Question

Can someone help me on this assignment, please? Thank you.

1-List the indications for the surgical augmentation of the amount of dense connective tissue around a tooth.
2- List the contraindications for the surgical augmentation of the amount of dense connective tissue around a tooth.
3-List the indications for osseous surgery.
4- List the contraindications for osseous surgery.
5-List the indications for root coverage procedures
6- A patient presents with 4mm of interdental bone loss, 7mm pockets which are worsening and deep pocketing with bleeding upon probing around #30 despite good oral hygiene and NSPT. The patient is ASA I. What clinical factors go into deciding if the patient should have osseous surgery or implant replacement?

Answer 1

1) answer :

• To increase the soft tissue volume around the tooth .
• Mainly For esthetic purposes .
• To increase stability of tooth.
• Improvement of tissue quality
• Muco gingival deformities
• Lack of gingiva .
• Trauma.
• Neoplasm.

2) Contra indications :

• Systemic conditions - applicable to all surgeries.
• Collagen disorders - lichen planus , pemphigoiddue to its pathologic healing mechanism.
• Smokers - success of a graft thrives on vascularity .smoking hampers with the vascularity of graft due to vasoconstriction effects of nicotine.

3) indications of osseous surgery :

• One walled angular defects .
• Thick, bony margins ,
• Shallow crater formations .

4) contra indications :

• Anatomic factors such as close proximity of the roots to the maxillary antrum or the ramus.
• Age .
• Systemic health .
• Improper oral hygiene .
• High caries index.
• Extreme root sensitivity .
• Advanced periodontitis .
• Unacceptable esthetic results .

5) indications :

• Root sensitivity .
• Esthetics .
• Protect root surface from caries / abrations .
• Improve hygiene .