Gingival Curettage is the removal of the nonkeratinized epithelium in the periodontal pocket, with a curette leaving behind a connective tissue layer that reattaches to the alveolar bone, cementum and dentin of the teeth. This course will explore why gingival curettage has failed us.
We have been doing this with relative success for sixty plus years and now the American Dental Association and the American Academy of Periodontology tell us that gingival curettage has no clinical value. There is no evidence that gingival curettage has any therapeutic benefit in the treatment of chronic periodontitis. Therefore, the treatment code has been deleted from the fourth edition of the current terminology and it is no longer include as a method of treatment.
There are three types of curettage, Root Curettage where the curette is used on the root of the teeth (root planning), Periodontal Curettage where the curette is used to remove the granulation tissue in osseous pockets, and Gingival Curettage where the gingival nonkeratinized (crevicular gingival) epithelium is removed....