Periodontitis requires different treatments depending on the case. In the following lines I will refer to periodontal surgery and three of the most common cases of surgery for periodontitis. For any patient, the term surgery is associated with hospital admission, in periodontics it is not like that, at all. They are very precise surgeries and very delicate handling. We can consider three situations clearly identifiable by patients:
The first periodontal surgery is access surgery , necessary when it is not possible to reach the depth of the bag, or what is the same, to the entire diseased root with the means used by the hygienists. This has, for example, great utility in orthodontic treatments in adults. Patients should know that, if we can not clean the entire periodontal pocket , all the treatment will be in vain. Hence the importance of these surgeries.
In second place is periodontal surgery for bone regeneration and implants. By increasing the volume of the bone, we can place the implants in the most beneficial position for the patient. The future, the survival of the implants, depends on whether they can withstand the forces of chewing. That is to say, the pillar of the farm has to be in its place, not displaced.
Last but not least, mucogingival surgery , whose purpose is to return the gingiva to its original position, are surgeries performed mostly for aesthetic needs. Patients require them very frequently.
In the three situations of periodontal surgery, the procedures are performed with the same local anesthesia for use by any dentist and are completed with a resorbable suture, so that there is no need to remove stitches.. The postoperative period of these interventions to end periodontitis is usually mild, with an antibiotic and a mild anti-inflammatory regimen, and normal life can be made. These treatments are not an extra, they are one more step in the search for the health of our patients, and without them in many cases we can not move forward.