The purpose of periodontal surgery treatment is to create a more effective working environment to eliminate the factor in cases where non-surgical periodontal treatment is insufficient, to ensure the regeneration of lost tissues and to eliminate aesthetic irregularities.
The recovery process after the surgical procedure is great for patient comfort. is important. The care to be taken during this process directly affects the success of the treatment. Having knowledge about these factors will enable the physician to adequately inform his patients and get the expected results from his treatment.
The prevalence of smoking in our country places the responsibility on us, as dentists, to be informed about the effects of smoking on oral tissues. Especially in periodontal surgical procedures where patient expectations are high, the consequences of smoking should be well known and patients should be warned about this.
PERIODONTAL SURGERY
The purpose of periodontal treatment is not only the progressive periodontal disease. It is not only to stop the disease, but also to ensure the return and regeneration of destroyed periodontal tissues to their old healthy state.
Many methods have been applied to date for the treatment of bone defects that occur as a result of periodontal disease. We can examine these treatment methods in two main groups as resective and reconstructive methods:
Smoking, in addition to its negative systemic effects on human health, the toxic substances it contains and the heat released during its use cause intra-oral damage. It also negatively affects tissues. The heat released causes an increase in keratinized tissue in the oral mucosa. The nicotine and other toxic substances it contains may cause deterioration of wound healing after periodontal surgery with their systemic and local effects. The main reasons for this negative effect are that nicotine reduces the proliferation of defense cells, causes constriction in peripheral blood vessels, and disrupts the functions of connective tissue cells.
Impairment of wound healing, deterioration of patient comfort after the surgical procedure, the desired result from the treatment is not achieved and the patient It may cause the requirements not to be met. In some cases, this problem may require a second surgical procedure, and this causes various losses for both the physician and the patient. In order to avoid such consequences, the dentist must first know very well the harms that his patient's smoking will cause after the periodontal surgery procedure and inform the patient before the procedure. If cooperation with the patient cannot be achieved, the benefit and harm ratio of the procedure can be evaluated and the application can be abandoned.
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