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 calculus and disease-causing bacteria.

Goals of Osseous Surgery

Osseous surgery is used to reshape deformities and allow access the tissues surrounding the teeth. The ultimate goal of osseous surgery is to reduce or eliminate the bacterial products within the periodontal pockets that cause periodontal disease.  The specific goals of 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 calculus and it associated bacteria can help reduce the risk of bacteria spreading.
  • Facilitating Home Care:
    As the gum pocket deepens, it can become nearly impossible to brush, interproximal brush and floss adequately. Osseous surgery makes it easier to brush, interproximal brush and floss, and thereby prevent further periodontal disease.

What does the procedure entail?

A local anesthetic will be used to numb the area prior to surgery. First, Drs. Hinckfuss, McGregor, Mitchell, Chin 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 where necessary. Bone is removed in some areas to restore the normal rise and fall of the bone, but at a lower level.

Next, the gums will be placed back over the remaining bone and sutured in place. The site may 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. 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.