Journal of Oral Research and Review (Jan 2015)
Preventing postoperative swelling after periodontal surgery
Abstract
Postoperative swelling following different surgical strategies is an area of great interest. The main part of the literature on the topic deals with swelling after periodontal surgery. In this review, we take into account different surgical strategies used including various flaps, no traumatic osteotomy, and primary or secondary closure. The use of pharmacological therapy and application of an ice pack is critical in the postoperative period and has always provided positive results. However, even if it is difficult to come to definite conclusions, due to the variability of the design of studies analyzed, the postoperative discomfort identified with edema, pain and trismus following wisdom tooth removal is influenced by various factors such as the difficulty of the surgical procedure involved, age and gender of the patient, and experience of the surgeon. The pharmacological therapy when performed with corticosteroids seems to improve control of the postoperative swelling related to this kind of surgeries.
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