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 DEFINITION
Technical surgical periodontal for the treatment of the defects periodontales, in that a graft and a membrane 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 bony textile - peridontal approaching what would be a normal periodonto.
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 and placing appropriately the membrane to cover the defect. The grafts can be: free autógeno of gum (palatine generally), free autógeno of connective textile, and I graft pediculado from an adjacent area. The membranes can be reabsorvibles or not reabsorvibles.
COMPLICATIONS
The complications can be immediate and mediate (secondary or late). The immediate complications can be: tears, hemorrhages, exhibition of the membrane, lost of the graft, etc. The mediate complications: infectious, hemorrhagic (of local or general cause); personal details (bacteriemas, septicemias, etc). The results of this skill are very variable since they depend on multiple factors.
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DEFINITION 
