FLAP SURGERY

Extensive damage to the supporting structures of your teeth and eventually leading to tooth loss

Periodontal Flap Surgery

What is Periodontal Flap Surgery? :

Flap surgery is the separation of a section of your gum tissue from the underlying tissue to allow a good view and direct access to the bone and root surface.

When non-surgical methods like scaling and root planing are not enough to address the effects of gum disease, flap surgery can restore the health of your smile. If left untreated, gum disease can cause extensive damage to the supporting structures of your teeth and eventually leading to tooth loss. The periodontist perform flap procedure to stop the progression of gum disease.

What Is the aim of the Procedure?

The procedure aims to treat the gum disease and any damage it may have caused by:
• Repair or regeneration of damaged bones and tissues
• Preventing tooth loss
• Eliminating bacteria and infection

How Do I Know If I Am A Candidate For Flap Surgery?

A flap procedure is typically recommended for patients with moderate to severe gum disease, that has not responded to non-surgical treatments such as scaling and root planing. Patients with advanced periodontitis can benefit from flap surgery.

At FMS during a consultation with periodontist, we will

check for signs of periodontal disease
measure the pockets around the teeth

If you have mild to moderate periodontal disease, nonsurgical treatments may suffice. However, cases of advanced gum disease will likely require flap surgery procedure.

What Are The Goals Of Flap Surgery?

Eliminate or reduce the pocket itself.
Regeneration of bone tissue which may have been lost to the disease.

A variety of techniques may be used to accomplish this, including regenerative methods using bone grafting, PRF, and GTR( barrier membrane). (Click to learn more) These approaches help restore the gums to their normal form and function, and promote health and secure anchoring of teeth

How Is Flap Surgery Procedure Done?

Flap surgery is typically done under local anesthesia.
After anesthesia has taken effect, a flap-like incision is made in the gum tissue to separate the gums
from the teeth.
The outer gum tissue is gently folded back to give access to the roots and the supporting structures and
bone tissue. This allows diseased tissue to be removed from inside the pocket, and provides access to the teeth’s root surfaces for a thorough cleaning, which helps to eliminate harmful plaque and tartar, if
needed, the area may also be treated with antibiotics or other medications.
Bone defects can be repaired with grafting material, and proper regeneration can be encouraged by physical (barrier membranes) and PRF methods. (Click to know more)
Finally, the incision is closed and the procedure is completed.
The time it takes to complete the procedure depends on the extend of the damage and how much of gum areas are affected.
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed
with medications.

When performed by an experienced hand, flap surgery has an excellent track record and offers wellestablished benefits which we guarantee at FMS . It’s often the treatment of choice for relieving periodontal disease and helping to maintain your oral health — and preserve your teeth.

What To Expect After Surgery?

Typically it takes only a few days to recover from a flap procedure. Make sure you follow the home care instructions that your periodontist gives you. If you have questions about your instructions, call us the Periodontist will assist you.
The following are general suggestions to help speed recovery:

Take painkillers as prescribed.
After 24 hours, you can rinse your mouth gently with warm salt water several times a day to reduce swelling and relieve pain.
Change gauze pads before they become soaked with blood.
Relax after surgery. Strenuous physical activity may increase bleeding.
Eat soft foods. Gradually add solid foods to your diet as the area heals.
Continue to carefully brush your teeth and tongue.
Apply an ice or cold pack to the outside of your mouth to help relieve pain and swelling.
Do not use sucking motions, such as when using a straw to drink.
Do not smoke.
Do not brush or floss in the graft site for ten days after surgery. You may begin gentle brushing with a soft toothbrush for another two to four days and finally return to normal brushing.

A few days after the procedure, your periodontist will remove the stitches. A flap procedure can save teeth affected by gum disease. Once you heal from a flap surgery, your gums should be pink and healthy again and you can prevent the recurrence of gum disease by brushing at least twice and flossing at least once per day. Your periodontist will monitor the health of your gums at your sixmonth cleaning and examination and will also provide you with instructions on the most effective methods for protecting your periodontal health at home

FAQs

HOW LONG DOES FLAP SURGERY TAKE TO HEAL?

Typically it takes only a few days to recover from a flap procedure. Be sure to follow the home care instructions that your periodontist gives you.

WHAT ARE THE RISKS INVOLVED?

The roots of your teeth may become more sensitive.The
contour or shape of your gums may change.

It is important for you to monitor your recovery. Alert your periodontist to any problems right away. If any of the following occur, call us:

Signs of infection, including fever and chills
Redness, swelling, increasing pain, excess bleeding, or any unusual discharge
Pain and swelling that is not controlled with medication or home care
Dressing or stitches have come loose or are uncomfortable
Loose tissue
Continued swelling after 48 hours
New or unexpected symptoms

CAN GUM DISEASE BE PREVENTED?

Since gum disease is caused by bacterial overgrowth, plaque, and tartar buildup, proper oral hygiene is usually effective in preventing and reversing the condition. In most cases, seeking regular dental care accompanied by brushing and flossing two times a day is enough to prevent gum disease from occurring.

IS FLAP SURGERY SUCCESSFUL?

Flap surgery isn’t a cure for periodontal disease, but it helps create an environment that makes it easier to maintain your periodontal health. And even if you’re prone to gum disease, proper professional treatment and regular care at home can help keep your teeth healthy for as long as possible.

RECENT ADVANCES

Laser assisted pocket reduction treatment:
Many different types of lasers are used for pocket-reduction treatment in periodontal therapy. Lasers from Diode, Nd:YAG to Er: YAG and Er: Cr: YSGG are available at FMS, all have been used to reduce periodontal pockets. Most lasers have soft-tissue removal indications, while other lasers—such as those in the Er:YAG family have capabilities of both hard- and soft-tissue removal. Lasers are a useful adjunct to the traditional surgery armamentarium and have great success in case-specific, operator-familiar circumstances.
Minimally invasive Surgical Technique (MIST)
Our periodontist are also trained in minimally invasive procedures wherein patient will have less post operative pain, better healing, and lesser chair time than the conventional procedure. Our Periodontist can determine if MIST is right for you by examining your oral health.

WHAT TO THINK ABOUT

A flap procedure is often needed to save teeth that are supported by a bone damaged by gum disease.
Gum disease usually will come back if you do not brush and floss regularly after surgery.
To promote healing, stop all use of tobacco. Smoking or using spit tobacco decreases your ability to fight infection of your gums and delays healing.
You will need to see your dentist regularly so that he or she can follow your progress. If your gum disease spreads, you may lose teeth.

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FLAP SURGERY

What is Periodontal Flap Surgery? :

What Is the aim of the Procedure?

How Do I Know If I Am A Candidate For Flap Surgery?

What Are The Goals Of Flap Surgery?

How Is Flap Surgery Procedure Done?

What To Expect After Surgery?

FAQs

WHAT ARE THE RISKS INVOLVED?

RECENT ADVANCES

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