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DEFINITION
Technical surgical periodontal for the treatment of the illness periodontal. It is most used, since it solves 80 % of the problems periodontales that resolve themselves in the surgical phase. This skill has for targets: to eliminate the bags, to regenerate and to gain insertion. It is named by quadrant because it usually do a hemiarcada in every meeting.
SYMPTOMS
The illness periodontal cannot give symptomatology up to stadiums of severe affectation. The principal motives for which it usually consults the patient sound: hemorrhage, mobility, sensibility, etc. The growths of the gum produce also esthetic alterations that the patient recognizes.
SKILL
The suitable position of the patient and of the professional, the use of a correct skill and a few measurements of asepsis are essential norms for the success of the surgery. A previous history and exploration, as well as the achievement of a radiology they are also essential.
The skill must be realized of a ruled form and understands: a suitable hygienic phase, anesthesia, achievement of the stated tatter assuring suitable blood contribution, adapted handling of the tatter, scraped and smoothed radicular, restoration of the tatter and adaptation to the bone and to the tooth with the suitable suture looking for the healing for the first intention.
Different types of tatters exist: tatter of modified Widman, tatter of internal bevel, posicionado apicalmente tatter and tatter with preservation of the papilla.
COMPLICATIONS
The complications are very infrequent and they split in immediate and mediate (secondary or late). The immediate complications can be: tears, hemorrhages hurt by soft parts; injuries of the nearby nerves; submucous emphysema, break of set of instruments, etc. The mediate complications: infectious, hemorrhagic (of local or general cause); personal details (bacteriemas, septicemias, glomerulonefritis, crisis hiperglucémica or hyperthyroid, descompensaciones cardiac, hepatitis, etc)
WHAT DOCTOR CAN TREAT ME?
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