Gingival flap surgery, often referred to as gingivectomy, pocket reduction or simply as flap surgery, is a precise periodontal procedure aimed at combating gum disease — a condition that affects the gums and bone structure supporting the teeth. This surgical intervention is essential for patients with moderate to severe periodontal disease when nonsurgical treatments like scaling and root planing have not been enough to manage the disease.
Periodontal disease is typically caused by the accumulation of bacteria, which forms plaque and eventually hardens into tartar. These substances lead to the inflammation and infection of the gums, contributing to the gradual deterioration of the supporting structures of the teeth. Gingival flap surgery is designed to directly address these issues by allowing deeper access to the roots and bone for effective cleaning and restoration.
During the procedure, Dr. Pasquale Malpeso will administer a local anesthetic to ensure your comfort. The surgery involves making small incisions in the gum to create a flap, which is then gently lifted back to expose the roots of the teeth and the underlying bone. The exposed areas will be thoroughly cleaned to remove plaque, tartar and infected tissue. This process may include:
- Scaling to remove tartar from below the gum line
- Root planing to smooth the root surfaces, discouraging further buildup of tartar and bacteria
- Necessary bone reshaping to lessen craters and irregularities that foster the collection of bacteria
After cleaning and reshaping, the gum flap is repositioned and sutured in place to fit snugly around the teeth. This not only aids in reducing the size of the space between the gum and tooth, known as a periodontal pocket, but also facilitates the healing process.
Post-surgery, you may experience mild discomfort and swelling, which can typically be managed with over-the-counter pain relievers and cold compresses. It is crucial to follow post-operative care instructions provided by our periodontist and team, including proper oral hygiene practices and follow-up visits to monitor healing and progress.
Contact our team at 212-838-0090 today to learn more about gingival flap surgery in New York, New York, and schedule your consultation with our experienced dentist.