Professional Documents
Culture Documents
ON
PERIODONTAL DRESSINGS
Contents
Introduction
Classification
Uses of periodontal dressing
Indications of periodontal dressing
Clinical trails supporting periodontal dressing
Clinical trails not in favour of periodontal dressing
Composition of various dressings
Repacking
Conclusion
References
Date
Presented by
22-8-15
R.Uday bhaskar
2nd mds
Introduction
A periodontal dressing is a physical barrier that is placed in the surgical site to protect the
healing tissues from the forces produced during mastication, for comfort, and for proper
adaptation to gingival tissues
These periodontal dressings are applied around the necks of tooth and surrounding gingival
tissues to protect the surgical wound after periodontal surgery
ZENTLER in 1918 first reported the use of periodontal dressing in the form of iodoform gauze
1st commercial periodontal dressing is wondr pak developed by A.M.WARD in 1923
Classification
Periodontal dressings are generally grouped into 3categories:
(i) those containing zinc oxide and eugenol,
(ii) those containing zinc oxide without eugenol
(iii)those containing neither zinc oxide nor eugenol.
5 Peripac Noneugenol dressing Calcium sulphate, zinc oxide, zinc sulphate, acrylic type of resin
& glycol solvent
6 Septopack Noneugenol dressing Amyl acetate, dibutyl phthalate, butyl polymetacrylate, zinc
oxide, zinc sulphate
7 PerioCare Noneugenol dressing Two pastes
First paste paste of metal oxides in vegetable oil
Second paste gel of rosin suspended in fatty acids
8 Perio Putty Noneugenol dressing Methylparabens, propylparabens, benzocaine
9 PeriogenixTM Noneugenol dressing Perfluorodecalin, purified water, glycerin, hydrogenated
phosphatidylcholine,cetearyl alcohol, polysorbate 60, tocopheryl acetate, benzyl alcohol,
methylparaben, propylparaben, & oxygen
10 Cyanoacrylate dressings Other n-Butyl cyanoacrylate
11 Light cure dressings Other Silicon dioxide crystalline quartz, hydrophobic amorphous
fumed silica,urethane dimethacrylate resin
12 Collagen dressing Other Type I collagen derived from bovine tendon mixed with cancellous
granules
13 Stomato adhesive dressing Other Gelatin, pectin, sodium carboxymethylcellulose and polysio
polysiobutylene
Uses
1. To protect the wound postsurgically
2. To obtain and maintain a close adaptation of mucosal flaps to underlying bone
3. Comfort to the patient
4. Prevents post-operative bleeding
5. Prevents formation of excessive granulation tissue
4.The dressing should have a smmoth surface after setting to prevent irritation to cheeks and lips
5.The dressing should preferably have bactericidal properties to prevent excessive plaque
formation
6.Dressing must not detrimentally interfere with the healing
Stahl et al
Harpenau
Greensmith
- No differences in healing
Bose et al
Retention of packs
Periodontal dressing are kept usually in place mechanically by interlocking the interdental
spaces &Joining lingual and facial portions of pack
In isolated teeth or when several teeth in arch are missing --- retention of pack may
be difficult So numerous reinforcement and splints and stents placement of dental floss tied
loosely around the teeth enhances retention of packs
REPACKING
1. Low pain threshold
2. Extensive periodontal involvement
3. Slow healing
CONCLUSION
Whether or not to give the pack is entirely the opinion of the clinician. Good adapted flap itself
acts as a barrier
REFERENCES
1. Clinical periodontology and implant dentistry. Jan Lindhe.
2. Carranza's clinical periodontology-10th edition
3. Sachs H.A. Fanroush A. Current status of periodontal dressings, J Periodontal 55:689,
1984.
4. Levin MP. Bhaskar SN: Cyanoacrylate as a periodontal dressing. J. Oral. Med 30:40,
1975.
5. J Periodontal 1974,45.619
6. J Periodontal 1989,60.(8) 429
QUESTIONS
1. Indications for repacking
a) Low pain threshold,
b) Extensive periodontal involvement,Slow healing
2 contraindications of periodontal dressing
a) patient known allergic to any of ingredients
guided bone regeneration
3) How much time dressing should be placed
a)3-14 days