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Peridontal Flap Surgery in India

by Rishabh

What is Flap Surgery?

Flap Surgery is a technique in cosmetic and reconstructive surgery wherein a tissue is picked up  from a donor site and moved to the recipient site with an intact blood supply. It is different from the grafting technique which relies on the growth of new blood cells.

Types of Flap Surgery

There are three types of Flap Surgeries available- Periodontal Flap Surgery, Gum Flap Surgery and Gingival Flap Surgery.

Periodontal Flap Surgery procedure

During  the Periodontal Flap Surgery, anesthesia is applied to the gum areas to make it numb. Thereafter, a small incision is made to eliminate the excess gum using dental tools. Each tooth is then spotlessly cleaned to prevent bone loss. The dentist then cleans the roots of the tooth and repairs bone damaged by the gum disease. The gum flap is then sewn back into place and covered with gauze to prevent bleeding.

Gingival Flap Surgery

Gingival Flap Surgery is a surgical procedure wherein the gums are segregated from the teeth and creased back temporarily so that the dentist can access the root of the tooth and bone. It is done to treat the gum disease and is often recommended for people suffering from advanced periodontitis.

Gingival Flap Surgery procedure

First of all, the area to be operated will be numbed with a local anesthetic. Subsequently, the periodontist will segregate the gums of the teeth by making an incision through scalpel. The gums will be folded back in the form of a flap.   This allows periodontist to access the roots and bones supporting the teeth. Infected tissues are removed from the teeth and the bone. The entire area is carefully cleaned and all plaque and tartar is removed from the root. Following that the gums will be placed against the teeth and fixed by using stitches.

Cosmetic Gum Flap Surgery

Cosmetic Gum Flap Surgery is a procedure where the surgeon smoothen and restructure the bone surrounding the teeth. The surgeon also graft bone utilizing a variety of materials during a procedure known as bone graft to assist the growth of healthy tissues in the affected area. Patients suffering from periodontist can also undergo Osseous surgery. This surgery is performed to get rid of the holes by reconstructing the bone.

Cost and Duration of Peridontal Flap Surgery

Flap surgical procedures generally take between 1 to 3 hours, depending upon the  severity of the case. The cost of flap surgery in India is quite affordable as compared to the treatments offered in U.S.A and U.K.

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FAQs for Periodontal Flap Surgery

Periodontal flap surgery is an advanced and leading method of treatment for repairing high-level gum disease and periodontal pockets and (the deeper spaces around the teeth called periodontal pockets). The surgery is done at the stage when the ligaments and bone tissue are completely damaged and lead to frequent teeth loss.

For a person who is suffering from severe gum disease and which cannot be further cured by non-surgical treatments like brushing and scaling, then periodontal flap surgery may be the best treatment option.

The periodontal disease attacks those people, who are in the regular habit of chewing tobacco and smoking cigarettes. Some other major reasons behind periodontal disease include irregular brushing of teeth, using poor quality of toothpaste and mouthwash. Due to these bad habits bacteria easily get developed and start harming teeth and gum lines. However, the use of tobacco and cigarettes always injures health and causes painful death. And, also give birth to diabetes, cancer, and other chronic diseases.

Healthy habits like regular brushing of teeth, eating green leafy vegetables and rich citrus fruits can keep you away from periodontal disease. But if an individual suffers from periodontal disease, then it can be cured in two stages by a periodontist.

Stage 1 (scaling and cleansing): In this stage, it can be cured by normal scaling and cleansing. The periodontist performs deep cleaning and removes bacteria from the gum line and root of the tooth. After the process of deep cleaning certain antibiotics and mouth wash are also prescribed by the doctor, which further helps in fighting against infections and minimizing gum pockets size.

Stage 2 (periodontal flap surgery): The surgery is done at the stage when the ligaments and bone tissue are completely damaged and lead to frequent teeth loss.

Plaque is a very common cause of periodontal disease. Regular and proper dental hygiene is one of the best ways to stay away from periodontal disease. Apart from dental hygiene, quitting unhealthy habits such as smoking and chewing tobacco will keep you miles away from getting periodontal disease. Maintaining a healthy diet, and visiting a dentist for a regular checkup every three months is also necessary.

After the surgery, the patient needs to take several precautions such as:

  • Avoid moving your tongue and touching your finger in the area of surgery.
  • Avoid sipping through a straw.
  • Avoid taking extreme hot and cold food items.
  • Do not consume alcohol and stop smoking till your full recovery.
  • Avoid laying down and sleeping on the side of the surgical area.
  • Apply ice packs in swelling.
  • Do not brush on the surgical area till 1 week or further doctor recommendation.
  • Take your medicines regularly as prescribed by the doctor.
  • Avoid doing difficult exercises.

After the surgery, you should follow a proper diet plan. Take soft nutritious food and consume as much water as you can. Avoid having sticky edible items such as chocolate, chips, popcorn, and nuts. Also, avoid eating extra spicy, extremely hot, and acidic or junk foods. You can eat food items such as cheese, boiled and mashed potatoes, lukewarm soup, and scrambled eggs.

No, periodontal flap surgery is not a permanent solution, as the patient has to maintain proper and regular dental hygiene. Visiting the dentist at the interval every 3 months, avoiding taking psychoactive material, regular exercise and a healthy diet can keep you motivated.

The patient might have minor bleeding in the first 48 hours after surgery. It is very important to avoid taking extremely hot food and rinsing the mouth, it may cause excess bleeding. In case bleeding continues, give light pressure to the particular area using soaked gauze or a soaked tea bag for 20 -30 minutes. Try not to spit and rinse forcefully. If still the bleeding continues immediately contact your doctor.

Yes, you should not eat or drink anything 8 hours before your surgery.

No, it is recommendable not to drive for at least 24 hours post-surgery. During the surgery anesthesia or sedation is given to the patient and it might take time to get normalized.

Pain depends on various factors. During the surgery, if no tissues are removed then the patient will not experience much pain and if tissues are removed especially from the sensitive area of the mouth then the patient might feel pain and some discomfort. However, the pain can be minimized with the help of medicines. Now a day periodontal flap surgery treatment is done with the laser technique, which is also fast in recovery.

Well, the patient should take a 24-hour of proper rest post-surgery and can resume its daily work from the next day. However, it is recommended to take advice from the doctor to do so.

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