Periodontal disease can progressively damage the gum tissues and supporting bone surrounding your teeth. When non-surgical periodontal treatment alone cannot adequately address certain conditions, surgical periodontal therapy may be recommended.
At Cosmo Dental by Dr. Segui and Associates, we take an individualized approach to periodontal care, focusing on disease control, preservation of natural teeth, and long-term periodontal stability.
Surgical periodontal treatment may be considered when a patient presents with:
Persistent deep periodontal pockets following non-surgical therapy
Advanced periodontal attachment loss
Bone defects associated with periodontal disease
Areas that cannot be adequately accessed through conventional periodontal instrumentation
Specific gum or soft tissue conditions requiring surgical correction
The need for surgery is determined through a comprehensive periodontal examination, periodontal probing, diagnostic radiographs, and evaluation of the response to previous treatment.
1. Periodontal Flap Surgery
Flap surgery provides direct access to the tooth roots and supporting structures, allowing thorough debridement of areas affected by periodontal disease. Depending on the clinical findings, the procedure may help reduce periodontal pocket depths and improve long-term plaque control.
2. Osseous Surgery and Pocket Reduction
In selected cases, reshaping irregular supporting bone and repositioning gum tissues may help reduce periodontal pockets and create an environment that is easier to maintain.
One major objective of flap surgery is to eliminate or reduce the pocket itself. To access it, a flap-like incision is made in the gum tissue. This allows diseased tissue to be removed from inside the pocket, and provides access to the teeth’s root surfaces for a thorough cleaning, which helps to eliminate harmful plaque and calculus (tartar). Afterward, the “flap” is closed, sealing the area. This begins the healing process, which takes place rapidly.
Another goal is the regeneration of periodontal ligament and bone tissue which may have been lost to the disease. A variety of techniques may be used to accomplish this, including high-tech methods of bone grafting and chemicals referred to as growth factors. These approaches help restore the gums to their normal form and function, and promote the healthy and secure anchoring of teeth.
Flap surgery is typically done under local anesthesia, sometimes accompanied by oral anti-anxiety medications; alternatively, it may be performed under intravenous conscious sedation. After anesthesia has taken effect, a small incision is made to separate the gums from the teeth. The outer gum tissue is gently folded back to give access to the roots and the supporting ligament and bone tissue.
Next, the inflamed gum tissue can be removed, and the tooth roots can be cleaned; if needed, the area may also be treated with antibiotics or other medications. Bone defects can be repaired with grafting material, and proper regeneration of the periodontal ligament can be encouraged by physical (barrier membranes) and chemical (growth factors) methods. Finally, the incision is closed and the procedure is completed.
Performed by an experienced hand, state-of-the-art flap surgery has an excellent track record and offers well-established benefits. It’s often the treatment of choice for relieving periodontal disease and helping to maintain your oral health — and preserve your teeth.
3. Periodontal Regenerative Procedures
Certain periodontal bone defects may be suitable for regenerative treatment using bone grafting materials, barrier membranes, or other biologic adjuncts.
The objective is to encourage regeneration of lost periodontal supporting structures where clinically achievable. Outcomes depend on the defect characteristics, patient-related factors, and treatment response.
4. Gum and Soft Tissue Surgery
Selected periodontal conditions may require soft tissue procedures to address gum recession, tissue deficiencies, or other anatomical concerns.
Treatment recommendations are individualized according to the patient’s periodontal diagnosis and clinical needs.
1. Comprehensive Periodontal Assessment
Your dentist evaluates periodontal pocket depths, gum inflammation, clinical attachment levels, tooth mobility, and supporting bone structures.
2. Personalized Treatment Planning
The findings are reviewed with you, including the proposed procedure, alternative treatment options, anticipated benefits, limitations, and corresponding fees.
3. Surgical Treatment
The procedure is performed using appropriate anesthesia. Depending on the treatment required, surgical access, root surface debridement, tissue repositioning, or regenerative techniques may be incorporated.
4. Postoperative Care and Reassessment
Following treatment, postoperative instructions and follow-up appointments are provided to monitor healing and assess the periodontal response.
Periodontitis is a chronic condition that requires ongoing management even after successful treatment.
Following active periodontal therapy, patients enter a supportive periodontal maintenance program. These appointments include monitoring periodontal stability, professional biofilm and calculus removal, and reassessment of areas requiring continued attention.
Maintenance intervals are individualized according to disease severity, treatment response, and risk factors.
Surgical periodontal treatment is not a permanent cure for periodontitis. Long-term stability depends on professional maintenance, effective daily oral hygiene, and management of contributing risk factors.
At COSMO DENTAL, led by Dr. Segui and her skilled team, we provide expert dental care in a warm and welcoming environment.
With clinics in Quezon City and Makati, we offer a full range of services—from routine check-ups and preventive care to advanced cosmetic and restorative treatments.
All Rights Reserved © 2025. Cosmo Dental PH
Powered and Designed with ♥ by DESIGNBYROXY
