IP International Journal of Periodontology and Implantology 2021;6(2):74–78
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IP International Journal of Periodontology and Implantology
Journal homepage: https://www.ijpi.in/
Review Article
Post-surgical care in surgical periodontics
Amit Mani
1
, Shubhangi Mani
2
, Shivani Sachdeva
1
, Jasleen Kaur Sodhi
1,
*,
Hiral R. Vora
1
, Sonali Gholap
1
1
Dept. of Periodontology, Pravara Institute of Medical Sciences, Loni, Maharashtra, India
2
Dept. of Orthodontics, Pravara Institute of Medical Sciences, Loni, Maharashtra, India
ARTICLE INFO
Article history:
Received 24-03-2021
Accepted 03-05-2021
Available online 26-07-2021
Keywords:
Periodontal Surgery
PostSurgical Care
PostSurgical Instruction
Maintenance
ABSTRACT
The patient’s post-surgical management is just as critical as the surgical treatment planning and
management of the patient. Patients who do not receive proper and contemporary post-surgical instructions,
or who do not follow them, are at higher risk for complications such as pain, swelling, and infection, as well
as the possibility of altered healing of both the oral soft tissues and supporting osseous structures. During
postoperative phase, the three most important factors to consider are the patient comfort, wound stability
and plaque control. These are achieved through a combination of good surgical technique and careful
postoperative care of the surgical site. Thus, surgeon’s professional obligation is to ensure that patients
receive consistent verbal and written instructions that describe activities during the critical early healing
period after the surgery. Furthermore, the surgeon must have a thorough understanding of the instructions
given to the patient, as well as the reasoning behind them.
© This is an open access article distributed under the terms of the Creative Commons Attribution
License (https://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and
reproduction in any medium, provided the original author and source are credited.
1. Introduction
Periodontal diseases are a heterogeneous group of diseases
caused by the interaction between supragingival and
subgingival biofilms and therefore the host inflammatory
response. Their treatment comprises of non-surgical and
surgical approach provided counting on the severity of
the disease. The understanding and adherence to the
postoperative care and instructions are factors that influence
the recuperation process after any surgery.
1
The understanding, implementation and therefore the
subsequent implementation of postoperative guidelines are
factors that influence the recovery from any surgery. Some
authors state that instructing patients about postoperative
care not only reduces postoperative morbidity, but also
improves the standard of life during recovery period. During
postoperative phase, the three most important factors to
consider are the patient comfort, wound stability and plaque
* Corresponding author.
E-mail address: drjasleensodhi@gmail.com (J. K. Sodhi).
control. While most of the literature provide information
on how to handle patients after a surgical procedure, there
is little information available that deals specifically with
such situations and their possible outcomes. A complication
may be a disease or disorder arising as a consequence of
another disease. Ideally, there should be no complications
after any surgery. But still some complications are avoidable
whereas some are inevitable under certain circumstances.
Most commonly occurring complications include post
periodontal surgery include postoperative pain, bleeding,
swelling, root hypersensitivity, delayed healing, trismus,
bruising, taste changes.
2. Patient management and instructions after surgery
The patient’s post-surgical management is an imperative
step in achieving the desired post-operative results. Patients
who do not apprehend proper post-surgical instructions or
who disregard them are at risk for unpleasant consequences.
The periodontal surgeon has to hold the responsibility to
https://doi.org/10.18231/j.ijpi.2021.013
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