Periodontitis or Gum Disease Treatment

If you have had gum disease for a long time your dentist may recommend gum surgery. The common cause of gum disease is when excessive bacteria grows up in your mouth. These bacteria will create the plaque and your body will be unable to fight the infection.

Expert's Opinions

  • Dr. Manan Dhulia Dental Director of Sabka dentist says "Periodontal surgery may be needed to treat certain gum disease or conditions. It is aimed at preventing tooth loss, regeneration, pocket reduction and eliminating infection."
  • Dr. Reena Waghela Dental Director of Sabka dentist says "Type of gum surgeries include flap surgery, bone grafting, guided tissue regeneration, frenectomy, etc that improve the periodontal status."
  • Dr. Jena Shah Dental Director of Sabka dentist says "Gum Surgery procedure is carried out under anesthesia and requires around 2 hours to complete. Following gum surgery, instructions are delivered to the patient and an appointment is rescheduled after a week."

Different Types of Gum Surgery

If your gum is severely infected then only your dentist may suggest gum surgery. Sometimes for aesthetic purposes, gum surgeries will be performed. Your dentist will discuss the treatment options after listening to your problems. However, the below-mentioned types of surgeries will help you to understand thoroughly.

1. Pocket reduction (gingival flap surgery).

This procedure will be performed for moderate to advanced periodontal disease. Your dentist folds back the gums and removes bacteria. The dentist (gum specialist) secures gum tissue against your teeth, rather than allowing it to grow back on its own.

2. Regeneration

This procedure will be performed when the bones supporting the teeth are damaged due to periodontal disease. Regeneration procedure will help to reverse some of the damage by regenerating lost bone and tissue.

3. Crown lengthening

It is performed when you have a gummy smile. A gummy smile refers to the tooth condition where most part of the teeth is covered by the Gum. In such condition, your dentist removes the overgrowth tissue from your teeth. This will help your teeth to look longer. Most often it is used for aesthetic purposes.

4. Soft tissue graft

This procedure is done when your gum tissue is receded or has been removed due to gum disease. So, your periodontist takes a sample tissue from the healthy area in your mouth and attaches it to your gums to replace the receded or has been removed due to gum disease. This procedure is used for both gum disease and cosmetic purpose. When your tooth root is visible this treatment will be performed as an aesthetic usage.

Before the surgery.

Before any kind of gum surgery, you will receive an anesthetic injection to numb the required area. Also, your dentist will clean your teeth. Your dentist may ask about any medical history, you must reveal any medications or chronic health conditions that can impact the surgery.

During the surgery

In order to access the tissue below the gums, the dentist folds the gums back. The infected tissue below and between the teeth will be removed. Then it follows with tooth scaling and root planing to remove accumulated plaque and bacteria in the gum line. This procedure will smoothen rough spots on the tooth’s roots that could promote reoccurrence of the gum disease.

After the Surgery

Once the affected area is removed it will be brought back in place using stitches. Many times, dentists use dissolvable stitches. But in some cases, you might have to visit for surgery follow up where your dentist examines the healing progress and removes stitches. The dentist may also use a special surgical dressing called a periodontal pack, over the operated area.

What is the symptom I can experience after surgery?

Pain: Most people experience only mild to moderate pain after surgery. Your dentist will prescribe some pain relievers to manage the pain.

Swelling: Some people may also develop swelling after surgery. A hot and cold compress will help to reduce the swelling area.

Is Gum Surgery Painful?

Most people experience only mild to moderate pain after surgery that can be managed by prescribed pain relievers. If you find a moderate swelling, apply an ice pack to the area. Your periodontist recommends antibiotics, be sure to follow the medications and instructions carefully. If you find excessive bleeding and swelling after gum surgery, contact your periodontist immediately.

Dentists may also recommend:

1. Using an antiseptic mouthwash to keep the area clean and to avoid infection.
2. Avoiding strenuous exercise
3. Eating soft foods in the days following surgery
4. Not smoking
5. Your dentist may recommend taking the appointment in 1-2 weeks’ time. During this he will check how the gums are healing and, remove any stitches if required.

A person’s gums will look healthy after the surgery. The gums and teeth will heal after a certain time. It will become tighter, firmer and stronger. People who have tooth sensitivity to hot or cold temperatures can find relief by using desensitizing toothpaste.

The dentist may discuss a follow-up schedule to maintain good oral health in the future.


If gum disease is not treated it may lead to the development of a variety of health complications, such as diabetes cardiovascular disease, and pre-term, low-birth-weight babies.

Gum disease can also become a serious life-threatening disease which may affect the teeth, gums, and bones, leading to infection, bone and tissue death. This situation is complex and may require extensive surgery to repair and treat the condition.

To reduce these risk factors, maintaining good oral hygiene, and keeping routine dental appointments can reduce the risk and severity of gum disease.

Request an Appointment


About Author

Dr. Priyanka graduated in 2008, obtained her BDS degree from the faculty of dentistry at the Maharashtra University of Health Sciences. Upon graduating, she was selected to complete a multi-disciplinary hospital residency at Government Dental College and Hospital, Mumbai. This residency provided her with advanced training in all the specialties of dentistry. Dr. Priyanka then moved to private practice, working as an associate dentist.
Dr. Priyanka has a diploma in Soft Tissue Lasers from IALD and fellowship in Implant & Esthetic Dentistry. Dr. Priyanka completed MBA in Hospital Management and Clinical Research. She has worked at Sabka Dentist since 2012 and is pleased to say that their advanced technology allows dentists like her to provide patients with painless, gentle dentistry and a pleasant experience.