Doctor insights on:
Flap Surgery Pocket Reduction Surgery
Is gum flap surgery for a 5 mm pocket considered a minor type dental procedure when compared to other invasive surgical types?
???: 5mm pocket can be cleared up with a scaling and home care. I would not suggest flap surgery at this point. ...Read more
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
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!
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
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
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
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
Periodontists: generally, how many millimeters would a sulcus be until you would make a decision for flap 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
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
How risky is pharyngeal flap surgery for correcting hypernasal voice? Are there equally effective alternatives?
I have transphincter fistula, going for flap surgery. After how long can I do deep, very heavy weighted squats, without risking i'll tear the flap off?
Endodontist today did flap surgery and used synthetic bone to build large defect area. About how long til gum heals 80%+? Big surgery.
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
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
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
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
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?
I just had molar flap surgery where a section of tooth root was removed. Will the sewn gum at the gum/tooth junction have a deep sulcus? Worried.
Don't Worry: Your specialist is trained in dealing with soft tissue defects. Let the area heal and then re-evaluate. ...Read more
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
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
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
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
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
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
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