Surgical techniques for reconstructive periodontics

The careful selection of the "graftable" case and the attention to details in the surgical technique increase the predictability of results in reconstructive periodontal therapy. When choosing a surgical technique for reconstructive periodontal therapy, the clinician must carefully consider the following: 1. Flap and incision design to best avoid exposure and contamination of the graft material. 2. Thorough debridement of the osseous lesion for intimate graft contact with the osseous walls. 3. Careful and complete planing of the root surface to the apical end of the vertical osseous lesion. 4. Suturing technique to prevent contamination of the graft material and to obtain a seal between the flap and the root surface. 5. Careful hygiene methods postsurgically to prevent infections during the healing process.