HuFriedyGroup Clinical Navigator

Targeted Healing Approach for Teeth and Implants

Interactive clinical decision pathway
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Resective Surgery (Periodontal)

Apically positioned flap ± osseous recontouring for suprabony pockets where regeneration is not indicated (R6.4).

Periodontist
Hero illustration · Resective Surgery (Periodontal)
Evidence Guidelines & evidence
  • EFP S3 R6.4
    Resective procedures may be considered as an alternative to access flap surgery in step 3.
1

Flap elevation & access

Apically positioned flap design. Vertical releasing incisions where access requires. Reflect to expose alveolar crest and the suprabony defect.

Illustration · Step 1
Core

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2

Root surface debridement

Mechanical removal of remaining biofilm and calculus from root surfaces under direct vision. Hand curettes and ultrasonic instruments.

Illustration · Step 2
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3

Osseous recontouring

Eliminate the suprabony pocket via osteoplasty (bone reshaping for contour) and ostectomy (limited removal of supporting bone). Aim: positive bony architecture amenable to maintenance.

Illustration · Step 3
4

Apical positioning & closure

Position flap apically at the new alveolar crest level. Secure with sutures. Microsurgical technique.

Illustration · Step 4
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5

Post-operative healing

Standard post-op care. Expect some increased recession at the treated site — counsel patient pre-operatively.

Illustration · Step 5