What is the aim of flap/osseous surgery for furcation involvement?

The primary aim of flap and osseous surgery for furcation involvement is to clean the roots and furcation areas effectively. In cases of furcation involvement, the periodontal disease can lead to periodontal pockets that extend into the furcation area of multi-rooted teeth. By performing flap surgery, clinicians can lift the gum tissue away from the tooth, providing direct access to this critical area for thorough debridement and scaling.

This cleaning procedure removes plaque, calculus, and infected tissue, which are essential steps in halting the progression of periodontal disease and improving the overall health of the tooth and surrounding tissues. Osseous surgery may further reshape the bone to allow for better maintenance of periodontal health and facilitate easier future cleanings. Consequently, the successful management of furcation involvement through these surgical methods aims to preserve the tooth rather than resorting to extraction or aesthetic improvements.