MDS Prosthodontics · Fellow & Diplomate ICOI (USA) · Chief Maxillofacial Surgeon & Implantologist · Trainee in Advanced Reconstructive Implantology, Sweden · Former Clinical Consultant, NHS Glasgow (UK).
Precision periodontal flap procedures to eliminate deep gum infections and regenerate lost bone, restoring long-term gum health and tooth stability.
"Periodontal flap surgery is an advanced gum treatment where the gingival tissue is carefully reflected back to expose underlying tooth roots and alveolar bone. This allows direct access for thorough debridement of deep periodontal pockets, removal of granulation tissue, and placement of bone grafts to regenerate lost supporting structures."
When non-surgical periodontal treatments like scaling and root planing fail to resolve deep gum pockets exceeding 5mm, flap surgery becomes the definitive treatment. At Maxface Clinic, our periodontists perform modified Widman flap procedures, apically repositioned flaps, and guided tissue regeneration (GTR) surgeries to arrest progressive bone loss, eliminate bacterial reservoirs, and create an environment conducive to natural tissue regeneration. This surgical intervention is critical for saving teeth that would otherwise be lost to advanced periodontitis.
We employ the gold-standard Modified Widman flap approach with internal bevel incisions that minimize tissue removal while providing maximum access for thorough root surface debridement and pocket elimination.
Advanced GTR membranes (resorbable and non-resorbable) are placed to selectively guide periodontal ligament and bone cell repopulation, preventing epithelial downgrowth and promoting true regenerative healing of lost attachment.
We utilize premium bone graft materials (autogenous, xenograft, and alloplastic) combined with platelet-rich fibrin (PRF) and enamel matrix derivatives to accelerate bone regeneration and enhance surgical outcomes.
At Maxface Clinic, periodontal flap surgery costs depend on the extent of disease, number of quadrants involved, type of bone graft material used, and whether regenerative membranes or biologic agents are required.
Custom Assessment Required
The exact investment for your periodontal treatment depends on clinical factors including pocket depths, pattern of bone loss (vertical vs. horizontal), number of teeth involved, and the regenerative approach selected. A comprehensive periodontal examination with full-mouth probing and radiographic assessment is essential for an accurate treatment plan.
Full-mouth periodontal probing to record pocket depths at six sites per tooth, clinical attachment levels, bleeding on probing, furcation involvement, and tooth mobility — combined with digital radiographic bone level assessment.
Under local anesthesia, precise internal bevel incisions are made and the mucoperiosteal flap is carefully elevated to expose the root surfaces and underlying alveolar bone defects for direct visualization and access.
Thorough removal of granulation tissue, calculus, and bacterial biofilm from root surfaces using ultrasonic scalers and hand curettes, followed by placement of bone graft material and regenerative membranes in osseous defects.
The flap is repositioned and secured with precise interrupted or mattress sutures to achieve primary closure. A periodontal dressing may be placed. Sutures are removed at 7–14 days, with regular follow-up to monitor tissue maturation.
Consult with our periodontal specialists to halt gum disease progression and regenerate lost bone. Treatment costs require a comprehensive periodontal examination.