Clinical or nger?


should not be based on this alone. In the context of this article, it is impossible to discuss the surgical decision tree in detail, and the reader is directed to other, more comprehen- sive, sources of information for this.


Hopeless teeth One of the most frequent mistakes that inexperienced operators encounter is the use of periodontal surgery for teeth of poor or questionable prognosis in the hope that an intervention as profound as full flap periodontal treatment will succeed. In fact, the opposite is true. The teeth that have most to gain


from periodontal surgery are those with a fair prognosis in the first place – those that have sufficient bone loss, but adequate remaining attachment and a reasonable outlook. Hopeless teeth should be carefully identified during treatment planning, and extracted early in the treatment process, to avoid patient ‘burn-out’ with repeated therapy of little success.


Continued »


Fig 4


Cyclosporin induced gingival overgrowth in a young transplant patient


Ireland’s Dental magazine 21


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