Under local anesthetic, the gingiva is softly elevated during a flap operation so that any debris that cannot be seen or cleaned by root planing (root surface curettage) can be viewed and cleaned directly. The gums are then delicately sutured to their new positions with fine sutures. The cleansed leftovers include biofilm, dental calculus, bacterial colonies, etc. that closed root planing (curettage) cannot sufficiently remove. The root planing (curettage) procedure should not be considered insufficient at this time.
Curettage is a very effective treatment for those with periodontitis, however it might not be enough in other instances. Or, even though the tissues receive an adequate quantity of washing, it could not be enough to repair them. In these circumstances, the periodontist may select the flap procedure following the necessary waiting period. With flap procedure, it is intended to achieve the level of sanitation that the previous stage was unable to achieve.
Periodontal disorders, also known as gum diseases, affect the gingiva, the tooth's root surface, the alveolar bone (the bone surrounding the teeth), and the fibrils that act as a sort of link between the roots and the bone. These structures are the treatment area as a result.