FLAP SURGERY

When advanced gum disease (periodontitis) develops, your teeth are in danger: At this stage, the ligaments and bone tissue that surround them are being destroyed, and you could even begin losing teeth! If the disease can’t be controlled by non-surgical treatments like cleaning and scaling, then periodontal flap surgery may be your best treatment option.

Flap surgery is today’s leading method for treating and repairing periodontal pockets. What are these pockets They are areas below the gum line where gum tissue has detached from the teeth, resulting in an uncleansable space where harmful bacteria can proliferate. These bacteria cause inflammation of the tissues, resulting in sensitivity, bleeding, and pain. Left untreated, they can cause a host of problems including gum disease, loss of the tooth-supporting bone structure, and possibly even systemic (whole-body) problems.

When periodontal pockets develop, the first step in treating them is usually via cleaning and scaling (also referred to as root debridement) with a manual or ultrasonic instrument. If this is not effective, then periodontal surgery is considered. Flap surgery is not a cure for periodontal disease — but it helps create an environment that makes it easier to maintain your periodontal health. And even if you are prone to gum disease, proper professional treatment and regular care at home can help keep your teeth healthy for as long as possible.

What To Expect After Surgery

Typically it takes only a few days to recover from a flap procedure. Be sure to follow the home care instructions that your dentist or oral surgeon gives you. If you have questions about your instructions, call the dentist or surgeon. 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 such as gelatin, pudding, or light soup. Gradually add solid foods to your diet as the area heals.
• Do not lie flat. This may prolong bleeding. Prop up your head with pillows.
• 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.

A few days after the procedure, your dentist will remove the stitches.

A flap procedure can save teeth affected by gum disease. Once you heal from a gum 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 dentist can monitor the health of your gums at your six-month cleaning and examination. dentist can also provide you with instructions on the most effective methods for protecting your periodontal health at home.