Periodontal Microsurgery Vs. Traditional Periodontal Care
Using traditional periodontal procedures requires;
- An initial gingivectomy to ideal clinical crown height,
- Split thickness flap through most of the papilla, transitioning into a full thickness flap to expose bone,
- Osteotomy/osteoplasty as necessary to reestablish the biologic width and hard tissue form,
- Closure of the split thickness papilla with an interproximal suture.
There are limitations to traditional periodontal techniques. These procedures do not maximize the patient’s ability to heal quickly and can result in pain, papillary deficiency, soft tissue scars or non-confluent tissue closure.
Benefits of Periodontal Microsurgical Techniques
This is an alternative incision design for crown lengthening that cannot be used with traditional periodontal techniques. The incisions are made with a microsurgical blade and are located horizontally near the base of the papilla.
This technique helps us to predictably maintain the entire papilla, obtain absolute primary closure and there is no post-operative discomfort. If this design was utilized with traditional periodontal procedures, the result would be scarring and an unaesthetic papillary appearance.