Advanced Periodontal Surgery

Flap & Regenerative Treatment in Bangalore

Rebuilding lost bone and gum attachment at PRALASH Dermystique & Dentique, HRBR Layout — for advanced gum disease that hasn't responded to non-surgical treatment alone.

What Is Flap & Regenerative Treatment?

When gum disease has progressed to deep pockets and significant bone loss, non-surgical cleaning alone can't fully reach the affected area. Flap surgery gently lifts back the gum to give your dentist direct access to thoroughly clean infected root surfaces and underlying bone defects.

Where bone has been lost, regenerative material — a bone graft, a guided tissue regeneration (GTR) membrane, or both — is placed at the same time, aiming to rebuild lost support rather than simply stabilise the tooth at its current, reduced level.

Flap and regenerative periodontal treatment in Bangalore at PRALASH

How Flap & Regenerative Surgery Works

01
Diagnosis & Imaging

Pocket depths are charted and X-rays or a CBCT scan assess the extent of bone loss.

02
Local Anaesthesia

The treatment area is fully numbed for a comfortable procedure.

03
Flap Elevation

The gum is gently lifted back to expose the root surfaces and bone defect for direct access.

04
Deep Debridement

Infected tissue, tartar and bacteria are thoroughly removed from roots and the bone defect.

05
Regenerative Material Placement

Bone graft and/or a GTR membrane is placed into the defect to support new bone and attachment growth.

06
Flap Closure & Healing

The gum is repositioned and sutured, then monitored through healing and maintenance visits.

Types of Flap & Regenerative Treatment

Open Flap Debridement

Direct surgical access for thorough cleaning of roots and bone without additional grafting.

Bone Grafting

Graft material — autograft, allograft or synthetic — fills the defect to support new bone growth.

Guided Tissue Regeneration (GTR)

A barrier membrane placed over the defect allows slower-growing bone cells to regenerate, often paired with grafting.

Benefits of Flap & Regenerative Treatment

Reaches Deep Pockets

Direct access allows thorough cleaning where non-surgical scaling can't reach.

Rebuilds Lost Bone

Regenerative materials aim to regrow bone and attachment, not just stabilise the current level.

Saves Teeth at Risk

Can preserve teeth that would otherwise be lost to advancing bone loss.

Long-Term Pocket Reduction

Reduces pocket depths meaningfully, making future maintenance far more effective.

Improves Long-Term Prognosis

Gives compromised teeth a genuinely better long-term outlook rather than a temporary fix.

Is This Treatment Right for You?

Flap and regenerative treatment is usually recommended if you have:

  • Deep gum pockets (5mm+) not responding to non-surgical therapy
  • X-rays showing significant bone loss around one or more teeth
  • Loose teeth caused by advanced periodontitis
  • A desire to save teeth rather than move to extraction
  • Been advised by your dentist that surgery is the next step
Not sure surgery is needed yet? Our Non-Surgical Periodontal Therapy is always the first step, and many cases stabilise without ever needing surgery.

Flap & Regenerative Treatment Cost in Bangalore

Cost depends on the number of sites treated and whether grafting or GTR is required.

Open Flap Surgery
₹8,000 – ₹15,000 /quadrant

Direct access cleaning for deep pockets and bone defects.

Flap & Regenerative Surgery vs Non-Surgical Therapy

Factor Flap & Regenerative Surgery Non-Surgical Therapy
AccessDirect visual access to roots & boneClosed, non-surgical cleaning
Best ForDeep pockets, significant bone lossMild-moderate gum disease
Bone RebuildingPossible with grafting/GTRNot addressed
Recovery1–2 weeks, sutures removedMinimal downtime

Frequently Asked Questions

When gum pockets are too deep (typically over 5–6mm) for scaling and root planing to reach effectively, or when X-rays show significant bone loss, flap surgery gives your dentist direct visual access to clean the root surfaces and bone thoroughly.

Guided tissue regeneration (GTR) places a special membrane, often together with bone graft material, over a bone defect during flap surgery. The membrane keeps out gum tissue that would otherwise grow into the space too quickly, giving slower-growing bone and ligament cells the chance to regenerate first.

The procedure is performed under local anaesthesia and is not painful. Mild swelling and discomfort for 3–5 days afterwards is normal and manageable with prescribed pain relief.

In suitable bone defects, yes — graft material acts as a scaffold that your body's own cells grow into over several months, resulting in genuine bone regeneration rather than just cleaning and stabilising the existing level.

Initial healing takes 1–2 weeks, with sutures typically removed after 7–10 days. Full bone maturation, especially where grafting is involved, continues over several months, monitored with periodic review visits.

Open flap surgery costs ₹8,000–₹15,000 per quadrant. Adding bone graft material or a GTR membrane costs an additional ₹10,000–₹25,000 per site. Call +91 99005 17699 for an assessment and personalised treatment plan.

Give Compromised Teeth a Real Chance

Book a periodontal assessment at PRALASH Dermystique & Dentique, HRBR Layout — advanced gum disease is treatable.

HRBR Layout, Kalyan Nagar, Bengaluru – 560043
Mon – Sat: 10 AM – 7 PM