Post Operative Complications (Periodontal Surgery) - 1st Semester 2024 - School of Dentistry (PDF)

**Complications of Periodontal Surgery** **By Dr. Nicola Barghout** **25^th^ December 2024** ***School of Dentistry-University of Jordan*** **12^TH^ Lecture - 1^st^ Semester** **\ ** **Complications of periodontal surgery** **Introduction** Periodontal diseases are heterogeneous group of dis...

**Complications of Periodontal Surgery** **By Dr. Nicola Barghout** **25^th^ December 2024** ***School of Dentistry-University of Jordan*** **12^TH^ Lecture - 1^st^ Semester** **\ ** **Complications of periodontal surgery** **Introduction** Periodontal diseases are heterogeneous group of diseases brought about by the interaction between supragingival and subgingival biofilms and the host inflammatory response. Their treatment comprises of non-surgical and surgical approach provided depending on the severity of the disease. Mostly these non-surgical and surgical approaches result in favorable outcome without any untoward events but in few cases, they might lead to certain complications that could alter these predictable outcomes. **A complication** **can be defined as a secondary disease or condition developing in the course of a primary disease or condition.** Complications occurring after periodontal surgery include postoperative pain, bleeding, swelling, root hypersensitivity, delayed healing, trismus, bruising, taste changes. These complications can alter the outcome of periodontal therapy. Therefore, for a clinician it becomes mandatory to acknowledge their etiology and management in order to achieve successful periodontal therapy. **Postoperative complications occurring after periodontal surgery can be categorized as following** A. **General Complications arising after periodontal surgery:** - Bleeding - Swelling - Postoperative pain - Root hypersensitivity - Increased tooth mobility - Delayed wound healing - Trismus - Postoperative bacteremia - Bruising B. **Complications arising due to the surgical procedure employed** - - - - **A.1 General Complications arising after periodontal surgery:** Though the swelling subsides within 4-5 days in case if it doesn\'t then use of antibiotics **Metronidazole** 500 mg X 3 a day for three days is prescribed or **Amoxicillin** 500 mg every 8 hours for one week should be prescribed, corticosteroids, surgical approach to manipulate soft and hard tissues should be considered and lastly considering alternative surgical approaches like piezo surgery, cryosurgery that are less traumatic to tissues should be done. **B.1 Complications arising during each step of the procedure employed** **\*Hematoma can occur due to injury of the blood vessel by penetration of needle to far distally during Posterior superior alveolar nerve block. Hematoma may or may not result in the formation of puncture of vein by needle but perforation of artery subsequently result in hematoma which rapidly increases in size until the treatment is instituted, due to significantly greater blood pressure within the artery. Emergency management begins by gently cleaning the mouth and locating the source of bleeding and the application of cold compress, pressure packs, or styptics. Tranexamic acid -500 mg in 5 ml by slow IV injection is the drug of choice.**