What does the highly vascular granulation tissue create after gingivectomy?
A new free gingival margin and sulcus.
What are some examples of non-eugenol dressings?
Cyanoacrylates and tissue conditioners (methacrylate gels).
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p.20
Healing After Gingivectomy

What does the highly vascular granulation tissue create after gingivectomy?

A new free gingival margin and sulcus.

p.23
Armamentarium

What are some examples of non-eugenol dressings?

Cyanoacrylates and tissue conditioners (methacrylate gels).

p.20
Healing After Gingivectomy

What occurs in 24 hours after gingivectomy?

An increase in new connective tissue cells, mainly angioblasts.

p.18
Healing After Gingivectomy

How long is it convenient for the patient to use chlorhexidine oral rinses after surgery?

Once or twice daily for 2 to 4 weeks.

p.32
Gingival Surgery Techniques

Why does gingival curettage not provide improved root surface access and visibility?

It is a closed procedure and does not afford the access gained with flap surgery.

p.17
External Bevel Incision

What angle should the incision be beveled at to the tooth surface?

Approximately 45 degrees.

p.5
External Bevel Incision

What is the primary use of the external bevel incision?

Primarily used in gingivectomy.

p.7
Crevicular Incisions

What are the alternative names for crevicular incision?

Intercrevicular, intracrevicular, sulcular, intrasulcular, intersulcular incision.

p.23
Armamentarium

Are cyanoacrylates and tissue conditioners commonly used as non-eugenol dressings?

No, they are not in common use.

p.13
Armamentarium

What are the types of gingivectomy knives?

A) Kirkland knife. B) Orban interdental knife.

p.21
Healing After Gingivectomy

When do epithelial cells at the wound margins begin to migrate over the granulation tissue?

After 12 to 24 hours.

p.22
Armamentarium

What substance is used in Coe-Pak dressing to avoid the problems associated with asbestos and eugenol?

It does not contain asbestos or eugenol.

p.5
Internal Bevel Incision

What is the direction of the internal bevel incision?

It starts at the surface of the gingiva and is directed apically to the bone crest.

p.7
Submarginal Incisions

Where does the submarginal incision start and what can it be?

It starts at the surface of the gingiva apical to the gingival margin and can be external bevel or internal bevel.

p.33
Gingival Surgery Techniques

Why did the American Dental Association delete the code for gingival curettage from the CDT-4?

Due to lack of evidence of therapeutic benefit in the treatment of chronic periodontitis.

p.32
Gingival Surgery Techniques

What was the theoretical advantage of curettage over SRP alone?

The attainment of new connective tissue attachment, which was later shown to be unattainable.

p.11
Gingivectomy

What are the indications for performing gingivectomy?

1. Elimination of suprabony pockets if the pocket wall is fibrous and firm. 2. Elimination of gingival enlargements.

p.17
External Bevel Incision

What will happen if the incision is not beveled?

It will leave a broad, fibrous plateau that will delay development of a physiologic contour.

p.15
Armamentarium

How are periodontal knives used in gingivectomy?

For incisions on the facial and lingual surfaces, and interdental incisions.

p.7
Submarginal Incisions

In what type of surgery is the submarginal incision an internal bevel incision?

Flap surgery.

p.11
Gingivectomy

What does gingivectomy mean?

Excision of the gingiva.

p.22
Armamentarium

What is the reaction basis for Coe-Pak dressing?

The reaction between a metallic oxide and fatty acids.

p.17
Gingival Surgery Techniques

What pattern of the gingiva should the incision re-create?

The normal festooned pattern.

p.15
Gingival Surgery Techniques

What is the first step in the technique for gingivectomy?

Mapping out the periodontal pocket on the external gingival surface.

p.7
Crestal Incisions

Where does the crestal incision start and what is its direction?

It starts at the surface of the gingiva at the gingival margin and is directed apically down through the epithelium and connective tissue to the bone.

p.18
Healing After Gingivectomy

What is the recommended practice for the patient after the removal of sutures and periodontal dressing?

To begin biofilm control practices.

p.20
Healing After Gingivectomy

What happens by the third day after gingivectomy?

Numerous young fibroblasts are located in the area.

p.20
Healing After Gingivectomy

What occurs within 2 weeks after gingivectomy?

Capillaries derived from the blood vessels of the periodontal ligament connect with the gingival vessels.

p.17
Gingival Surgery Techniques

What is the third step after making the incision?

Remove the excised pocket wall, irrigate the area, and examine the root surface.

p.15
Healing After Gingivectomy

Why is exposure of bone considered undesirable in gingivectomy?

Because healing usually presents minimal complications if the area is adequately covered by the surgical dressing.

p.32
Gingival Surgery Techniques

What is the most common result obtained with gingival curettage?

A long junctional epithelium, similar to the result obtained with SRP alone.

p.13
Armamentarium

What type of scissors are used in gingivectomy procedures?

Goldman – Fox scissors.

p.22
Healing After Gingivectomy

What allergic reaction may be induced by Zinc Oxide – Eugenol dressing?

Reddening of the area and burning pain.

p.5
Internal Bevel Incision

What are the three important objectives accomplished by the internal bevel incision?

1) Removes the pocket lining. 2) Conserves the relatively uninvolved outer surface of the gingiva. 3) Produces a sharp, thin flap margin for adaptation to the bone-tooth junction.

p.7
Crestal Incisions

What is another name for crestal incision?

Marginal incision.

p.18
Healing After Gingivectomy

When are sutures and periodontal dressing typically removed after surgery?

After 1 to 2 weeks, depending on the extent of the surgery.

p.13
Armamentarium

What are the types of surgical blades used for gingivectomy?

Top to bottom, #15, #12D, and #15C. These blades are disposable.

p.22
Armamentarium

What are the components of Coe-Pak dressing?

Zinc oxide, oil, gum, lorothidol, liquid coconut fatty acids, colophony resin, chlorothymol.

p.5
External Bevel Incision

What is the direction of the external bevel incision?

It starts apical to the periodontal pocket and is directed coronally toward the tooth apical to the bottom of the periodontal pocket.

p.5
Internal Bevel Incision

What is the incision from which the flap is reflected to expose the underlying bone and root?

The internal bevel incision.

p.20
Healing After Gingivectomy

What is the initial response after gingivectomy?

Formation of a protective surface blood clot.

p.11
Gingivoplasty

What is the purpose of gingivoplasty?

Recontouring the gingiva in the absence of pockets.

p.11
Gingivectomy

What are the contraindications to gingivectomy?

1. Access to bone required. 2. Narrow zone of keratinized tissue. 3. Aesthetics. 4. Patients with high postoperative risk of bleeding.

p.17
Gingival Surgery Techniques

What is the fourth step after making the incision?

Scale and root plane.

p.7
Crevicular Incisions

Where does the crevicular incision start and what is its direction?

It starts in the gingival crevice and is directed apically through the junctional epithelium and connective tissue attachment and down to the bone.

p.33
Gingival Surgery Techniques

What did the American Academy of Periodontology's Guidelines for Periodontal Therapy indicate about gingival curettage?

It did not include gingival curettage as a method of treatment, indicating that the dental community regards it as a procedure with no clinical value.

p.11
Gingivectomy

What is the purpose of gingivectomy?

To provide visibility and accessibility for complete calculus removal and thorough root planing.

p.13
Armamentarium

Which tissue forceps are used in gingivectomy?

DeBakey tissue forceps.

p.21
Healing After Gingivectomy

Over what layer do the new epithelial cells migrate over the wound?

Fibrin layer.

p.15
External Bevel Incision

What is the purpose of the external bevel incision in gingivectomy?

To remove the soft tissue coronal to the bone without exposing it.

p.7
Submarginal Incisions

In what type of procedure is the submarginal incision an external bevel incision?

Gingivectomy.

p.32
Gingival Surgery Techniques

What was the original purpose of gingival curettage?

To promote new connective tissue attachment to the tooth by removing pocket lining and junctional epithelium.

p.22
Armamentarium

What are Periodontal Dressings also known as?

Periodontal Packs.

p.21
Healing After Gingivectomy

When does epithelial activity at the wound margins reach a peak?

After 24 to 36 hours.

p.21
Healing After Gingivectomy

What happens to the fibrin layer over time?

It is later resorbed and replaced by connective tissue.

p.5
Internal Bevel Incision

What is basic to most periodontal flap procedures?

The internal bevel incision.

p.21
Healing After Gingivectomy

From which layers do the new epithelial cells arise?

Basal and deeper spinous layers of the epithelial wound edge.

p.17
Gingival Surgery Techniques

What is the fifth step after making the incision?

Cover the area with a surgical dressing.

p.7
Internal Bevel Incision

What type of incisions are both crevicular and crestal incisions?

Internal bevel incisions.

p.14
Armamentarium

What are the two types of needle holders?

Conventional needle holder and Castroviejo needle holder.

p.12
Armamentarium

What does the term 'Armamentarium' refer to in dentistry?

The collection of instruments and equipment used by dental practitioners.

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