will lead to bone loss. Swollen gums will leach exudate along with blood which enhances local infection and bone loss.Though it is genetically influenced, through good local factors it can be controlled.Local factors like proper brushing of the teeth morning and night; massaging of the gums can control this bone loss.
In flap surgery the gums are opened under local anesthesia and the denuded bone and granulation tissue ( clusters of micro blood vessels) are removed-curettage. The lost bone is replaced by artificial bone in the form of granules and sutures are placed. Over the sutures, some protective paste is placed in order not to dislodge the replaced bone powder. On 9-10 day the sutures are removed.
The success of treatment depends on good maintenance of oral health like proper brushing of teeth morning and night, gums massaging, salt water gargling etc.
Not all the replaced bone is taken up by natural bone. Some replaced bone will be dissolved. Due to shrinkage of the damaged gums ( which are now healthy) spaces will come in between the teeth which is inevitable.
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