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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.
Bone may be:
Typically it takes only a few days to recover from a flap procedure. Be sure to follow the home care instructions that your dentist or oral surgeon gives you. If you have questions about your instructions, call the dentist or surgeon. The following are general suggestions to help speed recovery:
A few days after the procedure, your dentist will remove the stitches.
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 allow you to clean your teeth and gums better. Your gums should become pink and healthy again.
The roots of your teeth may become more sensitive.
The contour or shape of your gums may change.
Gum surgery can introduce harmful bacteria into the bloodstream. Gum tissue is also at risk of infection. You may need to take antibiotics before and after surgery if you have a condition that puts you at high risk for a severe infection or if infections are particularly dangerous for you. You may need to take antibiotics if you:
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