Periodontal Flap Surgery

Tooth Wear.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 isn't effective, then periodontal surgery is considered. Flap surgery isn't a cure for periodontal disease — but it helps create an environment that makes it easier to maintain your periodontal health. And even if you're prone to gum disease, proper professional treatment and regular care at home can help keep your teeth healthy for as long as possible.

The Goals of Flap Surgery

One major objective of flap surgery is to eliminate or reduce the pocket itself. To access it, a flap-like incision is made in the gum tissue. This allows diseased tissue to be removed from inside the pocket, and provides access to the teeth's root surfaces for a thorough cleaning, which helps to eliminate harmful plaque and calculus (tartar). Afterward, the “flap” is closed, sealing the area. This begins the healing process, which takes place rapidly.

Another goal is the regeneration of periodontal ligament and bone tissue which may have been lost to the disease. A variety of techniques may be used to accomplish this, including high-tech methods of bone grafting and chemicals referred to as growth factors. These approaches help restore the gums to their normal form and function, and promote the healthy and secure anchoring of teeth.

The Flap Surgery Procedure

Periodontal flap surgery.

Flap surgery is typically done under local anesthesia, sometimes accompanied by oral anti-anxiety medications; alternatively, it may be performed under intravenous conscious sedation. After anesthesia has taken effect, a small incision is made to separate the gums from the teeth. The outer gum tissue is gently folded back to give access to the roots and the supporting ligament and bone tissue.

Next, the inflamed gum tissue can be removed, and the tooth roots can be cleaned; if needed, the area may also be treated with antibiotics or other medications. Bone defects can be repaired with grafting material, and proper regeneration of the periodontal ligament can be encouraged by physical (barrier membranes) and chemical (growth factors) methods. Finally, the incision is closed and the procedure is completed.

Performed by an experienced hand, state-of-the-art flap surgery has an excellent track record and offers well-established benefits. It's often the treatment of choice for relieving periodontal disease and helping to maintain your oral health — and preserve your teeth.

Related Articles

Periodontal Flap Surgery - Dear Doctor Magazine

Periodontal Flap Surgery Most surgical patients are surprised by how comfortable the experience of flap surgery is and how painless it is afterward. Today's highly sophisticated and meticulous techniques allow the periodontal surgeon to reconstitute, regenerate, and reconstruct lost and destroyed tissues. Find out how periodontal surgery can prolong the life of your teeth... Read Article

Periodontal (Gum) Disease - Dear Doctor Magazine

Understanding Gum (Periodontal) Disease Have your gums ever bled when you brushed or flossed? This most commonly overlooked simple sign may be the start of a silent progressive disease leading to tooth loss. Learn what you can do to prevent this problem and keep your teeth for life... Read Article

Our Location

Find us on the map

Hours of Operation

Our Regular Schedule

Primary Location

Monday:

8:30 am-5:30 pm

Tuesday:

8:30 am-5:30 pm

Wednesday:

8:30 am-12:30 pm

Thursday:

8:30 am-5:30 pm

Friday:

7:30 am-12:30 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

  • "Dr. Nasr and the whole team at Creekside Dentistry are wonderful. Most folks are not at all fans of dental offices or procedures, myself included, but when he has the ability to use his 20 years experiences and make a root canal close to painless? I'd say that's a win. Five stars are a must!"
    Austin C
  • "Absolutely outstanding professional dental services. I have extreme dental anxiety and was treated with understanding and given detailed explanations of my options and the work being performed. I was able to schedule an appointment on …"
    Anything O
  • "Dr.Nazr is a phenomenal doctor! He is patient, listens to your concerns, asks questions, is thorough, kind and a perfectionist. He doesn't let you leave unless everything is perfect. The staff is all very friendly, welcoming and makes you …"
    Makenzie S
  • "I cant remember the last time I took the time to write a review for anyone, but the wonderful staff at Creekside Dentistry definitely deserves some credit for the awesome work they do. I hadnt been to the dentist in almost 10 years and was …"
    Shelley M
  • "Dr. Nazr and staff are awesome. I've been going to Creekside Dentistry for two years. When I first went in I was having pain and hold / cold sensitivity. Dr. Nazr put me on an advanced cleaning routine every 3 months and provided fluoride …"
    Dustin S
  • "The staff and dentist here are fabulous! Friendly and efficient and they take my insurance! Fair prices too. Reception staff is very nice and welcome you with a smile. Dr. Nazr is wonderful and explains everything in plain English. Think I found my dentist for life...at least while I live in Folsom!"
    Allie W
  • "Dr. Nasr is an extremely kind and patient man.
    He sat down with me physically and energetically and wholeheartedly listened to all of my concerns. He spent an ample amount of time explaining every detail of my treatment plan, and even spent …"
    Nikki D
  • "Dr. Nasr and his staff are phenomenal! They continually go the extra mile to ensure you are thoroughly taken care of and answer any questions you may have. If you’re looking for an excellent dentist you can trust, along with a team that puts you first, I highly recommend Creekside Dentistry!"
    Simon H
  • "I just had a six-month deep cleaning from Ana. My teeth feel incredibly clean and my gums are reinvigorated. Ana is very personable and professional. She puts you at complete ease and makes the appointment actually enjoyable."
    Maryellen T