Re: PERIODONTAL FLAP SURGERY

patients with chronic periodontitis can first manage with oral prophylaxis with deep scaling than recall after 10 – 15 days. check the periodontal pocket with using UNC 15 probe or properly marking probe. if pocket is 2-3 mm deep than it just required proper follow up of 2-3 month with proper oral hygiene instruction.
if more than 3-4 mm localized pocket can be treated using Local drug delivery (using Tetracycline fibers or chlorhexidine chip) which reduces the pocket depth of 1-2 mm. but LDD can be use after root planning with curretage of site where pocket is present.
if pocket is present generalized with 3-4 mm deep than best option is flap surgery with bone grafting if required this will give you good result.