Carnevale G, Kaldahl W B
Studio Associato di Odontoiatria e Stomatologia Bologna, Italy.
Periodontol 2000. 2000 Feb;22:59-87. doi: 10.1034/j.1600-0757.2000.2220106.x.
Osseous resective surgery necessitates following certain guidelines for proper recontouring of the alveolar bone and proper management and positioning of the gingival tissues. The results from osseous resective surgery are technique sensitive. It has limited use in treating cases with very deep intrabony or hemiseptal defects, which should be treated with a different surgical approach. If osseous resective surgery is used in advanced lesions, a compromise in the amount of probing depth reduction should be expected. Yet, osseous resective surgery provides the surest method of reducing pockets with an intrabony or hemiseptal osseous component of 3 mm or less, albeit at the expense of some attachment in the neighboring less involved sites. Osseous resective surgery has been and remains one of the principal periodontal treatment modalities because of its proven success (Fig. 17).
骨切除手术需要遵循特定的指导原则，以对牙槽骨进行适当的重新塑形，并对牙龈组织进行适当的处理和定位。骨切除手术的结果对技术敏感。它在治疗非常深的骨内或半侧牙槽骨缺损病例中的应用有限，这类病例应采用不同的手术方法进行治疗。如果在晚期病变中使用骨切除手术，预期探诊深度减少的程度会有所妥协。然而，骨切除手术是减少骨内或半侧牙槽骨成分在3毫米或以下的牙周袋的最可靠方法，尽管这会牺牲相邻受累较轻部位的一些附着。由于已证实的成功效果，骨切除手术一直是并仍然是主要的牙周治疗方式之一（图17）。
