In more severe cases it must be treated with periodontal flap surgery. The periodontal flap procedure involves the reflection of the gum from the infected teeth to provide direct access and visibility. This facilitates thorough cleaning of the infected root surfaces. A local anesthetic is administered for this procedure and several small sutures will remain in place for about a week thereafter. Some discomfort can be expected during that period.

After periodontal flap surgery it is very important to keep the treated area(s) spotlessly clean. Your periodontist will demonstrate brushing techniques and you will receive additional instructions and treatment following surgery. In most cases they will schedule an appointment about a month after surgery to check on the healing process and follow up on your hygiene and brushing technique.

Part 1: What is Periodontitis

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Left untreated, periodontal disease can lead to tooth loss. There are many forms of periodontal disease: Gingivitis, chronic periodontitis, aggressive periodonitis, periodontitis as a manifestation of systemic diseases and necrotizing periodontal diseases.

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