Muhammad Faisal Rana.
Periodontal Plastic Surgery as a Support to Regenerative Therapies.
J Islamic Int Med Coll Jan ;16(1):48-54.

Aim: To review the present literature, on the basic principles of periodontal plastic surgery and its integral role in improving the outcome of periodontal regeneration. Methodology: Using the MESH term an electronic search was done using the PubMed data base. The obtained articles were screened on the bases of selection criteria. Systematic reviews and case series were included. The review is divided in to three main components: a) Clinical criteria of selection b) Biological principals to promote regeneration c) Selection of the regenerative materials. Result: Clinical criteria of selection and post-operative care is a fundamental element to active optimal results. Not only understanding the size, type, nature and the basic knowledge of anatomy around the defect guides the operator to the selections of flap design and regeneration material but also plays an important role in predicting the outcomes . Surgical site preparation, space maintains, and blood clot stability leads to primary intension healing. Conclusion: Space maintenance and blood clot stability are fundamental biological principles to success. Periodontal regeneration provides long term high success rates for these clinical procedures, provided that good oral hygiene and infection control is maintained.

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