Predictably successful periodontal plastic surgical procedures are among the most valuable and yet underutilized of dentistry’s clinical modalities. Carefully diagnosed and executed procedures provide healthy, functional, and esthetic results that contribute remarkably to treatment outcomes. However, surgical outcomes vary and depend upon many factors, including case selection and operator experience and skill. Problems and complications that may be encountered during surgery, such as flap management, suturing problems, healing complications, and failure to provide ideal root coverage, will be discussed and solutions suggested.

Gary M. Reiser, DDS, is associate clinical professor of periodontology at Tufts University and director and vice chairman of the American Board of Periodontology. Dr Reiser also maintains a private practice in Swampscott, Massachusetts.

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