What are the differences between Curettage and Flap operations?

Gum curettage and flap operations

Definition: Gum curettage (Periodontal curettage) is a cleaning procedure done below the gum line to remove infected tissue and deposits like tartar. A flap operation, on the other hand, involves the surgical lifting of gum tissue to directly clean the underlying root surfaces and bone structure.

Degree of Surgery: Gum curettage is generally a less invasive procedure performed under local anesthesia. Flap surgery is a surgical intervention and is preferred in more advanced cases of periodontal disease.

Access: Curettage provides limited access to the inflamed area beneath the gums and is a more superficial treatment. Flap surgery allows full access to the root surfaces and bone structure by lifting the gum tissue, enabling deeper cleaning and, if necessary, bone surgery.

Healing Process: The healing time after curettage is usually shorter, and discomfort is less compared to flap treatment. The healing process after flap surgery can be longer and may involve effects such as pain or swelling.

Indications: Curettage is suitable for patients with mild to moderate periodontal disease. Flap surgery is preferred in advanced periodontal diseases, especially where the gum pocket is deep and bone loss has begun.

Curettage and flap operations should be meticulously evaluated by the periodontist before surgical planning.