Index

INDEX
Page numbers in italics indicate figures; page numbers followed by t indicate tables.
A epithelial proliferation, with Circumferential suture, with gingival

healing, 177, 278-289 augmentation, 190, 202
Absorption, of suture material, lOt
fibronectin, 186, 287, 188 Citric acid
Acids, biomechanical root hypermineralizing, of diseased root in biomechanical root preparation,
preparation with, 177, 278-
surface, 177, 181 177, 181, 282, 182, 283-184,
180, 181-182, 181-184, 185-
mat-like surface, 181, 282 185, 286
186, 186-287, 188 periodontal regeneration, 287, 188 hypermineralizing, of diseased
Acquired immune deficiency
"smear layer", of residual debris, root surface, 177, 181
syndrome, protection
against, 7 181, 282 mat-like root surface,
tetracycline hydrochloride, 185-186 biomechanical root
Allografts, in inductive osseous
Bioresorbable membrane, for guided preparation for, 181, 281
surgery, 308t, 308-309,
tissue regeneration. See Class I-II classification, gingival
322-328
Guided tissue recession, 190-191, 297,
Alloplasts, ceramic, in inductive
regeneration 299-202
osseous surgery, 297, 305-
Blunted interdental septa, with thick Class I-III classification, ridge defects,
322, 308
bone margin, osteoplasty 233, 236
Apically positioned partial-thickness
for, 260-261, 266-267 Classification, furcations
flap, 68-69, 79-83
Body of surgical needle, 14 Glickman horizontal classification,
advantages, 68-69
Bone 369, 370t, 376
disadvantages, 69
infected/necrotic, removal of. See Lindhe horizontal classification,
indications, 68
Resective osseous surgery 369, 370t, 377
procedure, 69, 79-83
nonsupporting, reshaping of. See Tarnow and Fletcher vertical
Autogenous bone marrow graft, 296- Osteoplasty classification, 369, 370t
297, 298-304
radicular/interradicular supporting, Closed procedures, open procedures,
extraction site, 297, 303-304
removal of. See Ostectomy compared, 5t
extraoral site, 296, 298-299
supporting, removal of. See Coated Vicryl, as suturing material,
intraoral site, 297, 300-302
Ostectomy 10
Buccal approach, disadvantages of, Collagen fibril, and biomechanical
B compared to palatal flap root preparation, citric
approach, 137 acid, 182, 284
Bacteria, wicking of, and knot tying,
Connective tissue pedicle graft,
12
gingival augmentation,
Bending, of needle, with incorrect 223-224, 232-232
C
handling, 26
Consent form, for surgery, 7
Biodegradable membrane, for guided Cementum, biomechanical root Continuous sutures, 19-20, 26-30
tissue regeneration, 342- preparation for, 177, 278-
advantages, 19
343, 344-350 280, 181-182, 282-284, 185-
disadvantages, 19
Biologic width, 263, 278-282 186, 286-287, 188
Biomechanical root preparation Chemotherapeutic agents, topical, for independent sling suture, 20,
citric acid, 177, 181, 282, 182, 283- biomechanical root 26-29
284, 185, 286 preparation, 177, 278-280, locking suture, 20, 30
animal studies, 182, 283-284 181-182, 282-284, 185-186, mattress suture, 20, 26-27
human clinical studies, 185, 286 286-287, 188 technique, 20
collagen fibril, citric acid, 182, 284 Chromic gut, as suturing material, 10 types of, 19
417
418 Index
Contour, parabolic, creation of. See transpositional flap, 223, 228-230 Edentulous ridge
Resective osseous surgery advantages, 223 modification, pedicle flap, laterally
Coronally positioned flap, for disadvantages, 223 positioned, 200-223, 100
gingival augmentation, procedure, 223, 228-230 resective osseous surgery for, 263,
191, 205-206 Craters, ostectomy for, 261-262, 268- 278
Coronally positioned flap/citric acid, 272 Egyptians, use of suturing materials,
furcation treatment, 309- Creeping attachment, for gingival 9
310, 319-322 augmentation, 191, 203- ENAP. See Excisional new attachment
Cosmetic root coverage: gingival 204 procedure
augmentation Curettage, 31-32, 35-39 Endotoxin, biomechanical root
circumferential suture, 190, 202 contraindications, 32 preparation for, 177, 278-
connective tissue pedicle graft, 223- defined, 1, 4, 31 280, 181-182, 282-284, 185-
224, 232-232 furcations, 370 186, 286-287, 188
with creeping attachment, 191, 203- indications, 31-32 Epithelial proliferation, with healing,
204 procedure, 32, 36-39 177, 278-289
dead space, from routine suturing, Curtain procedure, for maxillary Eruption, forced, resective osseous
191, 202 anterior pocketing, 165- surgery, 264, 282-283
deep-narrow, deep wide gingival 166, 167-173 Ethibond, as suturing material, 10
recession (Class II), Miller advantages of, 165 Ethilon, as suturing material, 10
classification, 190, 292 criteria for treatment, 165 Excisional new attachment
gingival augmentation, disadvantages of, 165 procedure, 32-33, 40-43
contraindications, 207 procedure, 165-166, 267-271 advantages, 32
gingival recession, classification, Cutting needles, surgical, 14, 15 contraindications, 32
189-190, 292-293 disadvantages, 32
grafting, for root coverage, D indications, 32
overview, 189 modifications, of technique, 33, 43
guided tissue regeneration, 224 Dacron, as suturing material, 10 procedure, 33, 40-43
history of, 191, 207 Dead space, from routine suturing, Eye, of surgical needle, 14
interdental concavity suture, 190, in gingival augmentation,
202 191, 202
interproximal bone loss with Debridement surgery, flap, 32
gingival recession (Classes Deep-narrow, deep wide gingival
III, IV), Miller recession (Class II), Miller FDBA, bone allograft, in inductive
classification, 190, 293 classification, 190, 192 osseous surgery, 309, 327-
Miller classification, of gingival Demineralized freeze-dried bone 328
recession, 189-190, allografts, 308t, 308-309, Festooning, in osteoplasty, 260, 266
292-293 312-316 Fibroblasts, biomechanical root
procedural modifications, 190-191, Design, of surgical needle, 14, 14-25 preparation for, 177, 278-
294-200 Dexon, as suturing material, 10 280, 181-182, 282-284, 185-
procedures, overview of, 189 DFDBA, bone allograft, in inductive 186, 286-287, 188
semilunar flap, 214, 223, 225-227 osseous surgery, 308t, 308- Fibronectin, biomechanical root
disadvantages, 223 309, 312-326 preparation, 186, 287, 188
indications, 214 Diagnosis, furcations, periodontal Figure-eight interrupted suture, 17,
procedure, 223, 225-227 disease, vs. pulpal 19, 22-22
requirements, 223 disease, 373, 373t, 402-402 Flap
shallow-narrow, shallow wide Diagnostic probing, palatal flap, 137- apically positioned full-thickness,
gingival recession, Miller 138, 143-145 modified, 68, 75-78
classification, 189, 292 Distal wedge, palatal flap, 140, 155- apically positioned
subepithelial connective tissue 259 partial-thickness, 68-69,
graft, 191, 207, 208-223, Double papilla laterally positioned 79-83
214 flaps, 121-122, 223-230 coronally positioned, for gingival
disadvantages, 207 advantages, 121 augmentation, 191, 205-
donor site, 207, 209-223 disadvantages, 121 206
failure, 214, 225-228 failure, 122, 229 curettage, 68
graft placement, 208, 214 horizontal lateral sliding papillary debridement surgery, 32
history of, 191, 207 flap, 122, 230 double papilla laterally positioned,
indications, 207 indications, 121 121-122, 223-230
procedure, 207 procedure, 121, 223-126 full-thickness, 66-68
recipient site, 207, 208 root coverage variation, 122, 127- defined, 1, 4
subpedicle connective tissue graft, 228 partial-thickness, compared, 5t
214, 229-222 Duralon, as suturing material, 10 modified full-thickness, defined, 1,
advantages, 214 4
disadvantages, 214 palatal, surgical procedures, 137-
E
procedure, 214, 229-222 141, 242-263
suturing, modification of, for root Ears of knot, 12, 23 palatal flap, 137-141, 242-263
coverage, 190-191, 297, Edentulous area, gingivectomy, 52, partial-full-thickness. See
299-200 62 Full-thickness flap
Index 419
pedicle flap, laterally positioned, contraindications, 371, 382 interdental concavity suture, 190,
surgical management of, coronally positioned flap/citric acid, 202
99-101, 102-120 treatment with, 309-310, interproximal bone loss with
procedures, gingivectomy, 329-322 gingival recession (Classes
compared, 5t diagnosis, 369, 374-375 HI, IV), Miller
semilunar, for gingival disadvantage, 371 classification, 190, 193
augmentation, 214, 223, edentulous ridge, 263, 278 Miller classification, of gingival
225-227 grafting, 370 recession, 189-190, 192-193
surgical procedures, 3t, 66-69, 70- guided tissue regeneration, 327-328 procedural modifications, 190-191,
83 hemisection, term usage, 371 194-200
suturing, Guidor matric barrier, for hemisection procedure, in procedures, overview of, 189
guided tissue mandibular molar semilunar flap, 214, 223, 225-227
regeneration, 343, 349 furcation, 372, 384-388 advantages, 214
tertiary. See Full-thickness flap indications, 371 disadvantages, 223
transpositional, gingival mandibular molar, 262-263, 273- indications, 214
augmentation, 223, 228- 277, 372, 384-388 procedure, 223, 225-227
230 maxillary molar, 262 requirements, 223
Widman, modified, 33-34, 44-50 nonvital procedure, term usage, shallow-narrow, shallow wide
Forced eruption resective osseous 371 gingival recession, Miller
surgery, 264, 282-283 odontoplasty, 370, 379 classification, 189, 192
Free soft-tissue autograft, 84-87, 88-98 osteoplasty, 370, 378-379 subepithelial connective tissue
advantages, 84 periodontal disease, vs. pulpal graft, 191, 207, 208-223,
disadvantages, 84 disease, differential 214
graft failure, 86-87, 96 diagnosis, 373, 373t, 402- disadvantages, 207
historical background, 84 402 donor site, 207, 209-213
preparation of donor tissue, 85-86, periodontal-endodontal problems, failure, 214, 215-228
90-95 373, 373t, 402-402 graft placement, 208, 214
graft thickness, 85, 92 resective osseous surgery for, 262- history of, 191, 207
preparation of recipient site, 84-85, 263, 273-278 indications, 207
88-89 root amputation, term usage, 371 procedure, 207
procedure, 84-86, 88-95 root amputation procedure, in recipient site, 207, 208
recipient modification, 87, 97-98 maxillary furcation, 372- subpedicle connective tissue graft,
full-thickness recipient site, 87, 373, 389-400 214, 219-222
97 root resection, 371, 382 advantages, 214
periosteal separation, 87, 98 term usage, 371 disadvantages, 214
vertical osseous clefts, 87, 98 terminology, 371-372 procedure, 214, 219-222
Free-soft tissue autograft, recipient tooth sectioning, term usage, 371 suturing, modification of, for root
modification of, 87, 97-98 treatment, 370t, 370-372 coverage, 190-191, 297,
Freeze-dried bone allograft, in curettage, 370 199-202
inductive osseous surgery, furcation plasty, 370, 378-379 transpositional flap, 223, 228-230
309, 327-328 gingivectomy, 370 advantages, 223
Frenulectomy, 131, 232 odontoplasty, 370 disadvantages, 223
Frenulotomy, 131, 233-135 scaling, 370 procedure, 223, 228-230
Full-thickness flap tunnel preparation, 370-371, 376, Gingival recession, classification, 189-
advantages, 67 380 190, 192-193
contraindications, 67 vital procedure, term usage, 371 Gingival reconstruction,
defined, 1, 4 biomechanical root
disadvantages, 67 preparation in, 177, 178-
G
incision placement, 67, 70 180, 181-182, 182-184, 185-
indications, 67 Gingival augmentation 186, 186-187, 188
partial-thickness flap, compared, 5t connective tissue pedicle graft, 223- Gingival surgical procedures,
procedure, 67-68, 72-74 224, 232-232 comparative analysis of, 6t
Full-thickness soft-tissue grafts, for contraindications, 207 Gingivectomy
ridge augmentation, 233, coronally positioned flap, 191, 205- advantages, 51
247-239 206 contraindications, 51
Furcation plasty, 370, 378-379 creeping attachment, 191, 203-204 defined, 1, 4, 51
Furcations, 369-373, 370t, 373t, 374- dead space, from routine suturing, disadvantages, 51
402 191, 202 edentulous area, 52, 62
classification, 369, 370t, 376-377 deep-narrow, deep wide gingival failure, reasons for, 52-53
Glickman, horizontal recession (Class II), Miller flap procedures, compared, 5t
classification, 369, 370t, classification, 190, 192 furcations, 370
376 gingival recession, classification, incisions, 52, 55-57
Lindhe, horizontal classification, 189-190, 292-293 indications, 51
369, 370t, 377 "graft stretching" suture, 190, 202 partial-thickness palatal flap, 13S
Tarnow and Fletcher, vertical grafting, for root coverage, 250
classification, 369, 370t overview, 189 pocket marking, 52, 54
considerations, 371, 383 guided tissue regeneration, 224 presurgical phase, 51-52, 54
420 Index
Gingivectomy (cont.) gingival augmentation, H

retromolar area, 52, 62 190, 202
Handling
tuberosity area, 52, 63 Granny knot, 13
ease of, sutures, lit
Gingivoplasty, 52, 57-60 Grasping area of surgical needle, 14
suture needles, 14, 16
advantages, 51 Grooving, horizontal, in ostectomy,
Healing
contraindications, 51 261-262, 268
epithelial proliferation with, 177,
defined, 51 Guided tissue regeneration, 310, 323,
178-189
disadvantages, 51 324-326, 327-330, 331-341,
type-specific cell repopulation
indications, 51 342-343, 344-349, 351-352,
Glickman horizontal classification, 353-368 theory of, 323, 326
Hemisection
furcations, 369, 370t, 376 animal studies, 323, 327 procedure, in mandibular molar
Gore-Tex bioresorbable membrane, 342-343, furcation, 372, 384-388
Augmentation Material 344-350 term usage in furcations, 371
for guided tissue regeneration, biodegradable membrane, 342-
Hemiseptae, ostectomy for, 261-262,
351-352, 353-368 343, 344-350
268-272
ridge augmentation, 351-352, Guidor matric barrier, 342-343,
Hepatitis, protection against, 7
353-368 344-350
Historical review, of treatment, 2-3
barrier, guided tissue regeneration. adaptation, 343
Holder, surgical needle, 14, 16
See Guided tissue flap suturing, 343, 349
Horizontal grooving, in ostectomy,
regeneration ligature tying, 343, 348 261-262, 268
as suturing material, 10 postoperative
Horizontal mattress continuous
Graft considerations, 343, 350
suture, 20, 26-27
connective tissue pedicle graft, for trimming, 342, 347
Horizontal mattress interrupted
gingival augmentation, combination grafts, 328
suture, 17, 19, 21, 23
223-224, 231-232 furcations, 327-328
Hypermineralizing, of diseased root
failure for gingival augmentation, 224
surface, 177, 181
in free soft-tissue allograft, 86, human studies, 324-325, 327-328
96 intrabony defect, 327
I
free soft-tissue autograft, 86-87, nonresorbable membranes, 328-
96 330, 331-341 Implant placement, palatal approach,
full-thickness soft-tissue graft, for Gore-Tex barrier, 328-330, 331- 140-141, 161-163
ridge augmentation, 233, 341 Incisions
237-239 contraindications, 329 basic, 1, 2-4, 5t-6t
furcations, 370 defect preparation, 329, 332 for gingivectomy, 52, 55-57
"graft-stretching" suture, with defect selection, 329 Indecision, about incision type,
gingival augmentation, indications, 329 consequences of, 7
190, 202 material removal, 330, 334 Independent sling suture, continuous
material, inductive osseous material selection, 329, 333 suture, 20, 26-29
surgery, 296-297, 298-304 patient selection, 328 Inductive osseous surgery, 285-287,
material selection, inductive postoperative considerations, 288-295, 296-297, 298-307,
osseous surgery, 296-297, 330, 335-341 308-310, 311-321
298-304 surgical procedure, 329, 332 allografts, 308t, 308-309, 312-318
for new attachment, in inductive suture material, 329, 333 alloplasts, ceramic, 297, 305-312,
osseous surgery, for suturing technique, 329-330, 308
intrabony defects, 287, 333 autogenous bone marrow graft,
296-297, 298-304 ridge augmentation, 351-352, 353- 296-297, 298-304
for root coverage, in gingival 368 extraction site, 297, 303-304
augmentation, overview, contraindications, 351 extraoral site, 296, 298-299
189 defect selection, 351 intraoral site, 297, 300-302
subepithelial connective tissue Gore-Tex Augmentation demineralized freeze-dried bone
graft, for gingival Material, 351-352, 353-368 allografts, 308t, 308-309,
augmentation, 191, 207, material, 351, 354 312-316
208-223, 214 osseous defects, 351 freeze-dried bone allograft, 309,
subepithelial tissue graft, for ridge peri-implant defects, 351 317-318
augmentation, 234, 246- postoperative considerations, 352 furcation, coronally positioned flap/
254 predictability, 351, 359-362, 364- citric acid, treatment with,
subpedicle connective tissue graft, 366 309-310, 319-321
for gingival augmentation, surgical procedure, 351-352, 355- graft, material, 296-297, 298-304
214, 219-222 368 classification, 296
thickness, free soft-tissue autograft, type-specific cell repopulation selection, 296-297, 298-304
85, 92 theory of healing, 323, 326 guided tissue regeneration, 310
tissue Guidor matric barrier, for guided intrabony defects, 285-297, 288-295,
obtaining, for free soft-tissue tissue regeneration, 342- 298-304
allograft, 85-86, 86 343, 344-350 bone regeneration failure, 287
preparation, for free soft-tissue Gut bone regeneration/new
allograft, 85-86, 91, 93-95 chromic, as suturing material, 10 attachment, preparation
"Graft stretching" suture, with plain, as suturing material, 10 for, 285-286, 289
Index 421
grafting for new attachment for guided tissue maxillary, resective osseous
advantages of, 287 regeneration, 343, 348 surgery for, 262
rationale/selection, 287 Lindhe horizontal classification, Monocryl, as suturing material, 10
success/failure of, factors furcations, 369, 370t, 377 Mucogingival surgery, 65-69, 70-83,
affecting, 287 Lipopolysaccharides, biomechanical 84-87, 88-98, 99-101, 102-
treatment procedure, 286-287, root preparation for, 177, 120, 121-122, 123-130, 131,
289-295 178-180, 181-182, 181-184, 132-135
bone, 286, 289-295 185-186, 186-187, 188 apically positioned partial-thickness
root surface, 286, 289-292 Locking suture, continuous suture, flap, 68-69, 79-83
soft tissue, 286, 289-292 20, 30 advantages, 68-69
linkage, defined, 285 Loop of knot, 12, 13 disadvantages, 69
new attachment, defined, 285 indications, 68
reattachment, defined, 285 procedure, 69, 79-83
M
regeneration, defined, 285 classification of procedures, 66
repair, defined, 285 Mandibular molar double papilla laterally positioned
Infected bone, removal of. See furcations, 372, 384-388 flaps, 121-122, 123-130
Resective osseous surgery resective osseous surgery for, 262- advantages, 121
Interdental concavity suture, with 263, 273-277 disadvantages, 121
gingival augmentation, Mat-like root surface, biomechanical failure, 122, 129
190, 202 root preparation for, 181, horizontal lateral sliding
Interdental septa, blunted, with thick 181 papillary flap, 122, 130
bone margin, osteoplasty Material, suture, 9, 10t-llt indications, 121
for, 260-261, 266-267 Mattress continuous suture, 20, 26-27 procedure, 121, 123-126
Interproximal bone loss with gingival Mattress interrupted suture, 17, 19, root coverage variation, 122, 127-
recession (Classes III, IV), 21, 23 128
Miller classification, 190, Maxillary anterior pocketing, 165-166, flap curettage, 68
193 167-176 free soft-tissue autograft, 84-87,
Interradicular supporting bone, curtain procedure, 165-166, 167-171 88-98
removal of. See Ostectomy advantages of, 165 advantages, 84
Interrupted sutures, 17, 21-25 criteria for treatment, 165 disadvantages, 84
Intrabony defects, 285-297, 288-295, disadvantages of, 165 graft failure, 86-87, 96
298-304 procedure, 165-166, 167-171 historical background, 84
bone regeneration failure, 287 modified flap technique, 165 preparation of donor tissue, 85-
bone regeneration/new attachment, papillary preservation technique, 86, 90-95
preparation for, 285-286, 166, 172-176 graft thickness, 85, 92
289 semiflap technique, 165 preparation of recipient site, 84-
grafting for new attachment Maxillary molar, resective osseous 85, 88-89
advantages of, 287 surgery for, 262 procedure, 84-86, 88-95
disadvantages of, 296 Medical history, presurgical, 7 recipient modification, 87, 97-98
rationale/selection, 287 Mersilene, as suturing material, 10 full-thickness recipient site, 87,
guided tissue regeneration, 327 Miller classification, of gingival 97
success/failure of, factors affecting, recession, 189-190, 192-193 periosteal separation, 87, 98
287 Modified apically positioned vertical osseous clefts, 87, 98
treatment procedure, 286-287, 289- full-thickness flap, frenulectomy, 131, 132
295 mucogingival surgery, 68, frenulotomy, 131, 133-135
bone, 286, 289-295 75-78 full-thickness flap, 66-68, 70-78
root surface, 286, 289-291 Modified flap technique, for advantages, 67
soft tissue, 286, 289-291 maxillary anterior contraindications, 67
Intrapapillary placement, interrupted pocketing, 165 disadvantages, 67
suture, 17, 19, 21 Modified full-thickness incision placement, 67, 70
(mucoperiosteal) flap, indications, 67
K defined, 1, 4 procedure, 67-68, 71-74
Modified new attachment procedure, modified apically positioned full-
Knot/knot tying, 12, 13 32-33, 43 thickness flap, 68, 75-78
bacteria, wicking of, 12 Modified resective technique, for objective of, 66
components of, 12, 13 maxillary anterior partial-full-thickness flap. See Full-
ears of knot, 12, 13 pocketing. See Curtain thickness flap
granny knot, 13 procedure pedicle flap, laterally positioned,
loop of knot, 12, 13 Modified Widman flap, 33-34, 44-50 99-101, 102-120
square knot, 13 advantages of, 33 advantages, 99
strength of, surgical suture, lit disadvantages of, 33 contraindications, 99
surgeon's knots, 13 procedure, 33-34, 44-50 disadvantages, 99
"throws" of knot, 12, 13 Molar donor site preparation, 99, 103
mandibular edentulous ridge modification,
L furcations, 372, 384-388 100-113, 100
resective osseous surgery for, failure, 100, 108
Ligature tying, Guidor matric barrier, 262-263, 273-277 historical review, 99, 102
422 Index
Mucogingival surgery (cont.) Osteoplasty, 260-261, 265-267 historical review, 99, 202
oblique rotated pedicle flap, 100- for blunted interdental septa, with oblique rotated pedicle flap, 100-
101, 114 thick bone margin, 260- 101, 114
partial-full-thickness pedicle flap, 261, 266-267 partial-full-thickness pedicle flap,
101, 126-117 festooning, 260, 266 101, 226-227
periosteally stimulated pedicle furcations, 370, 378-379 periosteally stimulated pedicle flap,
flap, 101, 115 vertical interradicular grooving, 101, 225
preparation of pedicle flap, 99- 260, 266 preparation of pedicle flap, 99-100,
100, 204-107 Overview, surgical procedure 204-207
procedure, 99-100, 203-207 classification, 5-7 procedure, 99-100, 203-207
submarginal incisions, 101, 228- submarginal incisions, 101, 128-220
220 Periodontal-endodontal problems,
P
periodontal flaps, 3t, 66-69, 70-83 furcations, 373, 373t, 401-
principles of, 66 Palatal flap 402
purpose of, 65 advantages of approach, 137 Periodontal flaps, 3t, 66-69, 70-83
tertiary flap. See Full-thickness flap contraindications, 137 Periodontal probe, for pocket
tissue barrier concept, 65-66 diagnostic probing, 137-138, 243- marking, in gingivectomy,
width, keratinized attached 145 52, 54
gingiva, 65 disadvantages of buccal approach, Periodontal regeneration,
Mucoperiosteal flap. See 137 biomechanical approach,
Full-thickness flap distal wedge, 140, 155-359 287, 188
historical review, 137, 242 Periosteal suturing, 17, 28
N implant placement, palatal Periosteally stimulated pedicle flap,
Necrotic bone, removal of. See approach, 140-141, 262-263 pedicle flap, laterally
Resective osseous surgery indications, 137 positioned, 101, 125
Needle holder, 14, 26 partial-thickness palatal flap, 138- Physiologic parabolic contour,
Needles, surgical, 14, 24-25 139, 246-249 creation of. See Resective
handling of, 14, 26 advantages, 138 osseous surgery
needle holder, 14, 26 common mistakes, 139, 254 Picket fence appearance, maxillary
placement in tissue, 26, 17 presurgical phase, 138, 246-247 anterior pocketing, curtain
Negative osseous architecture, surgical phase, 138-139, 246-249 procedure for, 165-166,
ostectomy, 261-262, 268- Stage 1: gingivectomy, 139, 250 267-272
272 Stage II: partial-thickness flap, Placement, in tissue, surgical needle,
Nonresorbable membranes, guided 139, 252-253 26, 17
tissue regeneration, 328- Papillary flap, horizontal lateral Plaque, biomechanical root
330, 332-342 sliding, in double papilla preparation for, 177, 278-
Nonsupporting bone, reshaping of. laterally positioned flaps, 280, 181-182, 182-184, 185-
See Osteoplasty 122, 230 186, 286-287, 188
Nylon, as suturing material, 10 Papillary preservation technique, for Platelet activation
maxillary anterior biomechanical root preparation,
O
pocketing, 166, 272-276 citric acid, 182
Parabolic contour, physiologic, in root preparation, biomechanical,
Oblique rotated pedicle flap, pedicle creation of. See Resective citric acid, 182
flap, laterally positioned, osseous surgery Pocket marking, gingivectomy, 52,
100-101, 224 Parabolizing, defined, 261 54
Odontoplasty, furcations, 370, 379 Partial-full-thickness flap. See Full- Pocketing, maxillary anterior,
Open procedures, closed procedures, thickness flap cosmetic treatment of. See
compared, 5t Partial-thickness flap, full-thickness Maxillary anterior
Osseous surgery flap, compared, 5t pocketing
inductive. See Inductive osseous Partial-thickness palatal flap, 138, Point of surgical needle, 14, 25
surgery 246-249 Polydioxanone, as suturing material,
resective. See Resective osseous advantages, 138 10
surgery common mistakes, 139, 254 Polyester, as suturing material, 10
Ostectomy, 261-262, 268-272 presurgical phase, 138, 246-247 Polyglactin 910, as suturing material,
advantages, 261 surgical phase, 138-139, 246-249 10
contraindications, 261 Stage II: partial-thickness flap, Polygycolic acid, as suturing
for craters, 261-262, 268-272 139, 252-253 material, 10
disadvantages, 261 PDS, as suturing material, 10 Polypropylene, as suturing material,
for hemiseptae, 261-262, 268-272 Pedicle flap, laterally positioned, 99- 10
horizontal grooving 101, 202-220 Pouch procedure, for ridge
defined, 261 advantages, 99 augmentation, 233, 240-
demonstrated, 261-262, 268 contraindications, 99 242
indications, 261 disadvantages, 99 Presurgical considerations, 7
parabolizing, defined, 261 donor site preparation, 99, 203 Prolene, as suturing material, 10
procedure, 261-262, 268-272 edentulous ridge modification, 2 GO- Pulpal disease, vs. periodontal
scribing, defined, 261 223, 100 disease, differential diag-
spheroiding, defined, 261 failure, 100, 208 nosis, 373, 3731, 401-402
424 Index
Surgical procedures (cont.) material, qualities of ideal, 9 Guided tissue

root planing, 31-34, 35-50 mattress suture, 17, 19, 22, 23 regeneration
scaling, 31-34, 35-50 modification of, for root coverage, Transpositional flap, gingival
selection of, factors based on, 7 in gingival augmentation, augmentation, 223, 228-
sutures/suturing, 9-30, 10-1 It, 13- 190-191, 197, 199-202 230
16. 18, 21-30 needles, 14, 24-25 advantages, 223
Surgical silk periosteal suturing, 17, 18 disadvantages, 223
disadvantages of, 12 principles of, 12 procedure, 223, 228-230
as suturing material, 10 raw materials, for suture material, Treatment. See also Surgical
Surgilon, as suturing material, 10 lOt procedures
Suture/suturing removal of suture, 12 historical review of, 2-3
absorption, lOt sling suture, 19, 24-30 Trimming, Guidor matric barrier, for
circumferential, with gingival technique, 17, 18, 19-20, 22-30 guided tissue
augmentation, 190, 202 tensile strength of sutures, lOt regeneration, 342, 347
circumferential interrupted suture, tissue reaction, to suture, lit Tuberosity area, gingivectomy, 52,
17. 19, 21-22 types of, lit 63
continuous suture, 19-20 uses of, lit Tunnel preparation, furcations, 370-
continuous sutures, 19-20, 26-30 vertical mattress interrupted 371, 376, 380
dead space, from routine suturing, suture, 17, 19, 22, 23 Type-specific cell repopulation theory
in gingival augmentation, of healing, 323, 326
191, 202 Types of sutures, lit
ease of handling, lit T
Egyptian use of, 9 Tarnow and Fletcher vertical V
figure-eight interrupted suture, 17, classification, furcations,
19, 21-22 Vertical interradicular
369, 370t grooving/festooning, in
goals of, 9 Tensile strength
"graft stretching" suture, with osteoplasty, 260, 266
knot, surgical suture, lit Vertical mattress continuous suture,
gingival augmentation, of suture, lOt
190, 202 20, 26-27
Tertiary flap. See Full-thickness Vertical mattress interrupted suture,
horizontal mattress interrupted flap
suture, 17, 19, 21, 23 17, 19, 21, 23
Tetracycline hydrochloride, as Vicryl, coated, as suturing material,
interrupted sutures, 17, 21-25 biomechanical root 10
intrapapillary placement, preparation, 185-186
interrupted suture, 17, 19, "Throws" of knot, 12, 13
21 Tissue barrier concept, 65-66 W
knot/knot tying, 12, 13 Tissue reaction, to suture, lit Widman flap, modified. See Modified
knot tensile strength, lit Tissue regeneration, guided. See Widman flap

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A epithelial proliferation, with Circumferential suture, with gingival

Gingivectomy (cont.) gingival augmentation, H

Surgical procedures (cont.) material, qualities of ideal, 9 Guided tissue

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