Surgical ttt of deep pocket


Deep pocket 10 mm related to 6 ,7 there is no improvement in itching and sensitivity of patient after non surgical scaling and root planing so decesio is made for open flap depried ment and roots modification by EDETA 


Lingual flap reflection 


Buccal flap reflection look at bone destruction 


Suturing


recall after one week look at tissue healing patient satisfied 


Comments

Post a Comment

Popular posts from this blog

Case report

 From 3 months ago patient come to clinic complaining from numbness in the lower left side of lip, trismus and  pain in the upper anterior area. After patient examination and panorama inspection we discovered apical radiolucent lesion related to lower left second premolar (abcess) that we think it is main cause of numbness , so after our discussion with patient we agreed to Scaling root planing  endo ttt of lower left 5  Coronotomy of lower left 8 because its position related to inferior alveolar nerve  with the help of dr Mohamed Mofrih  Management of caries related to upper teeth  Follow up.  After 3 months patient is satisfied numbness  and trismus disappeared.
Read more

Frenotomy

Image
 referred case to solve high attachment of labial frenulum frenotomy was my choice Before incision through frenulum and muscle flaring is done note after this photo internal incision and more flaring is done Suturing  Hazards of high frenulum attachment Diastema and increase space between teeth Food retention that may lead to periodontal disease and caries specially classVI  interfering with speech  gingival recession
Read more