Dr. Deepali Patil

07666101825, 0712-3552950

Pramod Rajshree Plaza, Khamla, Nagpur

Open Hours

Mon - Fri: 10am - 2pm, 4am - 8pm, Sun - Closed

Flap Surgery and Gum Treatment
Flap Surgery and Gum Treatment

Flap surgery, also known as periodontal flap surgery or gum surgery, is a dental procedure performed to treat advanced gum disease (periodontitis) and address issues with the gum tissue and underlying bone. It is considered a surgical intervention and is typically performed by a periodontist, a dentist specializing in the treatment of gum diseases. Here is some information about flap surgery and gum treatment:

1. Indications for Flap Surgery:

  • Flap surgery is usually recommended when non-surgical treatments for gum disease, such as scaling and root planing (deep cleaning), are not effective in controlling the infection and reducing gum pocket depths.

2. Gum Treatment During Flap Surgery:

  • Flap surgery not only treats gum disease but also helps improve the appearance of the gums, especially when there is gum recession.
  • It can also address other gum issues, such as correcting gum deformities or preparing the gums for dental implants.

3. Post-Operative Care:

  • After the surgery, patients will be given instructions on how to care for the surgical site and maintain oral hygiene during the healing process.
  • Pain medication or antibiotics may be prescribed to manage discomfort and prevent infection.
  • It’s crucial to follow all post-operative instructions provided by the dentist or periodontist to promote proper healing and avoid complications.

4. Long-Term Results:

  • Flap surgery can help reduce gum pocket depths, control gum disease, and prevent further damage to the gums and bone.
  • Regular follow-up visits with the dentist or periodontist and diligent oral hygiene practices are essential for maintaining the health of the gums and preventing a recurrence of gum disease.
Common Symptoms
  1. Gum Inflammation: Red, swollen, and tender gums are early signs of gum disease. If left untreated, it can progress to more severe stages.

  2. Bleeding Gums: Gums that bleed easily, especially during brushing, flossing, or eating, can indicate gum disease.

  3. Gum Recession: As gum disease advances, the gum tissue may recede, leading to exposed tooth roots and increased sensitivity.

  4. Persistent Bad Breath: Chronic bad breath that does not improve with oral hygiene may be a sign of gum disease and bacterial infection in the gums.

  5. Pus Formation: In severe cases of gum disease, pockets of pus may form between the gums and teeth, leading to an abscess.

  6. Loose or Shifting Teeth: As gum disease progresses, it can affect the supporting structures of the teeth, leading to tooth mobility or shifting.

  7. Changes in Bite: Gum disease can cause changes in the way your teeth fit together, leading to an altered bite or discomfort while chewing.

  8. Receding Gumline: The gumline may appear uneven or receding around certain teeth.

  9. Visible Tartar or Calculus Deposits: Hard, yellowish deposits (tartar or calculus) may be visible at the gumline or between the teeth.

  10. Bone Loss: In severe gum disease, X-rays may reveal bone loss around the teeth.

Flap Surgery and Gum Treatment

1. Diagnosis and Evaluation:

  • Before recommending flap surgery, the dentist or periodontist will evaluate the extent of gum disease by measuring pocket depths (the space between the gums and teeth) and assessing the amount of bone loss around the affected teeth.

2. Non-Surgical Treatments:

  • In many cases, non-surgical treatments such as scaling and root planing (deep cleaning) are the first line of defense against gum disease. These treatments aim to remove plaque, tartar, and bacteria from the gum pockets and root surfaces.

3. Indications for Flap Surgery:

  • If non-surgical treatments are insufficient, and the gum disease has progressed, flap surgery may be recommended. It is indicated when gum pockets are deep, and there is significant bone loss around the teeth.

4. Flap Surgery Procedure:

  • During flap surgery, the periodontist will make small incisions in the gum tissue to create a “flap.” This allows access to the root surfaces and bone beneath.
  • The roots are thoroughly cleaned to remove plaque, tartar, and bacteria.
  • In some cases, bone grafts may be used to regenerate lost bone around the affected teeth.
  • The gum flap is then sutured back into place, promoting healing and reducing pocket depths.
Flap Surgery and Gum Treatment Precautions

1. Avoid Smoking and Tobacco Use:

  • Smoking and tobacco use can hinder the healing process and increase the risk of complications. It’s best to avoid these habits, especially during the recovery period.

2. Gentle Oral Hygiene:

  • Practice gentle oral hygiene to keep the surgical area clean and promote healing. Use a soft-bristled toothbrush and be cautious while brushing and flossing around the surgical site.

3. Rinse as Instructed:

  • Your dentist may recommend a special mouth rinse to use after the surgery. Use it as directed to keep the surgical area clean and free from infection.

4. Avoid Irritating Foods:

  • During the healing process, avoid spicy, acidic, and hot foods that may irritate the surgical site.