Why hasn't my dental specialist tested me for bacterial type? flap surgery to extraction always comes up as only option. can testing really help?

DNA testing: With the understanding that I am not an expert in this field & that some practicing periodontists might be able to give you a more comprehensive answer: i believe we are in the early phases of using this technology to better serve our patients. I don't think knowing exactly which bacteria are present will change the need for flap surgery & extraction when necessary in the vast majority of cases.

Surgery: In determining the treatment recommendations bacterial culturing can be of help but we are limited in type specific treatments available. The overall treatment plan covers a understanding of patient medical history , habits, previous outcomes and establishing a health profile. An experienced provider then recommends the best proven long term treatment.