The Surgical Treatment of Periodontitis

Periodontitis, or the so-called periodontal disease, is a condition that occurs in the teeth and, if left untreated, can ultimately lead to the complete loss of dentition.

Although it is a commonly encountered disease, it is often treated superficially by most patients who may not fully grasp the severity of the condition. Periodontitis can be treated either with laser therapy or through surgical intervention.

How is periodontitis treated surgically?

Essentially, both tartar and infected tissues will be completely removed, and in areas that are challenging to access, the gum will be incised to ensure thorough cleaning. This method is typically employed when periodontitis is in an advanced stage, characterized by particularly deep periodontal pockets. Enhanced visibility is achieved, and through the use of a flap, the roots of the teeth and their bone are exposed to facilitate a meticulous, efficient, and detailed cleaning, aiming to remove the root of the problem.

The surgical flap operation requires initial preparation of the patient, involving supra-gingival and sub-gingival cleaning in the days preceding the intervention. The procedure is performed under local anesthesia, and it involves an incision in the gum tissue, lifting it to expose the roots and bone, allowing for a thorough cleaning and removal of diseased tissue from within the pocket.

Approximately 7-10 days after the intervention, the patient will return to the dentist’s office to have the sutures removed, and during this period, a medication regimen will be followed.

Post-intervention, maintaining excellent oral hygiene and increased care are strongly recommended.