🌹‏إِنَّ رَبِّي لَسَمِيعُ الدُّعَاءِ🌹

#Surgery #instrument The surgical handpiece is attached to the above unit, includes many types, and is manufactured to suit the needs of oral surgery Its advantages are as follows: ✅O It functions at high speeds and has great cutting ability. ✅O It does not emit air into the surgical field. ✅O It may be sterilized in the autoclave. ✅O The handpiece may receive various cutting instruments.

#Surgery #oral_surgery_instrument

#Surgery #crown_lengthening 🔴⚫️General Tissue Assessment Before Undetaking Cls Soft Tissue Assessment Situation1- If width of attached gingiva adequate-(>3mm)-external bevel gingivectomy or internal bevel gingivectomy ✅Situation 2- If width of attached gingiva inadequate (<3mm)- apically positioned flap Hard Tissue Assessment Situation 1- If bone crest is low i.e. more apically – no ostectomy ✅Situation 2- If bone crest is high i.e. more coronal- ostectomy performed.   Bone Crest Levels A) Normal crest B) High crest C) Low crest  Low crest unstable- In this situation the Gingival sulcus exaggerated, Bone level is apical , less of attachment and thus less of biologic width  Low crest stable- In this situation the Gingival sulcus is normal with apical bone levels, more of attachment  and therefore more of biologic width. the biologic width the distance between the apical end of the gingival sulcus and the crest of the alveolar bone  biologic width is approximately 2mm approximately 0.97 mm is occupied by the junctional epithelium and 1.07 mm is occupied by connective tissue attachment to the root surface.

#Surgery #crown_lengthening

#Surgery #crown_lengthening gumy smile

#Surgery #crown_lengthening

#Surgery #crown_lengthening

#Surgery #crown_lengthening ✅Post opretive instruction: 1.Give relive pain medication. 2.Give antibiotic. 3. Put ice bag applied to the area of the surgery. 4. Keep the dressing clean. 5.mantine normal hygine. 6.chew on the opposite side of your mouth. 7. eating soft dite. ❌ complication: 1. Bleeding. 2. Infection. 3. Extreme sensitive.

#Surgery #crown_lengthening ✅Sequence Of Treatment : Clinical and radiographic evaluation 1- Caries control 2- Removal of defective restorations 3- Placement of provisional restorations a. Control of inflammation b. Better assessment of crown lengthening required c. Improved surgical access, especially interproximally d. Enhanced predictability of margin placement postsurgically 4- Endodontic therapy a. Precedes surgery b. If not possible, then completion is 4 to 6 weeks postsurgically 5- Control of gingival inflammation a. Plaque control b. Scaling and root planing 6- Re-evaluation for a. Orthodontic treatment b. Surgical therapy 7- Surgery ✅Treatment Options For Crown: 1. Surgical  A) Gingivectomy  Conventional ( Scalpel or Kirkland knife)  Laser  Electrocautery B) Internal Bevel Gingivectomy with or without ostectomy (also referred as flap surgery with or without osseous surgery) C ) Apical positioning of flap with or without ostectomy 2. Combined (SURGICAL & NON SURGICAL) Orthodontic Treatment. ☑️External Bevel Gingivectomy This technique is generally performed when there is sufficient sulcular depth and keratinized tissue so that the incision does not violate the biologic width or cause exposure of the bone. ✅The incisions are started apical to the point of tissue that is desired to be removed. The incisions are directed coronally. Discontinuous or continuous incisions may be used. The incision should be bevelled approximately 45 degrees to the tooth surface and should recreate, as far as possible, the normal festooned pattern of the gingiva. Then the excised tissue should be removed.

#Surgery #crown_lengthening ✳️Defintion: Crown lengthing: is a surgical procedure to expose great amount of tooth structure for purpose of restoring the tooth prostheically . ✅Indications:  1. Restorative needs 2. To increase clinical crown height lost due to caries, fracture or wear  3. To access subgingival caries  4. To produce a „ferrule‟ for restoration  5. To access a perforation in the coronal third of the root  6. To relocate margins of restorations that are impinging on biological width. 7.  Aesthetics  8. Short teeth 9. Uneven gingival contour  10.Gummy smile. ❌🚫Contra-indications & Limiting Factors :  1. Inadequate crown to root ratio.  2. Non restorability of caries or root fracture. 3. High furcation.  4. Tooth arch relationship.  5. Insufficient restorative space.

#Surgery #x_ray

#Surgery #x_ray

#Surgery #x_ray

#Surgery #x_ray

#Surgery #x_ray

#Surgery #x_ray

#Surgery #x_ray

#Surgery #x_ray

#surgery #x_ray 📸 Different x_rays cases photos 👇👇👇👇👇👇👇👇👇👇👇