Periodontal surgery

Healthy gums not only hold the tooth firmly – they protect the tooth-supporting struc­tures. In peri­odon­titis, these tissues become inflamed due to bacterial deposits; gum pockets, recession, and bone loss can result. When non-surgical treatment does not adequa­tely control the inflamm­a­tion, peri­odontal surgery makes the diseased areas acces­sible. Depending on the findings, surgical peri­odontal therapy, rege­ne­ra­tive proce­dures, or gum augmen­ta­tion may be considered.

There is no one-size-fits-all treatment for peri­odon­titis. The degree of inflamm­a­tion, pocket depths, bone loss, tooth mobility, and personal risk factors are decisive. Treatment typically begins with the removal of bacterial deposits and a review of the treatment outcome. If deep pockets or bone defects remain, surgical peri­odontal therapy may be indicated. Long-term stability depends signi­fi­cantly on follow-up care.

Peri­odontal treatment – also known to many as peri­odon­tosis treatment – is often spread over several treatment steps: initial exami­na­tion, removal of bacterial deposits, follow-up checks, and, if necessary, surgical or rege­ne­ra­tive measures. How many sessions are required depends on factors such as the number of affected teeth, the depth of the gum pockets, and the severity of the disease. Supportive peri­odontal therapy is also part of the treatment concept. The indi­vi­dual treatment plan is discussed in advance.

It is not possible to reliably estimate the cost of compre­hen­sive peri­odontal treatment with a single, fixed amount. The cost depends on the severity of the condition, the number of affected teeth, the diagno­stic proce­dures, the number of appoint­ments required, and any necessary surgical or rege­ne­ra­tive proce­dures. At IMPLA·VIO, we first conduct a thorough evalua­tion. Dr. Esther Kluk and her colle­agues then clearly explain the indi­vi­dual steps and the expected costs. Whether statutory health insurance covers the treatment depends on the findings and the planned proce­dures. We will always inform you in advance about any addi­tional surgical or rege­ne­ra­tive steps.

Sometimes the inflamm­a­tory changes are located where instru­ments alone cannot adequa­tely visualize and treat them. In flap surgery, the gum tissue is therefore carefully detached and tempo­r­a­rily repo­si­tioned. This makes deep tooth and bone areas acces­sible, deposits can be removed, and bone defects can be treated in a targeted manner. Flap surgery is not a routine procedure, but part of surgical peri­odontal therapy when the findings justify it – IMPLA·VIO is happy to advise you.

After a flap procedure, the gum tissue doesn’t simply need to “heal back together.” It should fit as snugly as possible against the tooth and securely enclose the treated areas. Initial wound healing occurs over the following weeks—but it usually takes longer for the tissue to fully stabilize. Factors such as the extent of the procedure, indi­vi­dual healing, oral hygiene, and risk factors all play a role. Follow-up visits monitor this process— Dr. Esther Kluk and her colle­agues monitor progress and adjust the aftercare plan as needed.

Gum tissue that has receded usually does not grow back on its own through parti­cu­larly thorough care. Whether gum augmen­ta­tion is possible and advisable depends on the cause, the extent of the recession, the inflamm­a­tory situation, and the existing attached gingiva. Depending on the findings, recession coverage, a connec­tive tissue graft, or soft tissue manage­ment proce­dures may be considered as part of peri­odontal surgery at IMPLA·VIO. The starting point is therefore a precise assess­ment of the findings.

A gum graft is not a one-size-fits-all procedure. The cost depends on how many teeth are affected, how far the gums have receded, what type of tissue is needed, and which surgical technique is appro­priate. Inflamm­a­tion can also affect the scope of the procedure. Following the exami­na­tion, Dr. Esther Kluk and her colle­agues will determine whether recession coverage or another form of soft tissue manage­ment is appro­priate and what the estimated cost will be. We place great importance on providing trans­pa­rent advice: Private health insurance does not auto­ma­ti­cally cover these costs. Coverage depends on the medical indi­ca­tion, the chosen procedure, and the specific insurance policy. We’d be happy to discuss the estimated out-of-pocket cost with you.