Flap surgery, also called periodontal flap surgery, is a gum procedure for advanced gum disease. The dentist gently lifts the gum away from the tooth, cleans the infection and hardened tartar from the roots, and puts the gum back in place. It reduces deep gum pockets and helps protect the bone that holds your teeth.
Gum disease starts when plaque and tartar build up along the gum line. At first, gums bleed and swell. This early stage is called gingivitis and can be reversed with cleaning. If it continues, the infection spreads below the gum and damages the bone. This is called periodontitis. Deep gaps, called pockets, form between the gum and the tooth. Untreated gum disease is a major cause of tooth loss in adults.
The first step is deep cleaning, called scaling and root planing. Flap surgery is advised when pockets stay deep, usually 5 mm or more, and the gums remain infected after the cleaning. X-rays and gum measurements help decide.
Each part of the mouth usually takes about 45 to 90 minutes. Surgery may be done in sections over several visits.
You may have mild pain, swelling and some bleeding for 2 to 3 days. Your dentist may give pain medicine and a mouth rinse.
After surgery, the gums fit more tightly around the teeth, pockets become smaller, and bleeding usually reduces. Gums may look shorter and teeth may feel more sensitive for a while. Good home care and regular cleaning every 3 to 6 months are needed to keep the results.
The cost depends on the number of teeth or areas treated, whether bone grafts are used, and the number of visits. You get the cost after examination.
The procedure is done under local anaesthesia. You may have mild soreness for a few days.
It can be controlled, but it needs long-term care. Bone that has been lost does not always grow back.
Most people feel better in a few days, and gums heal over 2 to 4 weeks.
Teeth can become loose and may need to be removed. Gum infection has also been linked to problems in people with diabetes.
The gums may pull back a little as swelling reduces. Your dentist will explain this beforehand.