What is gum flap surgery and under what conditions should it be performed?
Dr. Nazi Banianian
TehranSurgeon - dentist
What is gum flap surgery?
Home - Oral surgery articles - What is gum flap surgery?- Publication date: 06/11/1404
- Editing date: 06/11/1404
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- Study time: 6 minutes
- Confirmed by: Dr. Nazi Banianian

What is gum flap surgery? ← Gum flap surgery is a procedure in which the gum is pushed aside so that the dentist can clean the debris and deep infections around the tooth and correct bone problems if needed.
Who should perform gum flap? Give?
- Persons with advanced gum disease
- Those who have deep gum pockets
- Patients who still have bleeding and bad breath despite scaling
- People who are prone to tooth decay or loss due to gum disease.
Approved by Dr. Benianian dental specialists
The content of this article is only to increase your awareness. Before taking any action, seek advice from dentistry Dr. Bonyanian.
Gum diseases are one of the most common oral and dental problems. When these diseases are diagnosed in the early stages, they can be controlled by scaling and maintaining oral hygiene. But in some people, the gum disease progresses to such an extent that the usual methods are not enough. In this situation, gum flap surgery is one of the best treatment methods.
This surgery allows the dentist to move the gum slightly, clean the deep areas around the tooth and, if necessary, fix bone problems. The main purpose of this procedure is to save teeth and prevent their loss.
In the continuation of this article from Dr. Benianian's dental website, we will teach you exactly what gum flap surgery is, under what conditions it is recommended to the patient, and what are the procedures for performing it.
What is gum flap surgery?
Gum flap surgery (Gum Flap Surgery), is a surgery in which the dentist opens the gum through a small incision to access the tooth roots and bone beneath the gum. Then he removes all the debris, infections and unhealthy tissues and finally stitches the gum in place to repair it again.
So in simple words, in this procedure, the dentist opens the gum tissue so that he can clean the deepest points inside the gum.
Who needs flap surgery?
Gum flap surgery is mostly performed for patients with gum disease. They have reached advanced stages and simpler methods such as criminalization are not the answer for them. In the following, we will introduce the most important groups that need this surgery.

People with advanced gum disease
When the infection and inflammation of the gums reaches a stage that causes tissue and bone loss around the teeth, scaling is no longer necessary. Not enough gum. In this situation, flap surgery helps to remove the diseased tissues and make the oral environment healthy again.
Those who have deep gum pockets
The gum pocket is the space between the teeth and gums. If this space becomes too deep, the toothbrush and dental floss will not be able to clean it and bacteria will accumulate in it. Therefore, flap surgery is the best method to clean these deep areas.
Patients with bleeding and bad breath
Sometimes even after scaling and following daily hygiene, the problem of gum inflammation and bleeding is not solved. This is a sign that the gum disease is more advanced than usual and requires flap surgery treatment to completely remove the infection.
People who are at risk of losing teeth due to gum disease
When the gum and bone around the tooth are destroyed, the teeth start to loosen. If this process continues, the patient may lose his tooth. Therefore, flap surgery helps to preserve teeth by cleaning and reconstructing the gum environment.

Steps of performing gum flap surgery in dentistry Benianian
Local anesthesia
The first stage of flap surgery is local anesthesia. Just like when you receive anesthesia for a tooth filling, the dentist numbs the gums and the area around the tooth so that you do not feel any pain during the surgery. You may only notice a slight pressure or movement of the dentist's tool.
Gum opening
After the anesthesia has taken effect, Dr. Benianian makes a very delicate incision and gently pushes the gum aside to access the root of the tooth and the bone underneath. By doing this, the parts that cannot be reached with a toothbrush, dental floss or even simple scaling become completely visible and accessible. Deep cleaning In this step, all the scales, bacteria and inflamed or damaged gum tissues are removed. In this way, the environment around the tooth will be completely clean and free of infection.
This part of the surgery is very important. Because by completely removing the germs and diseased tissues, further progress of gum disease and bone destruction is prevented. need)
Sometimes gum disease causes damage or irregularity of the bone surface around the teeth. In such cases, the dentist corrects the surface of the bone with special methods so that the conditions are more suitable for the gum to reattach to the tooth.
Suture and Dressing
After the cleaning is completed and if bone correction is needed, the gum is placed in its place and closed with fine stitches. Sometimes the dentist also puts a soft and protective bandage on the gums to protect the operated area and the patient feels more comfortable.
The stitches are usually removed by the doctor after 7 to 10 days, and during this time the gums start to repair themselves naturally.
How long does gum flap surgery take? Teeth and the extent of the area that needs treatment, it takes between 45 minutes and about an hour.
If the surgery is performed on several teeth or an entire part of the mouth, it may take a little longer. During the procedure, the patient does not feel any pain due to the anesthesia and only after the surgery is over, he needs to take a short rest and follow the dentist's recommendations.
Read more: What is a gum lift
Comparison of gum disease treatments
Proper treatment method for the advantages and limitations of infection. Simple, early stages of gum disease, low cost, quick, without surgery, not enough for advanced disease, deep grafting (scaling and root planing), moderate gum disease, deeper cleaning is not effective in very deep pockets, flap surgery, severe gum disease, deep pockets, complete cleaning, prevention of tooth loss, surgery and sutures required link Gum/Bone Very advanced cases Reconstruction of lost gum and bone Longer recovery time, more costBenefits of gum flap surgery
- Complete and deep cleaning of gums and roots of teeth
- Reduction of inflammation and Bleeding gums
- Improvement of bad breath Mouth
- Preventing loose and falling teeth
- Creating better conditions for brushing and flossing
Gum flap surgery side effects
- Swelling and mild pain for a few days after the operation
- A little bleeding on the first day
- Bleeding gums while brushing Third to seventh days
- In some cases, receding gums (teeth appear a little longer)
- Sensitivity of teeth to cold and heat
Of course, these things that we mentioned as side effects are usually temporary and can be resolved with proper care.

Care after gum flap surgery
Following a few simple tips will make your recovery process faster and easier. For example, because you may have a little pain or swelling in the first days, you should try to control your gum pain by taking medications prescribed by your dentist. Or reduce the inflammation by using a cold compress.
It is better to eat soft and cool foods during this time and avoid eating hard or very hot foods so as not to put pressure on your stitches and gum tissue.
Maintaining oral hygiene is also very important after surgery. For this reason, patients who underwent gum flap surgery are usually advised to avoid brushing their teeth directly on the surgical site for a few days and instead use antibacterial mouthwashes such as chlorhexidine (according to the doctor's order). So, taking care after gum flap surgery, along with regular visits for examination, will guarantee you the best treatment result.
Gum flap surgery cost
Gum flap surgery fee and cost depends on various factors such as the size of the surgical area, the number of teeth involved, the need for bone correction or the use of restorative materials. Therefore, since the conditions of each patient are different, the exact cost of this surgery will be determined after examination and examination of dental photographs.
However, in order to be more transparent about our costs in Dr. Bonyanian's dentistry, on the cost of dental surgery page, some costs and tariffs related to oral surgery including gum surgery.
So for detailed information on the price of these surgeries, you can refer to the relevant page or contact our clinic at the number "88539720 - 021".
Flap surgery summary Gum
Gingival flap surgery is one of the most effective methods for treating advanced gum diseases. This action helps to completely clean the gums and tooth roots and prevents the loss of teeth. Although it is considered a surgical operation, the pain is controllable and the recovery period is short.
If you or your loved ones have gum problems such as bleeding, bad breath, or loose teeth, you can benefit from our specialized services by visiting Dr. Banyanian's dental clinic and have a healthy and beautiful smile.
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What are the frequently asked questions about gum flap surgery?
Does flap surgery hurt?
No, the operation is performed under anesthesia and the patient does not feel pain. Of course, after the operation, there may be a little gum pain or a feeling of discomfort that is controlled with medication.
Do all gum patients need surgery?
No, in the early stages of gum disease, it is treated with scaling. Surgery is only necessary for advanced cases.
How long does it take to get better after surgery?
Usually initial improvement occurs within one to two weeks, but full gum healing may take several months.
Can gum disease come back after surgery?
If health care is not followed or the patient smokes, chances are There is a recurrence of the disease.
Does flap surgery affect the beauty of the smile?
Sometimes the teeth appear a little taller due to receding gums. But instead, the gums will be healthier and without inflammation.
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