydroxide remove gingiva.
- Disadvantages include uncontrolled depth of action causing injury to healthy tissue and delayed healing.
Curettage Definitions & Types
- Curettage: Scraping of the periodontal pocket wall; targets diseased soft tissue.
-
Types:
- Gingival curettage removes inflamed tissue.
- Subgingival curettage performed apical to epithelial attachment.
- Inadvertent curettage occurs during other procedures.
Pre-requisites for Gingivectomy
- Adequate attached gingiva is necessary for function post-excision.
- Normal alveolar bone structure is required; any loss should be horizontal.
- Absence of infrabony pockets and defected structures is crucial.
Indications for Gingivectomy
- Eliminate supra-alveolar pockets, fibrous enlargements, and blunted margins.
- Improve aesthetic appearance and access for restorative procedures.
- Correct gingival craters and achieve bilateral symmetry.
Contraindications for Gingivectomy
- Presence of thick alveolar edges, interstitial craters, or pockets reaching the mucogingival junction.
- Patients with poor oral hygiene, those medically compromised, or those with dentinal hypersensitivity should avoid surgery.
Additional Techniques
- ENAP (Excisional New Attachment Procedure): Involves internal bevel incision followed by tissue removal and root surface planing.
- Ultrasonic Curettage: Uses ultrasonic scalers for tissue detachment and altered fibroblast features.
Rationale for Curettage
- Primarily aims to remove chronically-inflamed granulation tissue that may impede new fiber attachment.
- Successful root planing diminishes bacterial presence, reducing the need for extensive curettage.
- Utilized as a preparatory step in patients requiring less invasive approaches prior to major surgical procedures.
Gingivectomy Techniques
- Types of Gingivectomy: Includes surgical, electrosurgery, laser, and chemotherapeutic methods.
- Surgical Gingivectomy Armamentarium: Requires instruments such as mouth mirrors, periodontal probes, Kirkland and Orban knives, Bard Parker handles, curettes, tissue forceps, scissors, and periodontal dressing.
Surgical Procedure Steps
- Step 1: Explore periodontal pockets using a probe; mark sites with a pocket marker.
- Step 2: Incisions made with periodontal knives; continuous or discontinuous incisions beveled at 45 degrees.
- Step 3: Excised tissue is removed; root surfaces cleaned for any deposits.
- Step 4: Remove granulation tissue and calculus for a smooth root surface.
- Step 5: Cover the area with a surgical pack.
Gingivoplasty Steps
- Instruments include scalpel and diamond stones.
- Involves tapering margins, scalloping outlines, thinning attached gingiva, and shaping papillae for food passage.
Healing Post-Surgery
- Healing occurs by secondary intention involving clot formation, granulation tissue, and migration of connective tissue cells.
- Initial epithelialization takes 5-14 days with complete healing around one month.
Electrosurgery Advantages/Disadvantages
- Advantages: Effective tissue contouring and hemorrhage control.
- Disadvantages: Risks include damage to pacemakers, undesirable odors, potential irreversible tissue damage, and risk of necrosis.
Indications for Electrosurgery
- Useful for gingival enlargements, gingivoplasty, relocating attachments, and abscess incisions.
Laser Gingivectomy
- Commonly uses carbon dioxide and Nd:YAG lasers; efficacy in periodontal surgery lacks substantial research support.
Chemosurgery Details
- Chemicals like 5% paraformaldehyde or potassium hydroxide remove gingiva.
- Disadvantages include uncontrolled depth of action causing injury to healthy tissue and delayed healing.
Curettage Definitions & Types
- Curettage: Scraping of the periodontal pocket wall; targets diseased soft tissue.
-
Types:
- Gingival curettage removes inflamed tissue.
- Subgingival curettage performed apical to epithelial attachment.
- Inadvertent curettage occurs during other procedures.
Pre-requisites for Gingivectomy
- Adequate attached gingiva is necessary for function post-excision.
- Normal alveolar bone structure is required; any loss should be horizontal.
- Absence of infrabony pockets and defected structures is crucial.
Indications for Gingivectomy
- Eliminate supra-alveolar pockets, fibrous enlargements, and blunted margins.
- Improve aesthetic appearance and access for restorative procedures.
- Correct gingival craters and achieve bilateral symmetry.
Contraindications for Gingivectomy
- Presence of thick alveolar edges, interstitial craters, or pockets reaching the mucogingival junction.
- Patients with poor oral hygiene, those medically compromised, or those with dentinal hypersensitivity should avoid surgery.
Additional Techniques
- ENAP (Excisional New Attachment Procedure): Involves internal bevel incision followed by tissue removal and root surface planing.
- Ultrasonic Curettage: Uses ultrasonic scalers for tissue detachment and altered fibroblast features.
Rationale for Curettage
- Primarily aims to remove chronically-inflamed granulation tissue that may impede new fiber attachment.
- Successful root planing diminishes bacterial presence, reducing the need for extensive curettage.
- Utilized as a preparatory step in patients requiring less invasive approaches prior to major surgical procedures.
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Description
This quiz covers various surgical gingivectomy techniques, including electrosurgery, laser methods, and chemosurgery. Explore the essential armamentarium and the step-by-step surgical procedures involved in performing gingivectomy. Test your knowledge on the tools and techniques required for successful dental surgeries.