Periodontal Flap Surgery

Flap surgery provides a means of gaining access to the jawbone, the root structure of the teeth and adjacent bony periodontal pockets and improves the efficiency and efficacy of treatment.

Indications for periodontal flap surgery:

  • to gain access to areas needing treatment that are not clearly visible
  • to eliminate or reduce the depth of periodontal pockets
  • to provide access for surgical tooth extractions, grafting, bone regeneration, crown lengthening and other therapies

Frequently Asked Questions

What is periodontal flap surgery, and when is it recommended?

Periodontal flap surgery is a procedure where the gums are gently lifted away from the teeth so the roots and bone can be cleaned and shaped more thoroughly. It is usually recommended when deep pockets do not respond enough to non-surgical treatment like scaling and root planing.

What are the benefits of flap surgery for gum disease treatment?

Flap surgery lets the surgeon remove deep tartar and inflamed tissue and reshape damaged bone. This can reduce pocket depths, make the area easier to clean at home, and improve the chances of keeping your natural teeth over the long term.

What should I expect during and after the procedure?

During the procedure, the area is numbed, the gums are gently opened, and the roots and bone are cleaned and smoothed. The gums are then repositioned and stitched. After surgery, mild to moderate soreness and swelling are common for a few days, and you may be given pain medicine, antibiotics, and a special rinse.

How long does healing take after flap surgery?

Initial gum healing usually takes about 1–2 weeks, though deeper healing of the bone and supporting tissues continues for several months. Follow-up visits check your healing and help guide when to resume normal brushing and flossing in the area.

Will I experience pain or swelling following the surgery?

Some swelling and discomfort are normal, especially in the first 48–72 hours. Most people do well with prescribed or over-the-counter pain medicine, cold compresses on the outside of the face, and a soft diet. Any unusual pain, heavy bleeding, or fever should be reported promptly.