Surgical Treatments Bone Regeneration around Teeth Extractions & Grafting Soft-Tissue Grafting Periodontal Osseous Surgery Gingival Hyperplasia Biopsies Fiberotomy/Frenectomy

Periodontal Osseous Surgery

Osseous surgery, also known as pocket-depth reduction, is a surgical procedure intended to restore your gums to a healthier, more natural state. If Dr. Goldberg has recommended osseous surgery, it is because you have pockets that are too deep to clean with daily at-home oral hygiene and a professional care routine.

Your bone and gum tissue should fit snugly around your teeth, to create a protective cover from bacteria. If you have periodontal disease, the supporting tissue and bone are destroyed, and this forms pockets around the teeth.

Over time, the pockets become deeper and provide a larger space for bacteria to live. As bacteria develop around the teeth, they can accumulate and advance under the gum tissue. These deep pockets collect even more bacteria, resulting in further bone and tissue loss. To reduce the need for extractions, osseous surgery may be recommended.

Reducing pocket depth and eliminating existing bacteria are vital to prevent damage from the progression of periodontal disease and help you maintain a healthy smile. Eliminating bacteria alone may not be sufficient to prevent disease recurrence. Deeper pockets are more difficult for you and dental care professionals to clean, so it’s important to make them as small as possible.

Small pockets and a combination of daily oral hygiene and professional maintenance care increase your chances of keeping your natural teeth, as well as reduce the chance of serious health problems associated with periodontal disease.

Osseous Regenerative Procedure

Once the gum is opened up, it is possible to graft bone to regenerate the lost bone and attachment of the tooth to the bone. Either your bone from a different site is used for this procedure or donor bone from a federally approved bone bank.

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With the use of an occlusive barrier and other new growth proteins (Emdogain®), this process more closely resembles the dento-gingival unit you are born with — almost like turning back the hands of time.

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How is osseous surgery performed?

During this procedure, Dr. Goldberg will fold back the gum tissue and remove the disease-causing bacteria before securing the tissue back into place. If the underlying bone has been damaged, the irregular surface will be smoothed out to limit areas where disease-causing bacteria can hide. This will also allow your gum tissue to reattach to healthy bone more effectively.

You may experience some swelling after the surgery, so applying an ice pack to the outside of your face over the treated area can help with any discomfort. In some cases, antibiotics are given before, during, and after the treatment in order to prevent any infections.

After a week or two, you’ll come back to our office so Dr. Goldberg can check the surgical area and make sure your mouth is healing properly.