Why is this procedure done?
Periodontal disease is caused by swelling of the gums and soft tissues that are around your teeth. Sometimes, deeper gum pockets form around these areas and germs can get in near the teeth and cause infection. These pockets become too deep for a toothbrush to clean out the germs. Tissue that supports the teeth may be destroyed and the supporting bone may be lost. If this continues, your teeth may become loose or you may lose teeth. ‚
This surgery lets the dentist fold back the gums for a short time. This allows the dentist to be able to get to the tooth root and supporting bone that is normally covered by the gums. ‚
Periodontal open flap surgery may be done if you have: ‚
- Not responded to other treatments like scaling or root planing
- Deep infected pockets in the gums that are too hard to clean
- Gums are damaged and cannot be fixed without surgery
- Problems with the bones or roots that cannot be reached without using an open flap
What will the results be?
The pockets will be less deep. Your dentist will remove any parts of your gums that are diseased and will be able to clean the root area more easily. Bone may be smoothed out. This will let the gums attach back to the bone after healing. You may be able to save some teeth that would otherwise be lost. ‚
What happens before the procedure?
- Your dentist will take your history and look at your teeth and gums. An x-ray of your mouth may be done.
- Your general dentist may refer you to a specialist to help care for your mouth. This is a periodontist. They have special training in treating gum disease.
- Talk to your dentist about:
- All the drugs you are taking. Be sure to include all prescription and over-the-counter (OTC) drugs, and herbal supplements. Tell the dentist about any drug allergy. Bring a list of drugs you take with you.
- Any bleeding problems. Be sure to tell your dentist if you are taking any drugs that may cause bleeding. Some of these are Coumadin ‚ ®, ibuprofen, Aleve ‚ ® (naproxen), or aspirin. Certain vitamins and herbs, such as garlic and fish oil, may also add to the risk for bleeding. You may need to stop these drugs as well. Talk to your dentist about them.
- Your dentist may give you antibiotics to take before and after the procedure.
What happens during the procedure?
- The time for your surgery will depend on the condition of the gums.
- The dentist will numb the area so that you will not feel any pain.
- Your dentist will make a small cut in your gum next to the roots of the teeth.
- Your dentist will fold back the gum. This is the flap. The dentist will clean out germs and remove the diseased parts of the gum.
- Your dentist may smooth the root surface of the tooth. The surface of the bone in this area may also be smoothed.
- The gum is stitched back in place.
What happens after the procedure?
- You can go home after the procedure.
- It is important to follow any instructions your dentist gives you.
- You will need to return for a postoperative examination and regular dental visits to maintain your oral health.
What drugs may be needed?
The doctor may order drugs to: ‚
- Help with pain or swelling
- Prevent or fight an infection
What problems could happen?
- Infection
- Bleeding
- Gum swelling
- Your teeth may be more sensitive to cold and hot temperatures since the roots may be more exposed
- You may be more at risk for cavities since protective enamel does not cover any exposed roots
What can be done to prevent this health problem?
- Take good care of your teeth. Brush and floss your teeth each day.
- Use only a soft or extra soft toothbrush.
- Get regular dental checkups and cleanings at least twice a year.
- Eat a healthy diet.
Where can I learn more?
American Academy of Periodontology ‚
http://www.perio.org/consumer/pocket.htm ‚
American Dental Association ‚
http://www.mouthhealthy.org/en/az-topics/p/Periodoncia ‚
Consumer Information Use and Disclaimer
This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚
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Copyright ‚ © 2015 Clinical Drug Information, LLC and Lexi-Comp, Inc. ‚