By Edward S. Cohen
The 3rd version of the Cohen Atlas is absolutely redesigned and elevated to mirror the cutting-edge and technological know-how in periodontic surgical procedure. every one method is gifted in a step by step method, and is supplemented by way of medical case examples now improved with hundreds of thousands of full-color photographs and illustrations. the recent variation is extra hefty, with new chapters and as with previous variations Dr. Cohen succinctly outlines the benefits, hazards, and similar demanding situations for every method. The aim of the atlas is to educate the beginner, improve the talents of the typical clinician, and act as a reference resource for the skilled clinician. targeted beneficial properties 5 new chapters in a piece on Anterior teeth publicity talk about prognosis to passive eruption 3000 scientific images three hundred unique colour drawings
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Extra resources for Atlas of Cosmetic and Reconstructive Periodontal Surgery 3/E
Qxd 11/16/06 8:29 PM Page 39 5 Gingivectomy and Gingivoplasty Gingivectomy is the excisional removal of gingival tissue for pocket reduction or elimination. The technique has, as its main advantages, simplicity, and ease of mastery. Gingivoplasty is the reshaping of the gingiva to attain a more physiologic contour that allows a gradual rise of tissue interproximally and a fall on the labial and lingual surfaces. In gingivoplasty, the tissue is thinned interproximally to produce a more harmonious contour, with interproximal sluiceways for the easy passage of food.
Qxd 11/16/06 8:29 PM Page 40 40 Basics A B C E 1 2 3 D F ip G H I FIGURE 5-1. Gingivectomy technique. A, Enlarged gingival tissue with pocketing. B, Horizontal bone loss. C, Use of pocket markers to establish bleeding points for incisions. D, Correct and incorrect placement of pocket markers and how incisions are affected: 1 = correct marking with a beveled incision to the base of the pocket; 2 = incorrect shallow marking, resulting in incision above the base of the pocket; and 3 = incorrect deep incision, resulting in bone exposure and possible removal of all attached gingiva.
7. Minimal bone removal Immediate close postsurgical contact of healthy collagenous tissue with the tooth surface Maximum conservation of periodontal tissue Esthetic desirability Facilitation of oral hygiene Less root exposure with less sensitivity Less mechanical trauma than closed curettage Disadvantages 1. 2. 3. 4. Technically demanding and exacting Requires a high degree of technical skill Interproximal flaps require exact placement Immediate unfavorable interproximal contours when dressings are first removed Sterile technique is recommended.