Flap surgery is a surgical treatment for advanced periodontal disease that removes infection, supports bone regeneration, and helps preserve the teeth.
The procedure involves radically removing pathologically changed connective tissue from the periodontium down to the bone, from which sub-gingival deposits are removed with specialized instruments (build-up that originates from tartar, along with the bacteria and byproducts that directly break down bone).
This video walks through the full flap surgery procedure from start to finish.
Flap surgery essentially clears things down to healthy tissue, fully removing anything that would otherwise continue breaking down the periodontium (the tissue that anchors the tooth in its socket).
Bone graft material in micro-granules is then applied to the bone defects left behind by that breakdown, filling them completely. Specialized membranes are placed over the graft material to keep the granules from shifting out of place and to hold them in the defect as it heals.
The bone graft material and membranes used at Ordinacija Vuković meet the highest international quality standards, are biocompatible with the human body, and don't trigger allergic reactions or get rejected by the body. Bone graft material plays a dual role.
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Bone graft material plays a key role in stabilizing and regenerating the supporting bone tissue after flap surgery.
This process is how new bone is formed, which is why flap surgery is the primary treatment for advanced periodontal disease.
After thoroughly clearing away deposits and placing the bone graft granules and membranes, the flap is repositioned and sutured with precision, with a specialized surgical dressing applied where needed.
The patient stays on antibiotic therapy the whole time, up until the stitches are removed. Stitches come out after 7 days; oral hygiene is harder to manage during that period, but should still be kept up as much as possible.
Recovery after flap surgery is usually free of complications, as long as the patient follows the dentist’s instructions. The symptoms below are expected and gradually fade as healing progresses.
Complications are rare, but the patient should contact the dentist if a high fever develops, bleeding is heavy and doesn’t stop, or pain doesn’t ease after taking pain medication.
Most patients return to their everyday activities quite quickly, as long as they follow the dentist’s advice.
Flap surgery becomes necessary once periodontal disease has progressed to a stage where conservative treatment can no longer deliver good results. When deep periodontal pockets and loss of supporting bone tissue are present around the teeth, standard cleaning and curettage aren’t enough to clear bacteria and inflamed tissue from hard-to-reach areas.
In these cases, letting the disease continue can lead to further breakdown of the tooth-supporting structures, loose teeth, or eventual tooth loss. For that reason, flap surgery isn’t recommended prematurely – it’s used as a medically justified, necessary step to stop the disease from progressing and to preserve the teeth.
| Flap surgery with bone graft (Bio-Oss) – per tooth | €90–110 |
You can view the full PRICE LIST on our website.
At Ordinacija Vuković, flap surgery is performed by periodontology specialist Dr. Marija Vuković Stevanov, ensuring the highest level of expertise in treating the tissues that support your teeth. If you’re dealing with a problem like this, come see us – our expert team will work through it with you in the best possible way and do everything we can to meet your needs.
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In this clinical demonstration, Dr. Marija Vuković Stevanov shows the technique for the Modified Widman Flap procedure. This is the gold standard for surgically treating advanced periodontal disease, giving direct access to infected periodontal pockets and the tooth root.
Flap surgery is carried out successfully at Ordinacija Vuković, as reflected in the smiles of our satisfied patients. You can see more of their results HERE.
The procedure itself isn’t painful, since it’s performed under local anesthesia. During the procedure, the patient only feels mild pressure, not pain. Once the anesthesia wears off, any discomfort is easily managed with standard pain relievers your dentist will recommend.
The initial mild swelling starts to go down within a few days. Most patients can return to light daily activities as soon as the day after the procedure, though strenuous physical activity should be avoided until the stitches are removed.
The stitches are removed 7 days after the procedure, at the practice. Removing them is quick and painless.
It’s best not to come in on an empty stomach – a light meal beforehand helps keep your body stable under local anesthesia. Also, be sure to tell your dentist about any medications you take regularly, especially blood-thinning medication.
Mild swelling and some difficulty keeping up oral hygiene in the treated area are normal. However, if you experience severe pain that doesn’t ease with medication, develop a high fever, or notice heavy bleeding that won’t stop, contact the practice right away.
At Ordinacija Vuković, we use only biocompatible materials of the highest international quality – bone graft material in micro-granules and specialized membranes. These materials don’t cause allergic reactions, aren’t rejected by the body, and over time integrate with your natural bone, making it stronger.
At Ordinacija Vuković, flap surgery is performed by our experienced dentist, spec. dr Marija Vuković Stevanov. If you have any concerns or questions, feel free to call us directly or schedule an appointment.
Here’s a closer look at how we perform flap surgery – you can find out more HERE.
Zahvat je potpuno bezbolan jer se izvodi u lokalnoj anesteziji. Pacijent tokom intervencije oseća samo blagi pritisak, ali ne i bol. Nakon što anestezija popusti, eventualna nelagodnost se lako kontroliše standardnim analgeticima koje će vam lekar preporučiti.
Prvi rezultati i smanjenje početnog blagog otoka vidljivi su već nakon par dana. Većina pacijenata se može vratiti lakšim svakodnevnim aktivnostima već dan nakon zahvata, dok se teži fizički napor savetuje da se izbegava do uklanjanja konaca.
Konci se uklanjaju 7 dana nakon zahvata u ordinaciji. Sam proces skidanja konaca je brz i bezbolan.
Preporučuje se da pacijent ne dolazi na prazan stomak – lagan obrok pre intervencije je poželjan zbog stabilnosti organizma pod lokalnom anestezijom. Takođe, obavezno obavestite doktorku o svim lekovima koje redovno pijete, posebno ako je u pitanju terapija za zgrušavanje krvi.
Normalno je da se pojavi blag otok i otežana oralna higijena u zoni zahvata. Međutim, ukoliko osetite veoma jak bol koji ne prestaje nakon lekova, dobijete visoku temperaturu ili primetite obilno krvarenje koje se ne zaustavlja, potrebno je da se odmah javite u ordinaciju.
U stomatološkoj ordinaciji Vuković koristimo isključivo biokompatibilne materijale najvišeg svetskog kvaliteta (veštačku kost u mikrogranulama i specijalne membrane). Ovi materijali ne izazivaju alergije, organizam ih ne odbacuje i oni s vremenom srastaju sa vašom prirodnom kosti, čineći je čvršćom.
