Treatment

Treatment

1. Root surface debridement

   • Definition
     • Thorough instrumentation of the root surface to remove all plaque, calculus and endotoxin associated cementum.
     • Complications
       • Complications of Root Surface Debridement
     • Types
       • Closed - no surgical flap Open - surgical flap and root planning
   • Indications for this treatment

2. Root Planning

   • Definition
     • The removal of plaque, calculus and infected and necrotic cementum from the root surface, so as to render that surface hard and smooth and reduce the level of surface endotoxin.
   • Aims
     • Aims of Root Planning

3. Curettage

   • Definition
     • Subgingival scaling and root planning
   • Types of Gracey Curettes
     • Types of Gracey Curettes

4. Scaling

   • Definition
     • The removal of deposits of plaque and calculus from the crown and root surface.