Severe gum diseases which cannot be cured by antibiotics and root planning or scaling require periodontal flap surgery. Oral surgeons or gum specialists generally perform the surgery. The root of the damaged tooth is cleaned and the bone damage caused by the gum disease in this procedure. Before the surgery, the dentist numbs the area of the surgery with local anaesthesia. In flap procedure, the section of gum is pulled back to clean the tooth and repair the damaged bone. Bone is repaired in either of two ways: 1. By grafting, in which the bone is grafted with another bone of the body or with a man made material. To help the bone grow back, a lining is placed on the grafting, which is removed later. 2. The bone is smoothed or shaped in such a way that there is a very little space left for the plague to grow. The gum is then sewed back into the place and is covered with gauze to stop the bleeding. It takes a few days to recover from the surgery. Dentists often prescribe painkillers to ease the pain. However, precautions must be taken while eating and brushing. The gauze must be replaced before it is soaked with blood. Eating soft food and putting ice on it helps in recovery. Is there are any side effects, the dentist shall be informed immediately.
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