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GINGIVECTOMY PERIODONTAL SURGERY RESULTS
Category: Dental Health Dentistry
Abstract : Periodontal surgery has few risks. There is, however, the risk of introducing infection into the bloodstream. Some surgeons require antibiotic treatment before andafter surgery.
Normal results The gold standard of periodontal treatment is the decrease of attachment loss, which is the decrease in tooth loss due to gingival conditions. Normal immediate results of surgery are short-term pain; s
Periodontal surgery has few risks. There is, however, the risk of introducing infection into the bloodstream. Some surgeons require antibiotic treatment before andafter surgery.
Normal results
The gold standard of periodontal treatment is the decrease of attachment loss, which is the decrease in tooth loss due to gingival conditions.
Normal immediate results of surgery are short-term pain; some gum shrinkage due to the surgery, which over time takes on a more normal shape; and easier success with oral hygiene. Long-term results are equivocal. One study followed 600 patients in a private periodontal practice for more than 15 years.
The study found tooth retention was more closely related to the individual case of disease than to the type of surgery performed. In another study, a retrospective chart review of 335 patients who had received non-surgical treatment was conducted. All patients were active cases for 10 years, and 44.8% also had periodontal surgery. The results of the study showed that those who received surgical therapy lost more teeth than those who received nonsurgical treatment. The factor that predicted tooth loss was neither procedure: it was earlier or initial attachment loss.
Morbidity and mortality rates
The most common complications of oral surgery include bleeding, pain, and swelling. Less common complications are infections of the gums from the surgery. Rarer still is a bloodstream infection from the surgery, which can have serious consequences.
Alternatives
Alternatives to periodontal surgery include other dental procedures concomitant with medication treatment as well as changes in lifestyle. Lifestyle changes include quitting smoking, nutritional changes, exercise, and better oral hygiene. There have been some medication advances for the gum infections that lead to inflammation and disease.
Medication, combined with scaling and root planing, can be very effective. New treatments include antimicrobial mouthwashes to control bacteria; a gelatin-filled antibiotic chip inserted into periodontal pockets; and low doses of an antibiotic medication to keep destructive enzymes from combining with the bacteria to create plaque.
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