Phase Two Perio-Flap Surgery

flap-surgeryIf the scaling and root planing and curettage aren't enough, the pockets have to then be surgically removed. This procedure is done by a periodontist, who specializes in the supporting structures of the teeth, gum and bone. Flap surgery removes the excess soft tissue and shapes the underlying bone so that the pocket will heal back to a less deep, healthy sulcus. Afterwards, the gums get sutured back into place, so the tissue fits tightly around the tooth again.

Flap surgery allows the periodontist to visualize the bone, so he can then either take away bone to remove the defect (which is the pocket) or graft new bone into the defect? in effect, adding to it. It all depends on the anatomy of the particular defect.