Gingival Flap Surgery
Create access to deep pockets and root surfaces for thorough cleaning and regeneration.
What is a gingival flap?
Gingival flap is a section of gingiva separated from the underlying tissues to provide visibility and access to the bone and root surface.
This surgery is indicated to create access if the periodontal pockets are deep and the periodontist is unable to clean and remove irregularities non-surgically. When scaling and root planing cannot reach deep infection, flap surgery allows direct visualization for thorough debridement.
By reflecting the gum tissue, we can remove bacteria, tartar, and diseased tissue, smooth irregular bone, and if needed, place bone grafts or membranes for regeneration. The flap is then sutured back to promote healing and reduce pocket depth.
Signs you may need treatment
Deep Periodontal Pockets
Non-Surgical Cleaning Not Enough
Persistent Gum Infection / Inflammation
Irregular Bone Around Roots
What to expect
1
Diagnose
We measure pocket depth and use X-rays to check bone loss and confirm deep pockets that need surgical access.
2
Treat
Under local anesthesia, a small flap of gingiva is separated to provide visibility and access to bone and root surface for deep cleaning and smoothing.
3
Restore
Flap is sutured back, pockets reduced, gum tissue heals tighter around teeth. Improved cleaning access and bone health.
Common questions
What is a gingival flap?
A section of gum separated from underlying tissues to provide visibility and access to bone and root surface for treatment.
When is flap surgery needed?
When periodontal pockets are deep and cannot be cleaned non-surgically, or when irregularities on bone/root need direct access.
Is it painful?
Local anesthesia during surgery — mild soreness after for 1-2 days, controlled with medication. Sutures removed in 1 week.
What happens after surgery?
Thorough cleaning of roots, removal of diseased tissue, bone smoothing if needed, and sometimes grafting. Flap sutured for healing and pocket reduction.
How is this different from gingivectomy?
Gingivectomy removes excess gum; flap surgery lifts gum to access underneath without removing it, then replaces it.