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Open flap curettage - Open flap curettage indication
Open curettage of parodontal recesses
When the depth of pathologic parodontal recesses is more than 5 mm or the procedure of closed curettage was not effective open curettage is used. This procedure cannot be done without surgical dissection of the gum. There are some stages of the procedure:
Diagnostics of the condition of the gums
Local anesthesia
The gum is dissected near the interdental small papilla to facilitate the access to the basis of parodontal recesses (scrappy surgery)
Cleaning of the pathologic parodontal recesses with the help of special instruments
Application of osteogenous medicines to the injured place to stimulate the new bone tissue
Closure of the gum
The scrappy surgery consists in making 2 vertical incisions. Then it is easier to exfoliate the part of the gum between the 2 incisions.
The rest of the flaps are being put away so that the bone tissue of the root of tooth is bared.
After this procedure there is a visual sensation that the tooth becomes longer because the root of the tooth becomes bare. The teeth may become very sensitive to exogenous irritants (chemical, temperature and other).
Sometimes it is necessary to transplant fragments of soft tissues of the palate instead of the removed gingival tissues. This way it is possible to remove cosmetic defects, remove hypersensitivity of the root of the tooth and diminish the risk of recurrent deepening of parodontal recesses.
If the process of the open curettage has injured not only the soft tissues but also bone tissue holding the tooth transplantation of the bone tissue may be needed. The doctor can use your own bone tissue or the bone tissue of some other person or animal. Synthetic materials can be used as well.
Moreover, the transplantation fastens the tooth in the alveolus and facilitates the further regeneration of the same type of tissues secured by the organism's own forces. It is necessary to have a dental re-examination 1,5-2 month after the procedure. It will show whether the treatment was successful or it should be continued.
