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Bone Defect

Bone Defect. Main Types Horizontal Bone Loss Vertical bone loss/angular defect Osseous Craters. Horizontal Bone Loss most common pattern of bone loss in periodontal disease Bone reduce in height, but bone margin perpendicular to tooth surface

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Bone Defect

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  1. Bone Defect Main Types • Horizontal Bone Loss • Vertical bone loss/angular defect • Osseous Craters

  2. Horizontal Bone Loss • most common pattern of bone loss in periodontal disease • Bone reduce in height, but bone margin perpendicular to tooth surface • Affect interdental septa, facial and lingual plate

  3. Vertical Bone Loss • a sign of progressive periodontal breakdown • Occur in oblique direction • Leave hollowed-out trough in bone alongside the root • Base of defect apical to surround bone • Interdental defect can appear on r/g • Facial, lingual or palatal defect may not seen on r/g

  4. Angular Defect • Classified by number of osseous wall

  5. Management • Phase I: Periodontal Therapy (non-surgical) • Phase II: Periodontal Therapy (Surgical)

  6. OHI for patient • Toothbrushing • Dentifrices • Anti-plaque : eg. stannous fluoride (SnF(2)) • Techniques • Bass • Modified bass • Charter • Modified stillman • Fones

  7. Chemical plaque control

  8. Chewing Gums • Interdental Brush

  9. Smoking Cessation – 5As

  10. Smoking Cessation - 5Rs

  11. http://imuoralhealth.blogspot.com/2010/07/importance-and-various-tooth-brushing.htmlhttp://imuoralhealth.blogspot.com/2010/07/importance-and-various-tooth-brushing.html

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