What is root planing and subgingival curettage?

Root planing is the smoothing of the subgingival root surfaces with a curette. The objective of root planing is to remove deposits and cementum in an attempt to achieve gingival reattachment. 146. What is gingival curettage? Curettage is the removal of the gingival sulcular lining of the periodontal pocket.

What is closed gingival curettage?

Gingival curettage is a process of removal of inflamed soft tissue. Curettage is a closed, definitive surgical procedure performed under local anesthesia and aimed at pocket reduction and improving periodontal health. Indications of gingival curettage are as follows : Edematous and inflamed tissue. Periodontal pockets.

How do dentists do curettage?

Curettage is a more intensive treatment that corrects periodontal problems and is performed below the gumline. Curettage is a process where the gum is first scraped to remove tartar, then is polished and smoothed down to the root of the teeth.

Which instrument is used for subgingival scaling?

Periodontal curettes have one face, one or two cutting edges and a rounded back and rounded toe. They are typically the instrument of choice for subgingival calculus removal.

What is GTR membrane?

These gaps, or bony defects, often need to be treated with a separate procedure known as a bone graft. This is where material is placed into the defect to promote new bone growth. GTR uses a resorbable or nonresorbable artificial membrane. These keep soft tissue from growing into the gaps.

What is the purpose of gingival curettage?

Gingival curettage is a surgical procedure removing the gingival crevicular epithelium and is of no additional benefit than scaling and root planing alone. Periodontal curettage may be employed in the treatment of osseous defects whereby the granulation tissue contents of the defect are surgically removed.

What instruments do periodontists use?

Assessment instruments are used to gather clinical data that allow the clinician to analyze the oral and periodontal health of the patient. Assessment hand instruments include mouth mirrors, periodontal probes, and explorers. Periodontal treatment hand instruments include curets, sickle scalers, and periodontal files.

Why is subgingival scaling important?

The presence of subgingival calculus is strongly associated with inflammation in the soft tissue pocket wall and is an important factor in the development and progression of periodontitis. Subgingival calculus provides surfaces that are, in turn, conducive to adherence and growth of biofilms.

What is periodontal membrane?

periodontal membrane, also called Periodontal Ligament, fleshy tissue between tooth and tooth socket that holds the tooth in place, attaches it to the adjacent teeth, and enables it to resist the stresses of chewing.

What is the difference between GBR and GTR?

Regeneration is classified into guided bone regeneration (GBR) or guided tissue regeneration (GTR). Guided bone regeneration refers to an edentulous area, whereas Guided tissue regeneration refers to the regeneration of bone, periodontal ligament, and cementum around teeth.

What is gingival curettage?

Gingival curettage. 3. INTRODUCTION “CURETTE”:  From the Latin term “curare”, to care or to cure. 4.  Definitions :  The term “gingival curettage” implies directing an operative instrument against the gingival wall of the periodontal pocket in order to remove the ulcerated epithelium covering the sulcus.

What is the difference between root planing and curettage?

5.  Rationale: Curettage is the conversion of chronic inflammatory ulcers to the gingival wall of the pockets into surgical wound. Curettage can be used alone as the separate procedure after root planing has to perform or as in combination with root planing to eliminate the pocket.

Does ultrasonic curettage work on gingivitis?

Ultrasonic Curettage. The use of ultrasonic devices has been recommended for gingival curettage. When applied to the gingiva of experimental animals, ultrasonic vibrations disrupt tissue continuity, lift off epithelium, dismember collagen bundles, and alter the morphologic features of fibroblast nuclei.

How do you dry out supragingival calculus?

Compressed air may be used to dry supragingival calculus until it is chalky white and readily visible. Air also may be directed into the pocket in a steady stream to deflect the marginal gingiva away from the tooth so that subgingival deposits near the surface can be seen.