المد 🥳

GTR is used to guide fibroblast

aim of GTR is formation of new C.T attachment consisting pd PDL fibers embedded into bone & cementum

main cause of failure in furcation therapy is inadequate plaque control

🔵tooth division -bone loss around both roots is similar - two rooted molar is converted into two single rooted teeth < two premolar> 🔵hemisection -bone loss around both roots is not similar - two rooted molar is converted into one single rooted tooth < one premolar>

مهم

short trunk = -early involvement in disease - good prognosis in treatment long trunk = -delay involvement in disease - difficult to reach in treatment

🔻upper 4 = poor prognosis 🔻upper 6 = not good prognosis 🔻lower 6 = good prognosis

bass method ~> most widely used , effective stillman method ~> stimulation of gingive modified stillman ~> stimulate gingive to overcome recession charter ~> periodontal surgery ortho , pros appliance scrub ~> cause abrasion ( horizontal movement) roll ( sweep) ~> normal gingival tissue fones ( circular) ~> child , physically or emotionally handicapped vertical ( leonard) ~> cause recession

🔻child with breast feeding : - s.oralis -mitis -sanguis 🔻child with baby bottle feeding : - s.oralis -mitis -sanguis - candida albicans 🔻aged patient ( periodontitis) - s.oralis - lactobacilli 🔻following tooth eruption: - s. sanguinis - mutans streptococci

muramidase activity : 🔸lysozyme 🔸peroxidase system 🔹IgG immunoglobulin agglutinate bacteria : 🔸mucus glycoprotein 🔸 B2 microglobulin 🔸 fibronectin found in body fluid 🔸 B2 microglobulin 🔸 fibronectin 🔹IgG immunoglobulin secreted from parotid, submandibular 🔸serous glycoprotein 🔸histatin 🔸statherin 🔸peroxidase system **** 🔸 non specific immune factor 🔹specific immune factor كالت ممكن تغير بالسوال تجيب فقط الnon specific او تجيبة كله ف انتبهوا

بيشنت مسوي periodental surgery شنو الكمكل و ميكانكل برش تكنيك الي نوصفها 👇🏻 -charter brush method ,(soft brush) -antibiotic -essential oil mouthwash كالت هل سوال اجيبة بالمد

أسئلة prevention ، فصل أول