Why is it important to avoid excessive tissue manipulation during periodontal surgery?

Avoiding excessive tissue manipulation during periodontal surgery is crucial primarily to minimize trauma to the surrounding soft tissues and to preserve the blood supply to the surgical area. When tissues are manipulated excessively, it can lead to increased trauma, which may result in greater vascular compromise and a delayed healing response. The preservation of blood supply is essential for optimal healing, as it ensures an adequate supply of oxygen and nutrients to the tissue. This helps reduce the risk of complications, such as necrosis or delayed healing, and promotes better outcomes post-surgery.

Additionally, minimizing trauma helps to maintain the integrity of the periodontal tissues, creating a more favorable environment for rehabilitation and regeneration, particularly in periodontal surgeries where the health of the periodontal tissues is critical for the success of the procedure. Although factors such as speed of surgery, the necessity for sutures, and visibility of the surgical site are important considerations, they are secondary to the imperative of preserving the biological characteristics of the tissues involved.