Gum Flap Surgery for Gum Disease: How Does It Work?
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Table of Contents
- What Is Gum Flap Surgery?
- Issues Treated
- The Procedure
- Potential Complications
- Frequently Asked Questions
What Is Gum Flap Surgery?
Gum flap surgery is a medical procedure designed to remove air spaces called periodontal pockets. These spaces form on your gums when they disconnect from your teeth. Periodontal pockets harbor pathogens and microorganisms that promote the progression of gum.
If it progresses, the disease turns into periodontitis, leading to tooth and bone loss. In such instances, doctors will treat the condition using surgical procedures such as periodontal/gum flap surgery.
The surgery will treat complications from receding gums by removing small tissue from the mouth’s floor, which the doctors then use to cover the exposed part of your teeth and root surfaces.
In early stages, periodontal diseases cause gingivitis, which leads to inflammation, reddening and swelling of the gums.
Periodontal flap surgery primarily treats gum diseases without the need for implants, but it can also treat other issues. Among them are:
- Deep craters: Necrotizing Gingivitis causes gum tissues death, causing depressions to form on your gums.
- Inflammation: Swellings that form and persist in the areas around the periodontal pockets.
- Irregular bone contours: The procedure can treat jawbone defects.
A dentist or oral surgeon usually performs gum flap surgery three to four weeks after a non-surgical therapy. The therapy precedes the surgery so that gum tissues mature and build up, making the surgery less complex.
The step-by-step of gum flap surgery is:
The anesthetist will administer local anesthesia before starting the surgical procedure to reduce the discomfort via injection onto the gums, preventing pain receptors from sending information to the brain.
The dentist will then make small incisions or cuts on your gum tissues, approximately 0.5 to 1 mm from the gum margin. After the incisions separate your affected gums from your teeth, they will lift the flap to access the bone tissues.
The dentist will then perform an interdental incision, which is an incision made on the gums found in between your teeth, and remove the infected gum tissue, known as granulation tissue. Before moving to the next step, they might perform root-planing and scale the exposed root surfaces.
This is the last aspect of the surgery once the affected gum tissues are removed. Dentists typically close the flaps and incisions using sutures, but research shows sutures are associated with inflammation of the gums. Now, many dental surgeons opt for fibrin glue.
You should expect a full recovery two to three weeks after the surgery. You can hasten the recovery period by:
- Using drinking straws and avoiding smoking
- Eating soft foods that won’t cause pressure on your gums and teeth
- Elevate your head with a pillow when sleeping
It is common to experience some pain following gum flap surgery. Some people also get anxiety issues about their perception of pain after the surgery.
To help reduce both conditions, dentists can prescribe some pain medications for the recovery period.
Some side effects associated with gum flap surgery include bleeding, infection and paresthesia.
It is normal to get gum bleeds after the periodontal flap surgery for one to two days. If it goes beyond that, it could indicate a surgery complication. To stop the bleeding, do the following:
- Remove excess blood clots using gauze.
- Put a clean gauze over the area with excessive bleeding.
- Apply pressure on that area for 20 minutes.
- Inform your dentist about the persistent bleeding if it doesn’t stop.
- Use the prescribed pain medications
- Rinse your mouth using warm water
- Don’t use carbonated drinks until you heal
In rare cases, you could experience paresthesia, a tingling and burning sensation in your mouth after the surgery. This is primarily cause by anesthesia.
The uncomfortable feeling should resolve with the weakening of the anesthesia.
Candidates for Gum Flap Surgery
About two in five adult Americans have a gum disease. That does not mean you need a periodontal flap surgery each time you have the disease.
You may require gum flap surgery if your gum disease has progressed to a more severe form called severe chronic periodontitis. Other reasons that make you a perfect candidate for the gum flap surgery include:
- The condition is not responding to non-surgical therapeutic procedures.
- Your periodontal pockets receded excessively.
- Gummy smile – your smile shows a significant amount of your gum line.
- Inflamed gums that are bleeding excessively.
- If you have tooth mobility, highly displacing your teeth beyond their usual boundaries.
How painful is gum flap surgery?
How long does it take to heal from gum flap surgery?
Is gum flap surgery risky?
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Incidence and severity of postoperative complications following oral, periodontal, and implant surgeries: A retrospective study. (November 2019). National Library of Medicine.
Association of Anxiety with Pain Perception following Periodontal Flap Surgery. (February 2018). Journal of International Society of Preventive & Community Dentistry.
Necrotizing Ulcerative Gingivitis. (July 2017). Contemporary Clinical Dentistry.
Dry socket. (January 2017). Mayo Clinic.
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Periodontal Disease? (July 2013). Centers for Disease Control and Prevention.
Infected periodontal granulation tissue contains cells expressing embryonic stem cell markers. A pilot study. (2013). Swiss Monthly Journal for Medicine.
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After Your Oral Surgery. Washington University, School of Dentistry.