Surgical Procedures

Osseous Surgery

In more advanced forms of periodontal disease, the underlying bone is significantly damaged. Pockets in the gum can extend well below the bone level. Nonsurgical treatment can be of some help in this situation. However, these procedures will not be able to reach the bottom of the pocket where the advanced periodontal disease is occurring.

Periodontal surgery makes it possible to treat the infection at the base of the pocket. The objectives of surgery are:

remove any active infection
create a healthy attachment of the gum to the tooth
minimize pocket depth
provide for more predictable supportive care

Generally, few complications can be expected from surgery. Soreness may last for three to five days and tenderness in the surgical area for 7-14 days. A new tissue level may exist around some teeth. Some teeth may also become more sensitive to temperature changes for a period of time.

Surgery is only a part of the process of success of periodontal therapy. Long term success is dependent on your commitment to long term disease control. You are responsible for the daily removal of bacterial plaque deposits around your teeth and for keeping up with regular office visits for professional cleaning and periodic examinations at the interval recommended by the periodontal staff.

Other areas that affect response to periodontal therapy and may require attention include tooth grinding and clenching, tobacco use, and management of systemic diseases that alter overall health.