41
Volume1 Issue4
|
S
upporting
Y
our
P
ractice
LaterStage (4–6WeeksPostoperation)
1.
Assess root coverage for CTG (mayachievepartial cov-
erageof exposed root surface)
2.
Measure the zoneof keratinizedgingiva for FGGand
CTG
3.
If there isnoevidenceof root coverage (CTG) or of a
zoneof keratinizedgingiva (FGG), retreatmentwill likely
be required. In this instance,
contactaperiodontist
.
Successor failureof graftwill bedeterminedby the
periodontist or theoperating surgeon. Failurehappens
in less than2%of cases.
a
SuggestedResources
1. Parameteronmucogingivalconditions.AmericanAcademyofPeriodontology.JPeriodontol.2000;
71(5Suppl):861-2.
2. GreenwellH,FiorelliniJ,GiannobileW,OffenbacherS,SalkinL,TownsendC,etal.Oralreconstructiveand
correctiveconsiderations inperiodontaltherapy.JPeriodontol.2005;76(9):1588-600.
Treatment
Common InitialTreatments
EarlyStage (<14DaysPostoperation)
1.
Reassure thepatient.
2.
Prescribeantibiotic if there is evidenceof infection:
usuallyamoxicillin500mg, t.i.d. for 3days is sufficient.
Confirm if previous antibiotichasbeenprescribedand
consider alternativedrug.
3.
Painmanagement: Prescribeanti-inflammatory
medication (ibuprofen400–600mg t.i.d. or q.i.d. for
4–5days) or acetaminophen-codeine-caffeine (one
tablet q. 4–6h. p.r.n. for 3–4days).
4.
Advise thepatient toperformminimal or no
mechanical brushingof the site.
5.
Start or continue touseantibacterialmouth rinse
for 7–10days (chlorhexidine0.12%).
6.
Contact aperiodontist, if required, toadviseabout
your and thepatient’s concerns.
7.
Followup in21–28days.
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