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 DEFINITION
Technical surgical periodontal for the treatment of the defects of the morphology, position and quantity of the gum, in which a graft is used. It is named by quadrant because it usually do a hemiarcada in every meeting.
SYMPTOMS
The principal motives for which it usually indicates this skill are to increase the gum approaching what would be a normal periodonto and/or to realize a recovering radicular.
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 adapting the graft to the bed that wants to talk each other, well realizing his extraction or his displacement. The grafts can be: free autógeno of gum (palatine generally), free autógeno of connective textile, and I graft pediculado from an adjacent area.
COMPLICATIONS
The complications are not frequent 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). In some cases it is possible to lose the graft.
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DEFINITION 
