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    Palatal Approach Rationale Ochenbein

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    Sultan Ghaithi
    This document discusses different approaches to osseous surgery for treating periodontal disease around maxillary molar teeth. Traditionally, surgery was performed from the buccal side, but this often led to problems like reverse gingival architecture and buccal recession. The paper introduces the palatal approach as an alternative that aims to preserve more bone on the buccal side. With the palatal approach, gross bone reduction is done from the palatal side to avoid compromising the thin buccal plate and to create a wider embrasure space. While not a sole treatment, the palatal approach offers advantages like avoiding buccal dehiscence and fenestration and taking advantage of the cleansing effects of the

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    Palatal Approach Rationale Ochenbein

    Uploaded by

    Sultan Ghaithi
    79 views1 page
    This document discusses different approaches to osseous surgery for treating periodontal disease around maxillary molar teeth. Traditionally, surgery was performed from the buccal side, but this often led to problems like reverse gingival architecture and buccal recession. The paper introduces the palatal approach as an alternative that aims to preserve more bone on the buccal side. With the palatal approach, gross bone reduction is done from the palatal side to avoid compromising the thin buccal plate and to create a wider embrasure space. While not a sole treatment, the palatal approach offers advantages like avoiding buccal dehiscence and fenestration and taking advantage of the cleansing effects of the

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    review of palatal approach.

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    This document discusses different approaches to osseous surgery for treating periodontal disease around maxillary molar teeth. Traditionally, surgery was performed from the buccal side, but this often led to problems like reverse gingival architecture and buccal recession. The paper introduces the palatal approach as an alternative that aims to preserve more bone on the buccal side. With the palatal approach, gross bone reduction is done from the palatal side to avoid compromising the thin buccal plate and to create a wider embrasure space. While not a sole treatment, the palatal approach offers advantages like avoiding buccal dehiscence and fenestration and taking advantage of the cleansing effects of the

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    79 views1 page

    Palatal Approach Rationale Ochenbein

    Uploaded by

    Sultan Ghaithi
    This document discusses different approaches to osseous surgery for treating periodontal disease around maxillary molar teeth. Traditionally, surgery was performed from the buccal side, but this often led to problems like reverse gingival architecture and buccal recession. The paper introduces the palatal approach as an alternative that aims to preserve more bone on the buccal side. With the palatal approach, gross bone reduction is done from the palatal side to avoid compromising the thin buccal plate and to create a wider embrasure space. While not a sole treatment, the palatal approach offers advantages like avoiding buccal dehiscence and fenestration and taking advantage of the cleansing effects of the

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    of 1

    Title: The palatal approach to osseous surgery

    I. Rationale

    Authors: Ochenbein
    C, Bohannan H.

    Source: JOP, 1963.


    Type : review
    Reviewer: Sultan ALGhaithi

    Review Date: 06/02/16


    Species: Human

    Rating: Good

    AIM:
    The purpose of this paper is to discuss poor or reverse gingival architecture on the buccal aspect of
    maxillary molar teeth, and to introduce the palatal approach as a further refinement, and as a
    possible solution to some of the problems to be discussed.
    Architectural patterns:
    - Normally the interporximal bone is at a more coronal level than that on the buccal and lingual root
    surfaces. This same scalloped pattern is then reflected in the overlying gingival tissue.
    - In disease the most frequent indication of a deviation from this normal architectural pattern has been
    found to be the development of the interporximal periodontal pocket. crater development as a result of
    interporximal inflammation.

    Traditional approaches to osseous surgery :


    Historically the surgery was performed by removing the interdental crater and adjacent marginal
    bone, most use buccal approach and removal the buccal wall of crater only, even though removal
    of buccal and lingual is recommended (produced an acceptable result). problems developed by
    this approach include:
    Reverse gingival architecture, denudation of buccal surface, buccal recession, and inadequate
    buccal embrasure space.

    The palatal approach:


    Palatal approach should not be considered as the sole mean of treatment of maxillary molars,
    most medium to deep craters will require some reduction of the buccal wall of the crater along
    with the complete reduction of the palatal wall of the crater.
    Advantages of palatal approach:
    Gross reduction is done on the palatal aspect in attempt to preserve bone hight on buccal to avoid
    problems mentioned, avoidance of dehiscence and fenestration on the buccal because of the thin
    buccal plate, wider embrasure space on the palatal, cleansing effect of tongue, more adequate
    access and visibility, and the abundance of keratinized tissue on the palatal.

    Conclusion: The rationale for a refinement in the surgical management of this area has been
    presented with special attention given the unique anatomical features of the area and the
    significance of recent studies on periodontal wound healing.

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