Periodontal Surgery

Gum treatments can halt recessions and to some extentalleviate gum disorders. To treat it, however, is sometimes necessary throughsurgery. Gingival surgery is the term for this kind of procedure (periodontalsurgery).

The purpose of periodontal surgery;

-To restore soft tissues lost owing to periodontal diseaseor other causes,

- To avoid potential tooth loss,

- Eliminating the illness, bacteria,

– To mold the gum form,

-To do out procedures like tissue transplants.

Performing Periodontal Surgery;

Periodontal surgery is not a cure for every case ofperiodontitis, bone loss, or gingival recession. In some circumstances, it'simportant to focus on acquiring bone and tissue when having periodontalsurgery.

- Prior to the operation, oral hygiene should be at itshighest level, there shouldn't be any plaque or stones,

-The treatment is adversely impacted by the buildup ofbacteria after the procedure. Therefore, oral hygiene needs to receive theutmost attention.

-A periodontologist is required to organize, carry out, andoversee any periodontal surgery.

Periodontal surgery types;

In the past 40 years, periodontal surgery has advanced,bringing new surgical procedures to dentistry.

In dentistry, operations are frequently performed directly,but before periodontal surgery, the periodontist provides oral hygiene by, ifnecessary, performing procedures like scaling and curettage. Prior to andfollowing surgery, good oral hygiene is crucial.

Various surgical methods, including soft tissue transfers,flap operations, guided tissue regeneration, and depigmentation are used inperiodontal surgery.

A gingival expert should evaluate the patient's oral hygieneand gingival health prior to beginning treatment. Because, despite the factthat the procedure will undoubtedly be carried out, periodontal surgery is notalways necessary.

Periodontologist Before Gum Surgery;

- Assesses the patient's medical background,

-Looks for any lesion or abscess that could have a negativeimpact on the surgical area.

-Considers the condition of the mouth, teeth, gums, andjawbones.

-Explains to the patient any risks, benefits, or drawbacksof periodontal surgery.

- With the patient's permission, the procedure begins whenall prerequisites have been met and oral hygiene has been maintained.

Surgical Operation;

In dentistry, there are numerous procedures and treatments.The duration of the gingival operation varies between 30 minutes and 90 minuteson average, while the region to be treated varies according on the type ofsurgical procedure. Similar to other anesthetics used in dentistry, localanaesthetic makes it simple to execute surgical procedures. Operations may, ifrequired, be carried out under sedation or general anaesthetic.

All supplies utilized during surgical procedures, includingpatient gowns, saliva ejectors, and curtains, are sterile. This keeps anymicrobial influence away from the operation area. Using sterile gloves andsterile gowns, the periodontist who will do the procedure and his assistantcarry out the surgery as well. No matter how risky the procedure, everypreparation is carried out with the same care in order to decrease the dangerof infection.

All tools and supplies are disposable and are discarded withthe medical waste following the procedure.

The gingiva is initially removed from the tooth's outeredge, exposing the root surface, by tiny incisions made in the soft tissue ofthe mouth. Prior to the periodontal surgery, oral hygiene must be set up, butafter the root surface shows, it can be cleaned/flattened in greater detail.

The periodontist starts the required treatments afterpreparing the surgical region. If the surgery is limited to the gingiva andnearby bone, the process is finished, and the tissue is stitched shut using theappropriate techniques. If a gingival transplant is the intended technique,tissue is extracted from the donor area and transferred to the recipient areain an amount equal to that of the prepared area.

After the surgical procedure is over, the surgical region isstitched shut using the proper suture and suture technique. Although thesestitches might be self-melting or non-melting, they often need to be removed atthe conclusion of the time period that the gum expert deems acceptable. Usually7–10 days are needed for control and suture removal.

Post-operative procedure;

The periodontologist is informed for the most convenient andhealthy healing process following the surgery, similar to the informationsupplied before and after the treatment applied in dentistry.

Following gingival surgery, painkillers and antisepticmouthwash are frequently administered. Depending on the preferences of the gumspecialist, these treatments may change.

 n addition to these actions; 

Before and after the procedure, the area must be maintainedspotless.

-Mouthwashes that are antiseptic are used to lessen thepossibility of infection in the area.

-Smoking will have a negative impact on healing becausenicotine stays in the tissue and because less oxygen is transported through thecirculation. As a result, quitting smoking before to the surgery is advised.It's crucial to refrain from drinking for a full month following the treatmentfor a better outcome.