Module 3 - The Perio / Restorative Interface (code: GDP Mod 3)

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Discussion

Format for the day:

An initial presentation on the principles of surgical crown lengthening, illustrated by numerous cases, is followed by a second presentation on perio-endo lesions, furcation management and root resections. The rest of the day is then spent working on pigs jaws, when the techniques discussed will be practised (handpieces required for root resections).

Graham and Phil supply pigs jaws (one per participant but with spares available) but not surgical equipment, which must be brought by each participant. Handouts will be supplied.

Maximum participants: 12

Aims and Objectives:

  1. To understand the principles of, and indications for, surgical crown lengthening.
  2. To understand the indications and techniques for soft tissue remodelling.
  3. To understand the aetiology and management of perio-endo lesions.
  4. To understand the options for the management of furcation lesions.
  5. To understand the indications and techniques for root resections.

The course should enable participants to:

  1. Carry out simple surgical crown lengthening for pre-restorative and aesthetic reasons.
  2. Treat perio-endo lesions and manage furcation problems.
  3. Carry out simple root resection both with and without surgical access.
  4. Advise patients about the possibilities of soft tissue remodelling.

Outline Programme:

9.00 Registration
09.30 Welcome and Introductions
09.40 Surgical Crown Lengthening :
Principles and Indications
10.30 Coffee
10.45 Hands-On (pigs jaws) - demonstrations and exercises on crown lengthening
12.30 Lunch
13.30 The Periodontally-involved Root, including:
· Perio-endo Lesions
· Furcation Management
· Root Resection / Hemisection
14.30 Hands-On – Periodontal Plastic Surgery
15.15 Tea
16.15 Periodontal Plastic Surgery - Cases
16.30 Close

Equipment required for surgery practical:

Participants are requested to bring the following items (or equivalent) with them if possible (unless supplied by postgraduate centre). Some spares will be available to borrow.

Metal scalpel handle and at least 6 No 15 Swann Morton blades
Fine beaver-tailed periosteal elevator
Selection of steel curettes
Bone chisel (Rhodes pattern recommended*)
Mitchell's No 4 trimmer
Suture-holding forceps
Tissue forceps
Suture scissors
BPE / CPITN probe
2 No W811 black silk sutures (4/0) with 13 mm reverse cutting needle
Selection of tapered diamond burs
Coupland elevators
Fine lower extraction forceps
Cotton swabs
Protective clothing

* Available from Prima Instruments and Hu-Friedy, amongst others

See also: