Osseous Surgery

Also called pocket reduction surgery – reshape bone, remove bacteria, and prevent bone loss from advanced gum disease.
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Osseous Surgery

Osseous surgery, sometimes referred to as pocket reduction surgery, refers to a number of different surgeries aimed at gaining access to the tooth roots to remove tartar and disease-causing bacteria.

Goals of Osseous Surgery

Osseous surgery is used to reshape deformities and remove pockets in the alveolar bone surrounding the teeth. It is a common necessity in effective treatment of more advanced periodontal diseases. The ultimate goal of osseous surgery is to reduce or eliminate the periodontal pockets that cause periodontal disease. Despite the word “surgery” the procedure is reported to feel more like a thorough cleaning.

The specific goals of osseous surgery include:

  • Reducing Bacterial Spread:
    Bacteria from the mouth can spread throughout the body and cause other life-threatening conditions such as heart disease and respiratory disease. Removing deep tartar and thereby bacteria can help reduce the risk of bacteria spreading.
  • Preventing Bone Loss:
    The immune system’s inflammatory response prompted by periodontal bacteria can lead to bone loss in the jaw region, and cause teeth to fall out. Osseous surgery seeks to stop periodontal disease before it progresses to this level.
  • Enhancing the Smile:
    Mouths plagued with periodontal disease are often unsightly. Brown gums, rotting teeth, and ridge indentations can leave a person feeling depressed and too self-conscious to smile. Fortunately, osseous surgery can help reduce bacteria and disease and thereby restore your mouth to its former radiance, while restoring confidence at the same time.
  • Facilitating Home Care:
    As the gum pocket deepens, it can become nearly impossible to brush and floss adequately. Osseous surgery reduces pocket size, making it easier to brush and floss, and thereby prevent further periodontal disease.

What does osseous surgery entail?

A local anesthetic will be used to numb the area prior to surgery. First, Dr. Farhadian will cut around each tooth of the affected area to release the gum tissue from the bone. This allows access to the bone and roots of the teeth. After the roots have been thoroughly cleaned through scaling, a drill and hand tools will be used to reshape the bone around the teeth. Bone is removed in some areas to restore the normal rise and fall of the bone, but at a lower level. Bone grafting may also be necessary to fill in large defects.

Next, the gums will be placed back over the remaining bone and suture them in place. The site will also be covered with a bandage (periodontal pack) or dressing. Pain medicine and mouth rinses containing chlorhexidine are generally prescribed following the surgery.

Do not be alarmed if bleeding and swelling occur after the surgery. This can be controlled easily by placing an ice pack on the outside of the affected area. In cases where the bleeding and swelling is in excess, it is advised that you call to notify our office. Several follow up visits may be necessary and you must fulfill a meticulous maintenance program especially during the initial phases of healing to avoid post-operative infection.

Signs you may need treatment

Deep Gum Pockets

Bleeding & Inflammation

Difficulty Brushing/Flossing

Unsightly Gums & Bad Breath

What to expect

1

Diagnose

We evaluate advanced periodontal disease and its goals: Reducing bacterial spread that can cause heart and respiratory disease, Preventing bone loss in jaw that causes teeth to fall out, Enhancing smile by restoring radiance, and Facilitating home care by reducing pocket size to make brushing and flossing easier.

2

Treat

A local anesthetic will be used to numb the area. Dr. Farhadian will cut around each tooth of the affected area to release gum tissue from bone. This allows access to bone and roots. After roots are thoroughly cleaned through scaling, a drill and hand tools will be used to reshape bone around teeth. Bone is removed in some areas to restore normal rise and fall at a lower level. Bone grafting may also be necessary to fill large defects.

3

Restore

Next, gums are placed back over remaining bone and sutured in place. Site is covered with a bandage (periodontal pack) or dressing. Pain medicine and chlorhexidine mouth rinses are prescribed. Bleeding and swelling may occur and can be controlled with ice pack. Several follow-up visits are necessary and you must follow a meticulous maintenance program during initial healing to avoid post-op infection.

Common questions

What is osseous surgery?
Osseous surgery, also called pocket reduction surgery, is a group of surgeries aimed at gaining access to tooth roots to remove tartar and disease-causing bacteria, reshape deformities in alveolar bone, and reduce or eliminate periodontal pockets causing gum disease.
Four main goals: 1. Reducing bacterial spread that can spread to body and cause heart/respiratory disease. 2. Preventing bone loss from immune inflammatory response that makes teeth fall out. 3. Enhancing smile by reducing disease and restoring confidence. 4. Facilitating home care by reducing pocket size so you can brush and floss properly.
Under local anesthetic, gum tissue is released from bone to access roots. Roots are cleaned through scaling, then bone is reshaped with drill and hand tools, and bone grafting may fill defects. Gums are sutured back and covered with a bandage. It feels more like a thorough cleaning than surgery.
Local anesthetic is used to numb the area prior to surgery. Despite the word surgery, patients report it feels more like a thorough cleaning. Afterward pain medicine and mouth rinses are prescribed, and bleeding/swelling is normal and controlled with ice packs. Excess bleeding should be reported.
Site is covered with a periodontal pack. Several follow-up visits may be necessary. You must follow a meticulous maintenance program especially during initial phases to avoid post-operative infection. This prevents further disease and helps restore your mouth to its former health.