Flap With Bone Graft

Definition: a surgical procedure performed by placing a bone graft into the bone defects around the tooth, formed after a certain disease or trauma, and recreating the natural shape of the jaw by stimulating the body to generate new bone tissue.
The bone graft can be from the patient’s own bone tissue or other materials that work as substitutes. It provides a good scaffold for the body to generate its own bone tissue.

How does it work?

First, the doctor will inject a local anesthetic to numb the area and the tooth itself. Then the proper work begins by cutting a piece of gum above the tooth and then lifting the flap of the gum tissue that covers the bone structure. This is followed by the placement of the bone graft into the empty area and reshaping its natural form. The procedure ends by suturing the flap back.

What are the risks?

• Infection;
• Bleeding;
• Failure of bone formation;
• Unsuccessful reshaping;
• Allergic reaction to the bone graft material.

How to prepare for the procedure?

• You are required to take an X-ray of the tooth;
• Don’t smoke or/and drink alcohol for at least 24 hours before the procedure;

How long does the procedure take?

The procedure itself lasts 2-3 hours, but it may take from a couple of months to a year for the new bone growth to fill the missing space.

How to recover after the procedure?

• You may be prescribed antibiotics before and several days after the procedure;
• The first 3-4 days after the procedure the gum tissue will feel sore and painful, which can be managed with painkillers and by avoiding hot, cold or spicy meals;
• To ease the pain and swelling you could put an ice pack on the area of the surgery;
• You can gently rinse your mouth with warm salt water, to help with the swelling;
• Avoid heavy rinsing of the mouth, drinking from a straw, spitting, and smoking for the first 2-3 days after the procedure;
• During the first couple of days after the procedure eat only soft and cool food;
• Provide  good hygiene for your teeth;
• You will be required to take another X-ray for confirmation of the success of the procedure;
• Don’t forget about the regular doctor appointments for the follow-up.

If you're considering a Flap with Bone Graft procedure, you might want to check out available Dental Packages.

For a broader understanding of periodontal procedures, our articles on Gum Contouring and Gingivectomy could be beneficial.