Crown Lengthening Procedure with Modified Distal Wedge Operation

According to ROBINSON (1966), the periodontal pockets adjacent to distal root surfaces of the second and third molars are aspects of the periodontal therapy of difficult solution and they have been denied frequently for many periodontists. The periodontal pocket on the distal surface of molars can be extremely deep due to the anatomy of this area. When the pocket becomes deeper, that depth is larger than in other areas and the inaccessibility of the area leads to the inability in the mechanical control of bacterial plaque executed by the patient. Regarding to these aspects, he developed the Distal Wedge procedure in order to treat periodontal pockets adjacent to the distal surfaces of the molars. This technique uses internal bevel incisions and it has as objectives: to obtain access to the bone tissue, to preserve attached gingiva, to eliminate periodontal pockets, to reduce the healing period and to minimize the postoperative pain (Robinson RE The distal wedge. Periodontics 1966; 4:256-264).

@Clinical Procedure for Mod. distal wedge:(Surgery by Dr. Perio)







@PostSx 1 wk....