What is a contraindication for osseous resective surgery?

Osseous resective surgery is a periodontal surgical procedure aimed at reshaping the bone that supports the teeth in cases of periodontitis. A critical consideration in determining the appropriateness of this surgery is the level of periodontal support that exists. Advanced loss of periodontal support is indeed a contraindication for this type of surgery.

When significant periodontal support has already been lost, there may not be sufficient healthy tissue remaining to benefit from reshaping the bone. This could lead to further complications, as the surgical procedure could exacerbate the existing issues or result in inadequate healing, thereby compromising the overall outcome.

In contrast, characteristics such as good oral hygiene and low caries risk are generally favorable conditions that facilitate better healing and postoperative outcomes. Therefore, they do not serve as contraindications but rather as factors that can enhance the success of periodontal treatments. Overall, understanding the implications of the patient's periodontal support level is crucial in determining the appropriateness of osseous resective surgery.