Flap surgery as an effective solution for advanced periodontitis

Flap surgery is an advanced surgical procedure that is crucial in the treatment of advanced periodontitis. This procedure is used in cases where traditional therapy has failed to remove tartar and periodontal pockets, which are the main causes of the progression of the disease. The goal of the surgery is to deeply clean the tartar and treat all affected areas in order to stop further bone loss and create conditions for easier maintenance of oral hygiene.

What is meant by flap surgery?

During flap surgery, the dentist makes a precise incision in the gums, lifting part of the mucous membrane together with the gingiva to form a “lobe”. This procedure allows for the thorough removal of pathologically altered tissue, subgingival stones and deposits containing bacteria responsible for the destruction of periodontium. All periodontal pockets that could not be resolved by previous treatments are removed with this intervention, which prevents further progression of periodontitis.

After cleaning, the flap is returned to its place, and the cut is carefully sewn up. If there has been significant bone retraction, the procedure may include the implantation of artificial bone to help stimulate the growth of natural bone (osteogenesis), thus supporting the stabilization of the tooth.

Success and additional treatments

The success of this surgery depends largely on previous basic therapy and thorough removal of tartar. Although flap surgery stops the progression of periodontitis, it is important to note that it does not cure the disease completely. In order to prevent the reaccumulation of bacteria and plaque in the long term, in patients with improper tooth position, it may be necessary to combine flap surgery with orthodontic therapy.