What is Flap Surgery in Dental?

Flap surgery in dental care is also known as gingival flap surgery and open flap surgery. It is a procedure used to treat advanced gum disease. 

During this surgery, the dentist or periodontist makes small incisions in the gums to create a flap. This allows them to lift the gum tissue away from the teeth and roots which provides access to the bone and tooth roots underneath.     

Is Gum Flap Surgery Necessary? 

Gum flap surgery becomes necessary when deep cleaning treatments haven’t fixed advanced gum disease. It’s used if there are persistent pockets around the teeth or significant bone loss. 

During the surgery, the dentist lifts the gums to access the roots for a thorough cleaning, aiming to stop gum disease progression and save the teeth. While it’s not the initial choice, flap surgery is important for restoring gum health and preventing further damage to teeth.

What is the Gingival Flap Procedure?

Following is the gingival flap procedure:

Flap Elevation: 

Your dentist will gently lift the flap of gum tissue which exposes the roots of the teeth and the underlying bone. This allows for thorough cleaning and treatment of any infection or damage present.

Root Cleaning: 

With specialized instruments, your dentist removes plaque, tartar, and bacteria from the surfaces of the tooth roots and the surrounding bone. This deep cleaning helps to eliminate infection and promote healing.

Bone Reshaping:

In some cases, the dentist may reshape or smooth the bone around the teeth to promote better healing and support for the teeth.

Flap Repositioning: 

Once the cleaning and any necessary treatments are complete, the flap of gum tissue is carefully repositioned back over the roots of the teeth and sutured into place.     

Can We Brush After a Tooth Flap Surgery? 

Yes, you can brush your teeth after a tooth flap surgery, but it’s important to do so gently and with care. The dentist or periodontist will provide specific instructions tailored to your case. You should wait until the day after surgery to begin brushing the surgical area. 

How Does Periodontal Flap Surgery Before and After Looks Like?

 

Which is Better Flap or Graft?

Flap surgery is like a deep cleaning of your gums. The dentist lifts a section of gum tissue like a flap, to reach the hidden areas and clean the tooth roots thoroughly. This is helpful for advanced gum disease where deep cleaning is needed.

Gum grafting is like patching up the walls. It involves adding new tissue to your gums or bone. This can be done to:

• Cover exposed tooth roots, which can be sensitive and prone to decay.
• Rebuild lost gum tissue, which can improve the look of your smile.
• Strengthen the bone supporting your teeth, especially if there’s been significant bone loss.

Ultimately, the best option depends on what your specific situation needs. Talk to your dentist to see if flap surgery, grafting, or another treatment is right for you.

Is Gum Flap Surgery Risky?  

Yes, gum flap surgery does come with certain risks. For example, the procedure can lead to increased tooth sensitivity or alterations in the shape and contour of the gums.