Periodontal Flap Surgery

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If you need a periodontal flap surgery, you can see our dentist to know if you’re a good candidate. Talk to us today!

What is Periodontal Flap Surgery?

It is a periodontal intervention performed on patients suffering from the chronic phase of gum disease, that is, for the treatment of periodontitis (one of the two types of periodontal disease). It is the treatment of choice when cleaning cannot reach areas that are difficult to reach and therefore tartar accumulated under the gum cannot be removed. Therefore, this surgical technique facilitates accessibility for the periodontist to perform the scaling and root cleaning properly. At the same time, it is desired to restore the morphology of the gum and subsequently facilitate the control of the dental plaque.

Why is Periodontal Flap Surgery Performed?

It is important to point out that when periodontitis is in an advanced stage it is accompanied by complications such as the destruction of the elements that support and retain the teeth (gums, ligaments and bone), which is why there are periodontal pockets, loss of insertion, dental mobility and in more serious situations the loss of teeth. The periodontal pockets are nothing more than the pathological deepening of the gingival sulcus (area below the gum margin), where the gum tissue has separated from the teeth. The problem with these pockets is that they increase in size and depth as the disease progresses, becoming impossible to clean, which in turn favours the accumulation of bacteria, decomposing matter and pus. Therefore, periodontal flap surgery is an effective treatment for the elimination of periodontal pockets and the little infectious that composes it.

Who We Are

Coquitlam Dental Group is a team of highly prepared dental professionals committed to offering their patients dental services characterized by the highest quality, with the latest technology, using the best materials and updated procedures, adapted to the needs of each patient. We are also ruled by having humane treatment with our patients. In Coquitlam Dental Group we extend our services to all family members, we have pediatric dentistry, surgery, root canal treatment, cosmetic dentistry, implants and many more. Everything under protocols of care of the highest standards. Our priority is your oral health, well-being and comfort.

Why Choose Periodontal Therapy?

Because in Coquitlam Dental Group we have a specialized staff in the area of periodontal therapy that will ensure that the periodontal flap surgery is performed in the right way, preventing and avoiding possible complications during the procedure, besides having the instruments and advanced technology to facilitate the surgical process. Our goal is always to provide an excellent service in which our patients obtain the best results and see their oral health restored. For which in the Coquitlam Dental Group we make sure that our specialists have the highest levels of accreditation. In addition, we believe that the quality of care begins with good treatment to our patients, attending to requests and clarifying their doubts so that they feel comfortable, confident and relaxed.

Periodontal Flap Surgery Candidates

Those patients who have been diagnosed with advanced periodontal disease and after an evaluation with the specialist it becomes evident the presence of periodontal pockets that due to their depth makes it impossible to perform the curettage. They should also present signs of gingival inflammation, accumulation of local irritants accompanied by bad breath, dental mobility, etc., and thus be able to restore their periodontal health and the functionality of the stomatognathic system.

How Periodontal Flap Surgery Works

Step 1: Clinical Evaluation

Before the surgical procedure it is necessary that the patient has gone to a dental office to fill out the medical history, a thorough check of the oral cavity, establish a definitive diagnosis and its causal factors and then determine the appropriate therapy to follow.

Step 2: Anesthesia and Incision Technique

This procedure is performed under local anesthesia protocols, although, if necessary and the patient requires it, it can be done under sedation. After the anesthesia has begun to work, the periodontist makes an incision with a scalpel to separate a portion of the gum tissue from the teeth (this is known as a flap), and then this is removed backwards so that the area of the dental roots, periodontal ligament and alveolar bone is exposed. And so the periodontal pockets can be removed.

Step 3: Removal of Necrotic Tissue

Using instruments called curettes and ultrasound equipment, the specialist performs a thorough scraping and cleaning of the roots and the entire affected area, in order to remove inflammatory gingival tissue, tartar and accumulated dental plaque. In some cases, the use of bone grafts can be implemented and growth factors can be used to promote the regeneration and early recovery of the tissues.

Step 4: Suture and Wound Closure

Once the cleaning is completed, the portion of the gum tissue that was removed is returned to its natural position and the tissues are sutured to close the incision.

Periodontal Flap Surgery Benefits

Reduce the Periodontal Pocket

After the periodontal flap surgery is performed, the reduction and even in some cases, the total elimination of the periodontal pocket is achieved. When the flap is made, adequate access to the entire affected area is obtained and therefore allows a deep cleaning with a scraping of the roots, achieving the elimination of all the deposit of dental plaque, pathogenic microorganisms, dental calculus, food remains and necrotic and purulent material, which once the healing process has advanced, eliminates bad breath and the painful symptoms that accompany this condition.

Regeneration of Periodontal Tissues

Another benefit is the regeneration of all periodontal protection and support tissues (gums, ligaments, bone) that suffered degeneration due to periodontal pathology. We have to take into account factors such as the shape of the gum, resistance of the ligament and the quantity and quality of alveolar bone are restored. This regeneration is favoured by the use of growth factors or grafts that accelerate their healing process, giving them back their capabilities of function and protection, thus avoiding dental mobility or loss of teeth due to lack of support tissue.

Correct Function of the Stomatognathic System

Due to the discomfort, pain and other consequences of periodontitis, common processes such as chewing and cleaning the mouth, and also aesthetics were compromised. After the periodontal flap surgery, and the correct healing of the tissues, the functionality of the elements that compose the oral cavity is restored. Mastication can be performed since, since there is no inflammation and the dental mobility has decreased or disappeared, this act does not produce painful symptoms, contributing in turn to the digestion of food. Likewise, as there is no inflammation, the process of brushing and flossing does not constitute a discomfort for the patient.

Why Deal With Us

In Coquitlam Dental Group we have the best odontological care personnel since we are formed by a team of highly accredited specialists. In addition, we provide our patients with updated treatments and high technology instruments and equipment. Our priority is the welfare and comfort of the patient as well as meet their expectations and needs.

Final Words

Periodontal disease, and especially periodontitis, is a condition that reduces the quality of life of those who suffer from it, compromising not only their oral health but the integrity of the entire body. The signs and symptoms that accompany it are aggravated as the disease progresses, which can have serious consequences such as the destruction of the tissues that support the teeth and the loss of these. This is why periodontal flap surgery is considered the therapeutic method to follow in order to eliminate the periodontal pockets that are a reservoir of bacteria, necrotic tissue and local irritants and thus stop the progression of the disease.

You can book your appointment now at You can also reach us at Phone: (604) 931-3133, Email: or you can find our office at 655 North Rd #101, Coquitlam, BC V3J 1P5, Canada.

Remember that it is important to have regular consultations with the dentist in order to be able to diagnose diseases in earlier stages where the damage and the state of the injuries are not so severe.

Frequently Asked Questions

What Causes Periodontal Disease?

Periodontal disease has its origin in inadequate oral hygiene which facilitates the accumulation of local irritants such as bacterial plaque and later dental calculus. These elements constitute a harmful factor for the gingival tissues, causing inflammation, redness, increased volume and bleeding. As the condition worsens, other factors develop such as the appearance and deepening of periodontal pockets, which are a reservoir of necrotic material, plaque and microorganisms that can produce the degeneration of the structures that support the tooth.

Should I Have Regular Check-UPS After My Surgery?

Yes, firstly, to evaluate the healing process of the soft and hard tissues and the removal of the suture. After this, it is advisable to continue to consult periodically with the specialist in order to preserve the state of oral health achieved through the periodontal flap surgery. Likewise, it is necessary to have a rigorous daily oral hygiene routine.

During Periodontal Flap Surgery, I May Need Another Type of Treatment?

In some patients where there is severe loss of bone tissue surrounding the injury, a bone graft is necessary to restore the bone’s supporting capacity.

What Can I Do About My Periodontal Disease?

The ideal is to go to the specialist to evaluate the severity and progression of the pathology, so he/she can determine which is the most effective treatment to follow. The treatment begins with manual or ultrasonic cleaning of the affected area, in order to eliminate the accumulation of plaque and calculus. If the depth of the periodontal pocket does not allow for adequate cleaning, periodontal flap surgery will be necessary. 

Talk With Us Today!

If you need a periodontal flap surgery, you can see our dentist to know if you’re a good candidate. Talk to us today!

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