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Doctor insights on: Flap Surgery Pocket Reduction Surgery

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Dr. Minas Chrysopoulo
90 Doctors shared insights

Flap Surgery (Definition)

Flap surgery is technique in plastic & reconstructive surgery where any type of tissue is lifted from donor site & moved to recipient site with an intact blood supply. Similar to but different from a graft, which does not have an intact blood supply & thus relies on growth of new blood vessels. Used to fill a defect such as a wound resulting ...Read more


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Dds: why is it that my gums do not bleed upon flossing, are not red/inflamed but I still have deep enough pockets for flap surgery? Loosing teeth!

Dds: why is it that my gums do not bleed upon flossing, are not red/inflamed but I still have deep enough pockets for flap surgery? Loosing teeth!

Periodontitis: As the problem progresses it moves lower between the gum and tooth and sometimes the edge of the gum starts to take on a normal appearance. Bleeding can them slow or even stop. The problem with pockets is that they hold germs, are hard to keep clean and can lead to further bone lose is not treated.

There are fad treatments, but what you describe is treatment periodontists do regularly. ...Read more

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What is the definition or description of: flap surgery?

What is the definition or description of: flap surgery?

See below: Flap surgery is technique in plastic & reconstructive surgery where any type of tissue is lifted from donor site & moved to recipient site with an intact blood supply. Similar to but different from a graft, which does not have an intact blood supply & thus relies on growth of new blood vessels. Used to fill a defect such as a wound resulting from injury or surgery. ...Read more

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Do you have any helpful info for an upcoming tram flap surgery?

TRAM: A tram flap performed for a one sided breast reconstruction is an appropriate procedure and not controversial. Patients with or existing back problems should be evaluated for the diep flap which sacrifice little to no muscle and typically leaves all motor nerves intact to the rectus. Also a tug flap is a good alternative. If there is a concern find a plastic surgeon experience with all of these! ...Read more

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What's the best way to diminish scars after mohs flap surgery?

What's the best way to diminish scars after mohs flap surgery?

Many ways: There are many ways to help a scar heal. Sun avoidance and protection, not smoking, scar massage, topical silicones can all help. Additional treatments may also help, but the best person to ask is your surgeon. What to do depends on how you are healing. ...Read more

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Is it better to go for flap surgery before extracting decidous teeth?

Is it better to go for flap surgery before extracting decidous teeth?

Hard to say: If the surgery is to treat periodontal disease, and the deciduous teeth are being removed for restorative reasons (like implant placement) it would be wise to get the periodontal condition under control before moving forward with further treatment. Without more information on your case, it is hard to say. ...Read more

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Periodontists: generally, how many millimeters would a sulcus be until you would make a decision for flap surgery?

Periodontists: generally, how many millimeters would a sulcus be until you would make a decision for flap surgery?

Perio surgery: There are many factors involved beside millimeter depth before doing flap surgery
you must evaluater the quality of the gums after root planing also if there is bone loss evident
you can readily control 5 mm pockets with arestin
otherwise if you are really keeping your mouth clean you cannot manage a 6 mm pocket
usually you would flap open only the isolated areas and correct the damage. ...Read more

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Can surgery cause a rise in a ca 27-29 tumor marker two months after reconstructive diep flap surgery?

Can surgery cause a rise in a ca 27-29 tumor marker two months after reconstructive diep flap surgery?

No: This is a tumor marker...So like all tumor markers, its value is variable. So we use it, yet not rely on any single reading because the test results fluctuate. Because of this, many doctors do not use this test. Those who use it, are cautious not to take any one value on its face value and end up repeating it 2-3 different times. So I would ask your doctor to recheck it once or twice over 3-4 mos. ...Read more

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Endodontist today did flap surgery and used synthetic bone to build large defect area. About how long til gum heals 80%+? Big surgery.

Endodontist today did flap surgery and used synthetic bone to build large defect area. About how long til gum heals 80%+? Big surgery.

Healing: Healing time varies depending upon extent of surgery and your medical history/health, but generally 10 days to 3 weeks although it takes months for the bone to mature underneath the surgical site. ...Read more

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Dds: ada 4240 was performed solely & as flap surgery on #2. No planing, etc., of any other quadrant teeth involved. 7140 necessary. Charge for each?

Dds: ada 4240 was performed solely & as flap surgery on #2. No planing, etc., of any other quadrant teeth involved. 7140 necessary. Charge for each?

Dr's Discretion: It depends on the amount of time in between procedures. It usually takes several weeks to see how tissues are going to respond after periodontal treatment. It is up to the discretion of the doctor as to whether or not an additional fee would be charged especially in the cases where implant or bridge placement was an option.. ...Read more

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Lanap only left a deep sulcus with little, if any, gum reattachment. Just had flap surgery. In general, how long til good gum reattachment to tooth?

Lanap only left a deep sulcus with little, if any, gum reattachment. Just had flap surgery. In general, how long til good gum reattachment to tooth?

Healing: Your own surgeon who has actually seen you and knows your medical and dental history is the best person to answer that question. Speed and degree of healing and reattachment varies widely based upon many variables. ...Read more

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Let's say the newly placed tooth implant does not take and needs dds removal. Do I get back the flap surgery fee, implant charge=$2, 000. Loose it all?

Let's say the newly placed tooth implant does not take and needs dds removal. Do I get back the flap surgery fee, implant charge=$2, 000. Loose it all?

No guarantees but...: Health care professionals do not or at least should not guarantee their treatment. We are not dealing tv's, phones, tables, etc. There are too many things beyond our control, especially the patient's response to our treatment. I try to always do what is best for my patient & what I would want done for me. Having said that, I and am sure many other dentist's try to make some kind of accommodation. ...Read more

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Do dentists ever start an implant operation by doing flap surgery to then discontinue it (at that time) due to bone quality issues?

Do dentists ever start an implant operation by doing flap surgery to then discontinue it (at that time) due to bone quality issues?

Absolutely: The dentist performing the procedure needs to feel confident that the implant being placed will have a reasonable chance of success. If the bone volume/quality is not as expected, the procedure is often terminated. This is not uncommon, and less traumatic than placing the implant only to have it fail. ...Read more

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Dental implant: what system is available that uses flap surgery that can then be sewn directly up around & against the implant vs. An open gum wound?

Dental implant: what system is available that uses flap surgery that can then be sewn directly up around & against the implant vs. An open gum wound?

All systems: Nowadays, the dental implants systems are advanced where the gum flap can be sutured around the implant. Sometimes, a flap may not be required. The more important issue is that the dental implant heals well in the jaw bone and functions well. ...Read more

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Areola reduction without surgery?

No: The only way to reduce the size of an areola is with surgery. ...Read more

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How do I get areola reduction without surgery?

How do I get areola reduction without surgery?

Not possible: You may consider tattoo of the region, but will not give thsameappearance. Apprarance. ...Read more

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Can a person get chin reduction surgery at 16y?

Can a person get chin reduction surgery at 16y?

Chin Reduction: In general, it is best to wait, when possible, for the body (and face) to finish growing before considering any cosmetic procedures. At 16, your face will likely continue to grow and this will affect your overall facial proportions. If chin reduction is done prematurely, then as the face continues to change, what may have been a good result intially, no longer looks good. ...Read more

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I really need skin reduction surgery. What are risks?

I really need skin reduction surgery. What are risks?

Several: Risks of surgery include infection, excessive bleeeding, nerve damage and unsightly scars if they become raised and red after healing is done. ...Read more

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How much pain should I expect after a chin reduction surgery?

How much pain should I expect after a chin reduction surgery?

Chin reduction pain: Chin reduction is generally not a terribly painful recovery. It can be described as more uncomfortable than painful. The first 3 days are generally the most uncomfortable, but can be controlled with pain medication. Chin reduction is usually easier than chin augmentation in that the surrounding skin and muscle is not stretched but allowed to relax. ...Read more

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What is the typical reduction in levodopa after DBS surgery?

What is the typical reduction in levodopa after DBS surgery?

None: By "none" I don't mean no reduction, I mean no typical. Any statistics on dose reduction after DBS are descriptive not predictive; i.e. they only average out the result of a large pool of patients. The individual patient needs individualized therapy. Dose reduction can range from 100% (rare) to none (much more common). Depends on both efficacy AND tolerability of the drug. ...Read more

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Is there any way to make the feeling return to breasts after reduction surgery?

Is there any way to make the feeling return to breasts after reduction surgery?

Time will tell: Breast reduction surgery has a small risk of loss of sensation to the nipples--sometimes temporary. Any loss or change should come back within a few months of surgery--if not, it is likely permanent. ...Read more

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How long does an open reduction and internal fixation (ORIF) surgery typically take?

How long does an open reduction and internal fixation (ORIF) surgery typically take?

It Depends!: Many types of fractures require this kind of repair. How long it takes depends on the location of the fracture (which bone), how bad the break it, and what other injuries or health problems the person needing the surgery has. Also, complications can arise during any surgical procedure and delay things. The orthopedist or other specialist doing the surgery is the best person to ask. ...Read more

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Open TMJ surgery can help reposition a disc displaced anteriourly without reduction? Will it last this procedure? Thank you very much

Open TMJ surgery can help reposition a disc displaced anteriourly without reduction? Will it last this procedure? Thank you very much

Maybe: Oms's have done TMJ surgery to reposition the disc for years with varying results. Most oms's agree that the indication for TMJ surgery is loss of function with or without pain. The key requrement being loss of function. ...Read more

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Can I have breast/boob reduction surgery at 18?

Can I have breast/boob reduction surgery at 18?

Yes, but uncommonly: Done. While I have perfomed breast reductions on patients as young as 15-16 because of enormous breasts causing severe neck and back pain, this is very rare. The scars from breast reduction (like all scars) are permanent. While one should be able to breast feed postop, there is no guarantee. Also, it is possible that repeat reduction may need to be done later in life. ...Read more

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What are the reasons I might be ineligible for lung reduction surgery for emphysema?

What are the reasons I might be ineligible for lung reduction surgery for emphysema?

There are many: There are strict criteria for someone to be eligible for lung volume reduction surgery. The best approach is to seek the opinion of a board certified thoracic surgeon. ...Read more