Periodontal Flap Surgery

How Periodontal Surgery Can Save Your Teeth

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Sealing The Envelope

Completion of flap surgery is accomplished with flap closure, a procedure similar to sealing the flap of an envelope. The gingival (gum tissue) flaps are positioned against the root surfaces and as far between the teeth as possible. When membranes are used, they should be covered as completely as possible. Flaps are usually held against the teeth with sutures (stitches); however, there are many materials and techniques. The application of gentle pressure enables the formation of a blood clot that works with the sutures to hold the flaps in preliminary position, stabilizing them until healing ensues. Sometimes a plastic moldable dressing is applied, which sets around the flaps securing their position.

In Good Hands

A periodontal specialist/periodontist trained in periodontal surgical techniques typically performs these procedures or general dentists who have taken advanced training in periodontal surgery. Most procedures are carried out with local anesthesia, which contains epinephrine (adrenalin) that ensures the anesthesia lasts for the procedure and that there is minimal bleeding. However, they are sometimes performed with the additional use of oral anti-anxiety/sedation medication or intravenous conscious sedation so that patients are awake, but in a more relaxed state. The innovations used in flap surgery are the result of years of periodontal research and the periodontal surgeon's knowledge, training and experience of what techniques to use — and when and how to use them.