Periodontal Flap Surgery

The most versatile and commonly used surgical approach in periodontal treatment

Periodontitis is a disease related to the gums, jaw bone and teeth in the oral cavity. Aggravated form of gum disease leads to periodontal disease. It starts with the building up of calculus, plaque and tartar on your teeth and gums, which can result from improper oral hygiene. Due to the plaque and calculus the gums can lose attachment to the underlying bone and the supporting tissues can be infected.

Microorganisms in the calculus and plaque release chemicals that dissolve the bone around the tooth structure and underlying bone causing loss of attachment of the gums to the bone.This results in loosening of the teeth and periodontal pocket formation between the gums, and the tooth structure. Periodontal pockets are the ideal areas for the plaque to accumulate and build up.

Why do you need periodontal gum surgery?

Generalized or localized bone loss due to Periodontitis or Periodontal disease is the primary reason for an osseous gum surgery. Flap Surgery is indicated to treat the periodontal infection and smoothen or correct the bony defects clearing the necrosed tissue.

What can you expect during gum surgery?

The Periodontist administers local anesthesia to numb the gums and adjacent tissues to alleviate pain during the procedure. Then the gum tissues or flap are raised to visualize the extension of necrosed tissues due to the periodontal disease. The dentist can also evaluate the condition of the tooth roots and the extent of tartar depositions. The periodontist then scoops out the diseased tissue and tartar from the bone.

The necrosed tissue is the primary reason for the progression of your periodontal disease. The root surfaces are smoothened by the usage of curettes. After the root surfaces are smoothened and the defects in the bone are contoured, the reflected gum is put back in its original position and sutures are administered.After the procedure is completed, our Periodontists at Apollo White Dental give you postoperative instructions chart to educate you about the oral hygiene maintenance that you will require in order to avoid the recurrence of the disease.

What are the post-operative instructions to be followed after gum surgery?

The numbness of gums due to the already administered local anesthesia can last for 2-3 hours after the surgery which will subside and you will be normal within couple of hours. You can have cold and soft food from day one of surgery and can go to work as well.

Some swelling can be expected during the first twenty four hours. We recommend application of ice packs during the first four hours of surgery. You can carry out your regular routine work and need not worry about the procedure that has already been done. Keep yourself stress free so that the healing can be fast.

There can be mild bleeding on the first day after surgery which is usual and not a point to worry about. If there is any bleeding you can apply sterile gauze or cotton in the area.In case of persistent bleeding, consult your Periodontist.

Abstaining from smoking for atleast two weeks is recommended due to its hindrance in healing. The periodontist may prescribe medication for pain relief and infection control for a period of five days that has to be followed without fail.

Avoid brushing at the site of surgery until the area heals as it may delay the healing by dislodging the sutures. However, to maintain the area clean, gently massage with your finger and paste. Mouthwashes are generally prescribed to help you keep your mouth clean and fresh. This will also keep your mouth odor free. Rinse your mouth with warm salt water frequently to avoid bad breath and aids in quick healing.However, vigorous rinsing should be avoided.

What are the advances in periodontal Flap Surgery treatment?

Periodontal flap surgery is no more a treatment with conventional removal of the disease itself instead there has been advanced techniques used to facilitate the rebuilding of lost bone and adjacent tissues.

Regeneration of lost periodontal tissues that are lost due to the periodontal disease has been a key to the success of the treatment. At Apollo White Dental, the techniques like guided tissue regeneration,free gingival grafting, bone grafting and LANAP (Laser assisted new attachment procedure)are practiced. LANAP is consideredas the advancement of conventional flap surgery. With the use of LANAP, a better prognosis and reattachment of the surrounding tissues is assured.

Bone grafting is advised wherever necessary for the regrowth of the lost bone.  Bone grafts are bone substitutes which are placed to enhance bone formation with regeneration techniques. Laser Curettage before bone grafting will enhance the final outcome and prognosis in the long run. At Apollo, we use various bone grafts like Biogran, NovaBone, and Bio-Oss.

What is the cost of Flap Surgery?

The cost of the periodontal flap surgery treatment depends on the level of infection. It may range between RS. 8000 to 12000 per quadrant; meet your Periodontist to know the details today. Definitely the cost of Flap Surgery is less than that of Dental Implants and crowns & bridges, which you may require due to loosening & falling out of teeth if flap surgery is not performed at the appropriate time.

Should the procedure be repeated for lifetime or is it a permanent solution?

Periodontal flap surgery is a surgical procedure that is performed to control Periodontitis (Periodontal disease). Periodontal Flap surgery helps in controlling the disease and prevents further progression of the already existing disease. This in turn helps in control of further destruction of the periodontal tissues and gums, thereby stopping tooth movement and loss. You may be still be affected by the periodontal disease if you do not maintain oral hygiene and a regular follow-up checkups by your dentist every 6 months.

Periodontal disease has no permanent cure and you have to have your teeth cleaning done every three months after the Periodontal Flap Surgery to maintain the oral hygiene and avoid recurrence of the disease.