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You may need surgery for severe gum disease (periodontitis) if it cannot be cured with antibiotics or root planing and scaling. A flap procedure cleans the roots of a tooth and repairs bone damage caused by gum disease. A gum specialist (periodontist) or an oral surgeon often performs the procedure.
Before the procedure, you will be given a local anesthetic to numb the area where the doctor will work on your gums. The doctor will pull back a section of your gums to clean the roots of your teeth and repair damaged bone, if needed. The gum flap will be sewn back into place and covered with gauze to stop the bleeding.
Case 1:
Pre-Operative
Infection Removal
Post Operative
The flap procedure is necessary when severe gum disease (periodontitis) has damaged the bones that support your teeth.
If you maintain good dental care after the surgery, the flap procedure should help stop your gum disease. Your gums should become pink and healthy again.
Modified Widman Flap
Kirkland Flap
Bleeding : Some bleeding may occur within the first 24 hours following surgery. This is normal. If this should occur, apply gentle pressure to the area with a piece of sterile cotton or wet gauze.
Working-Exercise : You can carry out your normal routine activities like going to work etc., but avoid any kind of strenuous exercise.
Diet: You are recommended to follow a soft and cold diet for a few days. Avoid consumption of hot beverages for atleast 2 to 3 days after surgery. Preferably, chew from the other side which is not surgically treated.
Smoking - Alcohol : Alcohol should be restricted during the first 48 hours following surgery. Please abstain from smoking for atleast 2 ±weeks after surgery as smoking has been shown to slow down the healing process.
Medication : If any medication has been prescribed for comfort and/or the prevention of infection during the healing process, please follow the directions carefully.
Ice Packs for Swelling : If there is any swelling, ice packs should be applied to the area during the first four hours after surgery (use 15 minutes on ± 15 minutes off). Some swelling can be expected during the first 24 hours.
Saltwater Rinse : Using half teaspoon of salt in a glass of warm water, you may rinse the treated area gently. Rinsing several times in the first twelve-hour period will help keep your mouth fresh and odor-free. However, vigorous rinsing should be avoided in the first 24 hours.
Surgical Dressing : If necessary a periodontal dressing will be placed over the treated area which protects the surgical site and should remain in place for approximately one week. Small pieces may break off but this should be of no concern. However, if the complete dressing should come off within three days, please call to have it replaced. If this should occur after the fourth day, there is no need for concern so long as there is no discomfort. Continue to rinse the area with warm salt water until your next appointment
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