PERIDONTAL DRESSING
Periodontal dressing
These are used to protect the wound created by
periodontal surgery and to maintain close flap
adaptation to the bone and the teeth during the
initial stage of healing
Characteristic of acceptable dressing
material
Non toxic and non irritating to tissues
Convenientely prepared, placed and removed
with minimal discomfort to patient
Should maintain adhesion to itself and to teeth
and tissues
Should not stain or damage any restorative
material
Purpose
Provide mechanical protection for the surgical
wound and therefore facilitate healing
Prevent postoperative bleeding by maintaining
the initial clot in place
Support mobile teeth during healing
Help in shaping or molding the newly formed
tissue
Provide patient comfort by isolating area from
external irritation or injuries
Types
Eugenol dressings
Non-eugenol dressings
Fat-containing dressings
Cyanoacrylate dressings
Non-asbestos dressings
Light-cure dressins
Eugenol dressings
Basic ingredients
Powder
Zinc oxide
Powdered rosin
Tannic acid flakes
Asbestos fibersfor added strength
Liquid
Eugenol
Olive or peanut oil
Antiseptic (thymol)
Brand names
PPC
Ward’s wondr
Characteristics
Hard ,brittle,hard to mix and breaks easily
Can be prepared in quantity and stores in work size
pieces
Maximum powdered must be incorporated to
achieve a thick mix
Non-eugenol dressings
Basic ingredients
Base
Acclerator
Varoius bactericidal and bacteriostatic agents are
also added
Brand names
Coe-pak
Peri-pak
Osseous defect after repositioning of flap
covered by non eugenol dressing
Characteristics
Pliable and smoother
Must be prepared at the time it is used cant be
prepared in advanced and used
Fat-containing dressings
Contain antibiotics such as bacitracin added to
zinc oxide and rosin powder
Cyanoacrylate dressings
Cause irritation to connective tissues
Non-asbestos dressings
Good multipurpose dressing
Cause minimal irritation
Easy to handle
Can be made in large batches ,divded into
small portions, wrapped in foil kept
refrigerated until needed
Light cure dressing
Basic ingredient
Syringe
Brand names
Baric acid
Characteristics
Non brittle
Very elastic
No mixing is required
Application of light cure dressing
Placed directly into mouth from syringe or
indirectly off the pad
Dry surfaces adjacent to surgical sites
Place the pack on cervical one third and
margins of the wound
Remove excess with plastic or a vaseline lined
instrument and expose each segment to light
for curing time(10sec/ tooth)
Check occlusion and placement
Application of hard dressing and soft
pack dressing
For hard pack, to achieve a putty consistency, mix
maximum amount of powder into the liquid to
achieve a putty mix
Knead so consistency is firm and thick
For soft pack dressing, extrude equal lengths and
quickly mix together until blended use vaseline or
gloves to form the pack
If there are open embrasures with missing papillae or
recession ,use small section of dressing to mold into
wedge shapes to press interproximally
Apply one u strip starting from distal and placing on
the facial and lingual
Press interproximally and with a plastic
instrument adapt around the gingival surface
and interproximal areas to gain retention
For protecting and promotion of healing the
dressing should not exceed 1-2 mm beyond the
surgical site
Any edentulous areas may be filled in to make
dressing continuous
Dressing should not interfere with muscle, cheek
and frenum attachments in order to prevent
movement or dislodgement of dressing
Well placed dressing
Frenum should move freely
Overextension causes irritation
Check occlusion
Dressing should extend only to the height of contour
of teeth
Should not be in occlusal contact during closure
Characteristics of a well placed drssing
Should be secured and rigid
Movable dressing promote bleeding and irritation
Little bulk as possible
Is locked interdentally so it cant be displaced
by tongue cheeks or lips
Covers all surgical wound and interdental
areas without unnecessary over extention
Should have smooth surface to prevent
irritation and discourage plaque retention
