Surgical procedures performed at the periodontal clinic, Lagos University teaching hospital, Nigeria

Abstract

Aim
To highlight the scope and outcome of surgical procedures performed at a periodontal clinic in Nigeria and to stimulate a rethink on Pericoronal Flap Gingivectomy (PFG).

Methodology
All systemically healthy surgical patients seen at the periodontal clinic of the Lagos University Teaching Hospital were included. A history of any debilitating illness such as uncontrolled diabetes mellitus excluded patients from the study. Age and gender comparisons of outcome were made. Ten modalities were employed. Asepsis was observed. Wound closure was done with silk suture. Periodontal dressing was applied. Chlorhexidine mouthwash, analgesics and antibiotics were given. A 24-hour review appointment was given. Dressings and sutures were removed at the 1 week postoperative appointment.

Results
Forty-five patients, 29 (64.4%) females and 16 (35.6%) males were treated utilizing ten periodontal surgical modalities that included 16 (35.6%) PFG, 8 (17.8%) gingivectomies and 12 (36.7%) flap procedures The rest were periodontal plastic surgeries and regenerative procedures. Twenty nine (64.4%) of the patients treated were 34 years old or below.

Conclusion
Pericoronal Flap Gingivectomy (PFG) was the most commonly utilized periodontal surgical procedure. The outcome of periodontal surgical procedure was generally favourable. Plastic and aesthetic techniques had unfavourable outcomes.

Keywords: Periodontal, Surgery, Lagos

Tanzania Dental Journal Vol. 13(2) November 2006: 50-55