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.
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.
Pocket depths are charted and X-rays or a CBCT scan assess the extent of bone loss.
The treatment area is fully numbed for a comfortable procedure.
The gum is gently lifted back to expose the root surfaces and bone defect for direct access.
Infected tissue, tartar and bacteria are thoroughly removed from roots and the bone defect.
Bone graft and/or a GTR membrane is placed into the defect to support new bone and attachment growth.
The gum is repositioned and sutured, then monitored through healing and maintenance visits.
Direct surgical access for thorough cleaning of roots and bone without additional grafting.
Graft material — autograft, allograft or synthetic — fills the defect to support new bone growth.
A barrier membrane placed over the defect allows slower-growing bone cells to regenerate, often paired with grafting.
Direct access allows thorough cleaning where non-surgical scaling can't reach.
Regenerative materials aim to regrow bone and attachment, not just stabilise the current level.
Can preserve teeth that would otherwise be lost to advancing bone loss.
Reduces pocket depths meaningfully, making future maintenance far more effective.
Gives compromised teeth a genuinely better long-term outlook rather than a temporary fix.
Flap and regenerative treatment is usually recommended if you have:
Cost depends on the number of sites treated and whether grafting or GTR is required.
Direct access cleaning for deep pockets and bone defects.
Added regenerative material for genuine bone rebuilding.
| Factor | Flap & Regenerative Surgery | Non-Surgical Therapy |
|---|---|---|
| Access | Direct visual access to roots & bone | Closed, non-surgical cleaning |
| Best For | Deep pockets, significant bone loss | Mild-moderate gum disease |
| Bone Rebuilding | Possible with grafting/GTR | Not addressed |
| Recovery | 1–2 weeks, sutures removed | Minimal downtime |
Book a periodontal assessment at PRALASH Dermystique & Dentique, HRBR Layout — advanced gum disease is treatable.