47 A Incisions in Periodontal Surgery
47 A Incisions in Periodontal Surgery
47 A Incisions in Periodontal Surgery
•The book Is complete, condse, comprehensive and easy to read book on the subjects of perlodontologyand oral
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lmplantology.
ett covers various aspects of oral histology, dental anatomy, din/cal diagnosis, pathogenals of periodontal disease
and various treatment modal/tie<. It de<crlbe< In detail the procedures in oral implantology.
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eNumerous c/lnlcal photographs are Included for easier comprehension of varied diseases and their management .
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•The book showcases latest cutting-edge Information on various topics In pertodontology.
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ett comprehensively addresses the 2020 vision of the American academy of Perlodontology.
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6 ORAL IMPLAITOLD6Y
•The authors have excellent academic records and hold reputable positions In their respective fields
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with the/r reasonlng on the latest trends and updates In the field of perladantalogy and lmplantalagy.
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etn-depth discussion of the rundamentals In anatomy, physiology, etiology and pathology with reference ta Its
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diagnosis, treatment planning and management.
estep.lJy-step procedures and pre<entatlans ornumerous problems In perladantology with their possible therapeutic
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solutions.
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Published in India
Dr. Syed Wali Peeran is Professor of Periodontology and Oral lmplantology.
He finished his postgraduation in Periodontology in 2008 and has a doctoral degree.
He has a postgraduate certificate in advanced oral implantology and a
fellowship from international congress of oral implantologists.
He is the Editor in Chief and the founding editor for the journals-
Dentistry & Medical Research and Case Reports in Odontology.
He has over 63 national and international publications to his credit.
He has attended various national and international conferences and workshops.
He has also authored "Perio-Quest- MCQs in Periodontics with Self-Assessment
Picture Test" published by EMMESS publishers. He has been a reviewer for Libyan
Journal of Medicine,Journal of Nature, Biology and Medicine and various other
journals. He is a Life member of Indian Academy of Osseo Integration,
Indian Society of Periodontology, Indian immunological Society,
Indian Society of Oral lmplantologists and Indian Dental association.
Dr. Syed Wali Peeran, B.D.S, M.D.S (Peria), Ph.D. FICO/., PGCOI.
Professor, Department of Periodontics & Oral lmplantology,Faculty of Dentistry, Sebha
University, Sebha, Libya.
Chapter Outline:
• Incision.
• Preconditions for selection of the appropriate
incision technique.
• Incisions used in Periodontics
INCISION: A cut or surgical wound made by a knife, electrosurgical scalpel, laser, or other such instrument. (Glossary
of Periodontal terms,2001)
Preconditions for selection of the appropriate incision technique:
mucogingival complex from the inserted into mobility of a margin mucosa at flap severing
complex from the sulcular side.(Glossary the crevice/ periodontal toward the apical the underlying
outside surface, as of Periodontal terms, pocket and flap. the base of aspect of periosteum.
in a gingivectomy. 2001)It is apically carried apically (Glossary of the flap to a releasing
(Glossary of directed, placed at the beyond its Periodontal decrease incision and
Periodontal terms, crest of the gingival base. It is terms, 2001) the bulk of directed
2001) margin or stepped commonly It is placed connective toward the
It is a coronally back, an acute angle is followed perpen- tissue on the base of the
directed incision;an formed between the by the dicular to underside of flap.
obtuse angle is tooth crown and the elevation of the gingival the flap.
formedbetween scalpel.It is a horizontal full thickness margin at the
the tooth crown incision. flap. It is a line angles
and the scalpel. It horizontal of teeth
is totally contained incision. and extend
within the gingiva. through the
It is a horizontal muco gingival
incision. junction.
Indications Gingival Excisional new Access surgery To increase Palatal flaps, Pedicle To release
enlargement- attachment procedure. for GTR access to distal wedge flaps: flap tension
Gingival Basic incision for Narrow allow apical procedures, laterally allowing
hyperplasia: flap procedures. (esp. keratinized or coronal internal positioned, coronal
External bevel Modified Widman Flap) gingiva positioning bevel rotational advancement
Section - VIII
gingivectomy. ≤ 3 mm. of flap. gingivectomy, flap. Etc. of the flap.
Crown lengthening. bulky
Gingivoplasty. Aesthetically
Gingival enlargement. papillae
Crown lengthening. relevant areas.
Chapter 47a
External Bevel Internal Bevel Inci- Sulcular Inci- Releasing Thinning Cut Back Periosteal
Incision (EBI) sion (IBI) sion Incision Incision Incision Incision
Contra- When access to Inadequate attached For certain
indications underlying bone is gingiva. anatomic
a necessity. reasons
Unfavourable e.g.to
anatomic prevent
conditions trauma-
such as shallow tization of
palatal vault or the mental
a pronounced nerve-in
external oblique Mandi-bular
ridge. canine
premolar
Periodontics & Oral Implantology
Bard-parker
Incision
11 or 15
♦ Extra sulcular incision: An incision placed
Bard-
between the gingival margin and
the mucogingival junction, dictated by the
depth of the pocket, width of the attached
Bard-parker
Thinning
Incision
blade 12,
♦ Marginal incision: An IBI that is made on the top
12B.
of the gingival margin. It is difficult to perform in
thin gingival biotypes.
♦ Parapapillary incision: An incision that is taken
Bard-Parker
blade no: 11
Releasing
Incision
Bard-Parker blade no
aesthetics is critical.
Loss of keratinized
and post-operative
of tissue hence is
Post-operative
Kirkland knife,
enlargements,
bleeding.