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What is
Osseous/Pocket Reduction Surgery?

Osseous surgery is an effective treatment for periodontal disease that has advanced to the point of threatening not only gum tissue, but the bone as well. Also called pocket reduction surgery, osseous surgery may be recommended in cases where non-surgical treatment such as scaling and root planing would not be sufficient to stop the growth of bacteria that have invaded the area. Left untreated, periodontitis can lead to tooth loss.

Osseous/Pocket Reduction
Surgery

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Osseous surgery is needed only when non-surgical treatment is not an option. Most people are able to keep their teeth and gums healthy with daily brushing and flossing which helps remove plaque, the bacterial film that causes gum disease. Professional dental cleanings are also advisable in order to remove bacterial deposits below the gum line. Normally, gum and bone tissue fit snuggly around your teeth. However, as periodontal disease advances, gum tissue begins to pull away from teeth, exposing more of the root and creating what are called gum pockets. As these pockets deepen over time, there is room for more bacteria. Eventually, bacteria invade below the gum line, causing further gum and bone tissue loss. In this case, osseous surgery is needed to remove bacteria and prevent further damage or even tooth loss.

Here’s what you can expect during osseous surgery:

  1. You’ll be given a local anesthetic to numb your gums.
  2. The periodontist will make a small incision along your gumline. He will then fold back your gums and remove the bacteria underneath.
  3. Then he will smooth down any areas where the bone is damaged or irregularly shaped.
  4. If your bone is severely damaged, a periodontal regeneration technique may need to be implemented. These techniques include bone grafts and guided tissue regenerative membranes.
  5. Your gums will be sewn back and covered with a periodontal dressing to help manage the bleeding.

Does Osseous Surgery Cure Periodontal Disease?

Unfortunately, the answer to that question is no. The bacteria that started the problem will still be present in your mouth. Therefore, a stringent oral hygiene routine at home is essential. In particular, bacteria must be kept off teeth that have been treated with surgery so that reattachment and healing can happen. That’s why excellent home care and several post-operative visits are required.

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    Copyright 2021 by River Road Dental. All rights reserved.

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