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Dentistry · Caries, pulp and periodontal disease: guided tissue regeneration
Sample itemA barrier membrane is placed over an intrabony periodontal defect during flap surgery. What is its purpose?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. To exclude gingival epithelium and connective tissue so periodontal ligament cells repopulate the root
Guided tissue regeneration uses a membrane to keep fast-growing epithelium and gingival connective tissue away from the root surface, giving slower periodontal ligament and bone cells the chance to form new attachment. It works best in narrow intrabony defects. Membranes may be resorbable or non-resorbable.
Option by option
A. To exclude gingival epithelium and connective tissue so periodontal ligament cells repopulate the root (correct)
Correct. The membrane selects the cells that regenerate attachment.
B. To increase the width of keratinised gingiva
Widening keratinised gingiva needs a graft.
C. To seal the pulp from bacteria
Pulp protection is a different procedure using liners or capping agents.
D. To act as a space maintainer for primary molars
Space maintainers are orthodontic appliances.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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