Periodontal Flap Surgery

You may need surgery for severe gum disease or periodontitis if it cannot be cured with antibiotics or root planing and scaling. Gingival flap surgery or periodontal flap surgery or periodontal surgery is a procedure in which the gums are separated from the teeth and folded back temporarily to allow a dentist to reach the root of the tooth and the bone. This flap procedure cleans the roots of a tooth and repairs bone damage caused by gum disease. It may also be done in conjunction with another procedure known as osseous (bone) surgery. Flap surgery is the most conservative and versatile way to treat periodontal pocketing. A gum specialist (periodontist) or an oral surgeon often performs the procedure.

Bleeding gum causes

Gums adhere to the teeth very closely and due to ageing, gums may weaken and cause the teeth to falling out. Teeth gum bleeding can be caused by different factors such as:

  • Bacterial, fungal or viral infections
  • Gum diseases
  • Injury or trauma
  • Mouth sores
  • Blood disorders like hemophilia and leukemia
  • Nutritional deficiencies like vitamin c and
  • Hormonal disorders

Gum surgery procedure

Our periodontist will first remove all plaque and tartar (calculus) from around your teeth and make sure that your oral hygiene is good. He or she will also determine whether your general health allow for a surgical procedure to be carried out. Before the procedure starts, you will be given a local anaesthesia to numb the area. After that periodontist will use a scalpel to separate the gums from the teeth and then lift or fold them back in the form of a flap. Then roots of your teeth will clean or repair the damaged bone if required. Your bone defects may be eliminated with a procedure called osseous recontoring, which smoothens the edges of bones. After these procedures are completed, the gums will be placed back against the teeth and anchored in place using stitches.


After the periodontal surgery, usually it takes only few days to recover. By following the homecare instructions completely, you can expect a speedy recovery from the gingival flap surgery. Our dentist will prescribe you pain killers to reduce the pain. It is important to keep your mouth clean during the healing period. If any swelling is there, it can be reduced by keeping an icepack to the outside of your face in the treated area.

Risks associated with flap surgery

  • There is a chance of gum infection. You need to take antibiotics before and after surgery to reduce the risk of infection
  • Chance of gum bleeding and swelling.
  • Roots of your teeth may become more sensitive.
  • Shape of your gum may change after surgery.
  • Gum disease may come back if you do not brush your teeth properly after surgery.