This document discusses principles of periodontal surgery. It covers indications for periodontal surgery, patient preparation including scaling and root planing, premedication with antibiotics and NSAIDs. It emphasizes the importance of infection control measures like sterilizing instruments and preventing the spread of diseases. The document also discusses sedation techniques, tissue management during surgery, and concludes that immense advances have been made in surgical procedures and sterilization.

1. GENERAL
PRINCIPLES OF
PERIODONTAL
SURGERY

2. INTRODUCTION
• PERIODONTIUM……..
• DISEASES AFFECTING PERIODONTIUM…….
• GINGIVITIS-GINGIVA INFLAMMTED
• PERIODONTITIS……

3. WHY DO PERIODONTAL SURGERY?????
INDICATIONS

5. • PERIODONTAL SURGERY CAN BE……
• OUTPATIENT SURGERY
• HOSPITAL SURGERY

6. PATIENT PREPARATION
• AFTER PHASE I THERAPY…..(SCALING AND ROOT PLANING)
• REEVALUATE….
• Reprobe and re-examine the periodontal tissue…see whether inflammation
has subsided….

8. PREMEDICATION
• ANTIBIOTICS…??????????? MAY BE FORE BONE GRAFT CASES…
• NSAIDS..????????????? 1 HR BEFORE PROCEDURE
• ORAL RINSE 0.12% CHLORHEXIDINE GLUCONATE….

9. SMOKING
• Hamper wound healing
• Ask to quit may be for 3-4 weeks after surgery….
EMERGENCY EQUIPMENTS
COMMON EMERGENCY- SYNCOPE

10. WHAT IS SYNCOPE
• TRANSIENT LOSS OF
CONSCIOUSNESS
• Caused by reduction in cerebral
blood flow…
• Common cause –fear…
• Pt develops pallor,
sweating,coldness,dizziness
and slowing of pulse
Keep pt in supine position….

11. MEASURES TO PREVENT INFECTION
• We dealing with blood
• Pt may be HIV,hepatitis B ,AIDS….
STERILISE INSTRUMENTS
ALUMINIUM FOILS –NON
STERILISABLE SURFACE
DONOT USE AEROSOL
PRODUCING DEVICES IN SUCH
PTS….
NEEDLES AND SCALPEL BLADE
…..

12. SEDATION AND ANESTHESIA
• LA AND INJECTION TECHNIQUES….
• INHALATIONAL SEDATION…. NITROUS OXIDE AND OXYGEN ..
• ANTIANXIETY DRUGS-BENZODIAZIPINE….

13. ORAL BENZODIAZEPINE AGENTS FOR
PERIOPERATIVE ANTIANXIETY AND
SEDATION

14. TISSUE MANAGEMENT
• OPERATE GENTLY AND CAREFULLY
• OBSERVE THE PATIENT AT ALL
TIMES
• BE CERTAIN INSTRUMENTS ARE
SHARP

15. THE BOTTOM LINE
• BUT TODAY …..
IMMENSE REVOLUTION
HAS TAKEN PLACE IN
EVERY WALK OF
MEDICAL FIELD RIGHT
FROM STERILISATION
TO DIFFERENT
SURGICAL
PROCEDURES…..

16. SUMMARY OF TODAY’S CLASS
• WHY DO PERIODONTAL SURGERY????????
• DURING SURGERY….
• BE CONSIDERATE TO THE PATIENT…
• RELIEVE FEAR OF PATIENT PRIOR TO AND DURING SURGERY…
• PERFORM SUREGERY IN CLEAN AND STERILE FIELD… SO TAT NO
INFECTION IS PASSED B/W PT AND DR AND FROM OUTSIDE TO
THE PAITENT….