Final answer:
The lack of success in periodontal surgery could be attributed to several factors, including post-surgery oral hygiene, systemic health issues, and surgical complications. Additionally, unrealistic expectations regarding the extent of recovery from advanced periodontal disease could also contribute to perceived lack of success.
Step-by-step explanation:
The best explanation for why the client's periodontal surgery results were not as successful as anticipated could be multifaceted. Periodontal disease involves inflammation and tissue damage surrounding the teeth, which can be exacerbated by poor oral hygiene, genetics, or systemic health issues like diabetes. Inadequate oral hygiene can lead to the formation of dental plaque and tartar, which harbor bacteria that promote periodontal inflammation and tissue destruction. The case describes the client considering bridging and crowning to address the loss of a bicuspid and issues with adjacent teeth. The success of these procedures depends on the health and stability of the remaining teeth and gums.
Moreover, if the client continued with poor oral hygiene practices post-surgery, or if there were complications during the procedure itself, such as an incomplete removal of infected tissue or a poorly fabricated bridge or crown, these factors could have compromised the success of the treatment. Additionally, systemic health issues can influence the healing process and stability of periodontal tissues, affecting the long-term outcome of surgical interventions.
It's also important to recognize that expectations for periodontal surgery should be realistic. While surgery can help manage the disease and repair damage, it may not fully restore the periodontium to its original health if the disease has progressed significantly or if there are other complicating factors at play.