What is one major contraindication for performing periodontal surgery?

Uncontrolled systemic diseases, such as uncontrolled diabetes, represent a significant contraindication for periodontal surgery due to the impact these conditions have on the body’s healing process and the overall management of surgical risks. Periodontal surgery often involves manipulation of soft and hard tissues and requires adequate healing mechanisms to minimize complications such as infection, delayed healing, and excessive bleeding.

Individuals with uncontrolled diabetes, for example, may experience impaired immune responses and vascular changes that can lead to poor wound healing and increased susceptibility to post-surgical infections. These factors underscore the necessity of having systemic diseases under control before opting for surgery to ensure a higher success rate and overall safety for the patient during and after the procedure.

Other systemic issues may require careful consideration, but uncontrolled conditions markedly elevate the risks associated with surgical interventions, making it crucial to stabilize such diseases prior to proceeding with periodontal surgery.