Home Gingivitis Periodontitis Pathogenesis Attachment loss Subgingival colonization Subgingival bacteria
Elimination of bacteria Periodontontal pathology Non-Surgical treatment Healing Surgery Gingivectomy Flap procedure

Healing 2-8 hours
Healing 8-24 hours
Healing 7 days
Healing day 14-90

1. Immediately following non-surgical treatment, undertaken as recommended under local anaesthesia and using around 5 to 8 minutes on each single-rooted tooth, the pocket epithelium as well as most of the remaining junctional epithelium have been unintentionally removed. Part of the connective tissue lateral to the dentogingival epithelium is also curetted away. These effects are similar for both the hand and machine driven scaling instruments. Strands of epithelium may remain in certain areas of the connective tissue surface. The treatment thus result in that a connective tissue wound is created lateral to the tooth. A surface zone of approximately 0.2 mm necrotize in the healing process. On the surface of the necrotic zone layer of leukocytes accumulate. These cells provide a protection against bacterial attack and also mediated some of the healing events. Soon after wounding the epithelium starts to proliferate to cover the connective tissue. The proliferation takes places from the gingival margin and from surviving strands om epithelium on the wound surface. Current studies have documented that islands of calculus and subgingival plaque may remain on the rootsurface following even careful subgingival scaling and rootplaning. Also bacteria may have invaded dentinal tubuli.The remaining subgingival bacteria are one of the biological reasons for the need of supportive treatment postoperatively.

Healing 2-8 hours
Healing 8-24 hours
Healing 7 days
Healing day 14-90

 

 

Home Gingivitis Periodontitis Pathogenesis Attachment loss Subgingival colonization Subgingival bacteria
Elimination of bacteria Periodontontal pathology Non-Surgical treatment Healing Surgery Gingivectomy Flap procedure


Rolf Attstrom Palle Holmstrup and Anders Nattestad

Designed for a screen resolution of 1024*768
First published 1994
Updated July 24, 2000

Centre for Oral Health Sciences, Malmo University,
Malmo, Sweden
School of Dentistry, Faculty of Health Sciences, University of Copenhagen,
Copenhagen, Denmark.

Copyright Rolf Attstrom et al Virtual Interactive Periodontology, Council for Renewal of Higher Education, National Agency for Higher Education, Stockholm,Sweden.