Osseous Surgery:

Osseous surgery is one of the most common surgical procedures to treat periodontal disease. Incisions are made around the teeth, and the gum tissue is pulled back slightly. This provides access to thoroughly remove all plaque and calculus (tartar). Irregularities of the bone caused by the disease are smoothed over and the tissue placed closer to the bone to reduce the pockets. Sutures are used to complete the procedure. A protective dressing often is placed around the necks of the teeth to cover the surgical area and to help secure the new gum-to-tooth relationship. If needed sedation can be used to keep you comfortable and relaxed. You will have a follow up appointment in 14-21 days to remove any remaining sutures, evaluate your healing, and review oral hygiene. Three months after surgery you will have a periodontal cleaning.

 By moving the gum closer to the bone, the pockets will be reduced. However, the tooth will appear longer and the spaces between the teeth will be larger. Recession (root exposure) commonly occurs and can result in root sensitivity. In cosmetic areas, other treatment options may be considered depending on how much gum tissue is seen when you smile ("Smile Line"). An alternative to osseous surgery with quicker healing, less tissue shrinkage, less root sensitivity, and often less expense is the Laser Assisted New Attachment Procedure (LANAP).

Deep Vertical Pocket (Bone Loss)	Normal Pocket Depth after Bone Regrowth with Bone Graft or LANAP