Modern methods of treatment of gum are used depending on the depth of the periodontal pockets. The depth of the pocket is the determining factor for treatment of the disease. Periodontists in Arkansas use therapeutic treatments with a depth of pockets to 4mm. this treatment involves removal of tartar, plaque, bacteria, and creation of appropriate conditions for the attachment of the gums to the teeth and for closing of the pocket. The end result of periodontal treatment is to restore connection and function of the gums. But if depth of the pocket is more than 4 mm, then it is impossible to clean out periodontal pocket, and then to help can only operation ? co called flap operation.