Assuaging postoperative effects of periodontal surgery

Responding to the patient's uncomfortable reaction following certain periodontal surgery procedures, notably the sensitivity to temperature and touch, has been a source of frustration to both the practitioner performing the surgery as well as the patient. This case demonstrates the placement of an easily applied desensitizing paste (Duraphat) at the time of surgery, which enables the patient to avoid uncomfortable sensitivity after the dressing has been removed and allows the patient to return to good oral hygiene practices quickly, thereby avoiding new accumulation of bacteria. It also prevents further periodontal destruction, which is the purpose of the periodontal treatment. This presentation and diagrammatic explanation demonstrate placing this topical paste during the surgery, just before suturing. This particular paste is easy to place, and ease of placement is not inhibited by moisture in the affected area. The desensitizing effect for the immediate postoperative period provides comfort for the patient and helps to maintain trust between the dentist and the patient.