Clinical guide to periodontology: Reconstructive periodontal treatment

• Published in: British dental journal Vol. 216; no. 9; pp. 511 - 518
• Main Authors: Floyd, P. D., Ide, M., Palmer, R. M.
• Format: Journal Article
• Language: English
• Published: London Nature Publishing Group UK 09.05.2014; Nature Publishing Group
• Subjects: 692/700/3032/3099/3100; 692/700/3032/3099/3111; 692/700/3032/3129/3134; 692/700/3032/3149; Cell division; Connective tissue; Defects; Dentistry; Gingiva - surgery; Humans; Hydroxyapatite; Ligaments; Medicine; Periodontal Diseases - surgery; Periodontal Ligament - surgery; Periodontics; Periodontics - methods; practice; Reconstructive Surgical Procedures - methods; Surgery; Synthetic products; Tissue engineering; Tooth Root - surgery
• ISSN: 0007-0610; 1476-5373
• DOI: 10.1038/sj.bdj.2014.354

Key Points Informs surgical techniques for the regeneration of the periodontal ligament include the use of membranes and grafts, and the application of biological agents and growth factors. Highlights surgical treatment of gingival recession can be achieved by coverage of exposed root surfaces with soft tissue and by the creation of new keratinised and attached gingiva. Regeneration of the lost tissues of the periodontium is an ideal therapeutic goal and has been the subject of much research and ingenious clinical techniques. Reconstructive or regenerative techniques are used either singly or in combination for three main purposes: (1) to regain lost periodontal ligament attachment, (2) to provide a wider zone of attached gingiva, and (3) to cover previously exposed root surfaces.