By Naoshi Sato
Translation of the japanese textual content, Shishu Geka no Rinsho to Tekunikku, c1997. Atlas illustrates therapy via case-by-case research. Abundantly illustrated with full-color photos and drawings. Demonstrates how regenerative systems mixed with periodontal surgical procedure suggestions, can in achieving a profitable scientific final result. DNLM: Periodontics--methods--Atlases.
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Sample text
To eliminate the periodontal pocket by removing the furcation 3. To improve the furcation form for dental hygiene 4. To preserve maximum periodontal tissue of the residual root 5. To control interdental space (embrasure) in the area adjacent to the root 6. To treat multirooted teeth where endodontic treatment is i mpossible 7. To treat teeth with severe caries Fig 1-22 Root resection for the preservation of residual multirooted teeth, a. Note the severe destruction of the crowns of 2 and 3, the perforation of the pulp chamber floor, and a 7-8-mm pathologic pocket.
B. A primary partial-thickness incision is made on the palatal aspect of 13 and 14 (right). c. An internal bevel incision is made toward the alveolar crest on the buccal aspect. 57 c44 Wedge procedure using a pedicle incision. a. A no. 15 blade is used to make a primary i ncision connecting the distopalatal line angle of 11 and the mesiopalatal line angle of 13. b. The blade is inserted horizontally from the palatal aspect. The flaps are reflected from the underlying connective tissue with approximately 2-mm thickness while the flaps are lifted with the side of the blade.
66 Obioctlves and Techniques oil Periodontal Surgery Also, with a fused root or extremely long root trunk, the final decision should be made after flap reflection to ensure that there is sufficient bone support for the saved root. Even if there is periodontal tissue support, there are situations where the anatomic form cannot be improved to an easy-to-clean state or where endodontic treatment of the residual root is impossible after root resection. There may be insufficient tooth structure after root resection because of decay in the furcation area and because of root resorption.