WHAT IS FLAP SURGERY?
Gingival flap surgery is a type of gum procedure. The gums are separated from the teeth and folded back temporarily. This allows a dentist to reach the root of the tooth and the bone. During this time, the dentist can clean the deposited tartar and hard set calculus.
WHEN IS IT PERFORMED?
HOW IS IT DONE?
- Gingival flap surgery is used to treat gum disease (periodontitis/pyorroea).
- It may be recommended for people with moderate or advanced periodontitis.
- Usually, a treatment that doesn't involve surgery is done first. This is called scaling and root planing. If this treatment does not eliminate the gum infection, gingival flap surgery is indicated.
- Flap surgery is done to treat gum enlargements.
- Bone grafting and guided tissue regeneration are done along with flap surgery procedure, if required.
ARE THERE ANY POST OPERATIVE COMPLICATIONS?
- First, a local anesthesia is given to numb the area.
- Then the periodontist will use a scalpel to separate the gums from the teeth.
- They will be lifted or folded back in the form of a flap. This gives the periodontist direct access to the roots and bone supporting the teeth.
- Inflamed tissue will be removed from between the teeth and from any defects in the bone.
- The periodontist will then do a procedure called scaling and root planing to clean plaque and tartar.
- If you have bone defects, your periodontist may eliminate them. This procedure is called osseous recontouring. It smoothes the edges of the bone using files or rotating burs.
- After these procedures are completed, the gums will be placed back against the teeth and stitched (sutured) in place.
- Some periodontists use stitches that dissolve on their own. Others use stitches that have to be removed a week to 10 days after the surgery.
- Your periodontist also may cover the surgical site with a bandage known as a periodontal pack or dressing.If bone is deficient , then the periodontist may also put some bone grafting material there.
- There can be mild pain, oozing of blood and /or mild swelling.
- After flap surgery, there can be mild gingival recession.
- Temporary sensitivity to hot and cold can be encountered.
Pre & Post operative pictures