Periodontal Flap Surgery

Gum health improves your oral health. When problems arise, we can help.


As a form of Gingivitis, advanced gum disease can lead to many oral health problems. Smith Dental Care is one of the few general dental offices in the Salt Lake Valley that performs periodontal flap surgery. Because of our specialized training and extensive experience we can offer this service to our patients.


The American Dental Association has given the following warning signs of Periodontal Disease.

  • Red, swollen or tender gums
  • Bleeding gums when brushing
  • Gums are pulled away from the teeth
  • Loose permanent Teeth
  • Puss appears from your gums when there is applied pressure
  • Change in your bite, or the way your teeth fit together
  • Change in the way your dentures fit
  • Constant bad breath

When these conditions exist, it is vital to your oral health to come in for an appointment.

Treatments for Periodontal Disease

  • Antibiotics

Infection in the gums is an important issue to address. Often a simple antibiotic is one step reducing the progression of this disease.

  • Root Planing and Scaling

This procedure is done to help make the surface of the tooth root smooth, and also removing the hardened plaque known as calculus.

  • Periodontal Flap Surgery

When more simple means are not effective in treated Periodontal disease because of deeper pockets between the tooth and the bone and gums, surgery may be required to fully allow the body to heal. After a local aesthetic is applied to the numb the area, Dr. Smith and his hygienists will pull back a portion of your gums to clean the roots of your teeth. The second thing that will be done is the repair the damaged bone, by smoothing the surface, so there is less chance for plaque growth, and bone grafting.

Post Operative Instructions

  • Do not eat anything or drink hot fluids until the numbness has worn off to avoid injury from accidental biting or burning.
  • No vigorous rinsing, drinking through a straw, nor spitting for 2 days so the blood clot will not be disturbed.
  • Today, rest as much as possible with your head elevated. No vigorous exercising for 3 days.
    Slight bleeding is normal for several hours following surgery. If persistent bleeding occurs place a wet teabag on the involved area and apply direct pressure for 15-20 continuous minutes. Repeat as necessary.
  • Do not pull back the lips or cheeks to look at the area as this can disturb the surgical site and increase complications.
  • Do not eat by the surgical area for 1 week. Soft nutritious foods will be necessary for the first few days. Avoid acidic and crunchy foods. Drink plenty of fluids. Do not use tobacco or drink alcohol as these will delay healing.
  • Swelling can be lessened by placing a cold compress on the face alternating on and off for 20 minutes during the first 72 hours.
  • Take all medications the doctor has prescribed for you according to directions.
    Starting 24 hours after surgery, gently rinse your mouth with ¼ teaspoon salt in 8 ounces of warm water three times a day.
  • After the periodontal treatment, proper oral hygiene must be maintained in the surgical area to aid in healing. After one week, carefully brush the teeth while avoiding the gums in the area of surgery. The gums and lower parts of the teeth should be cleaned with a dampened piece of cotton. Gentle flossing can be resumed in 2-3 weeks. Regular brushing can be resumed after 3 weeks.
  • After periodontal surgery, sensitivity of the teeth may occur. This is remedied by maintaining proper oral hygiene and by the use of specially formulated sensitive toothpaste, such as, Sensodyne.

Schedule an Appointment

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