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Periodontal Debridement (with Surgical Flap) Risks and Complications

Procedural and Post Procedural Risks

Like any surgical procedure, periodontal debridement with a surgical flap carries certain risks, both during and after the treatment. These risks are generally low but should be considered. Complications that may result from periodontal debridement and anaesthetics include but are not limited to: 

  • Adverse reaction to the anaesthetic, drugs, medications.
  • Bleeding risk: Some light bleeding during and immediately after the procedure is normal, especially in areas with extensive gum disease.
  • Pain or Discomfort: While the area is numbed during the procedure, some patients may experience mild discomfort or soreness once the anesthesia wears off. Pain relievers can help manage any discomfort.
  • Infection: As with any surgery, there is a small risk of infection. The dentist may prescribe antibiotics to reduce this risk and patients should follow all post-operative care instructions closely to prevent complications.
  • Swelling and Inflammation: Swelling of the gums and surrounding tissues is a common post-surgical side effect. This usually subsides after a few days and can be managed with ice packs and anti-inflammatory medication.
  • Gum Recession: Patients may experience gum recession as the gums heal from the swelling caused by periodontal disease. This can lead to increased sensitivity to hot or cold and may affect the appearance of the smile as more of the tooth root is exposed.
  • Tooth Sensitivity: After the root surfaces are cleaned and exposed, patients may notice increased sensitivity to temperature or pressure. This sensitivity is usually temporary and should diminish as the gums heal.
  • Delayed Healing: Factors such as smoking, diabetes or poor oral hygiene can affect the healing process. Recovery is also slower. Patients with these conditions should take extra care during recovery and follow their dentist's recommendations closely.