Pocket Elimination Surgery / Osseous Surgery

When deep pockets have been diagnosed, damage to the underlying bone is the cause for these pockets. Any pocket 5mm or greater is indicated for surgery. Periodontitis is a disease that affects the bone without pain. Bleeding gums may or may not be present while the destruction to the bone is occurring.  Surgical access is the only way to obtain the best long term tooth retention in a person with moderate to advanced periodontitis (gum Disease).

Reducing pocket depths and eliminating existing bacterial environments are important to maintain a healthy smile. Scaling and root planning alone can only affect the soft tissue component of the disease. It is a treatment for early stages or can acts as a primer to get the gums to a state of health that can better handle the surgical treatment.

Deeper pockets are difficult for you or a hygienist to clean. So it is important to reduce these pockets to allow for better access daily as well as professionally. Many patients notice that maintenance cleanings have less bleeding and more tolerable after pocket elimination surgery.

During this procedure local anesthesia is given so that the patient will feel nothing. An incision is made in the gums to allow the periodontist to remove the infection that has affected the tooth supporting bone. In some cases, irregular or damaged bone surfaces are removed and smoothed to eliminate the space that the bacteria can hide. In other cases a regenerative bone graft may be placed to help bone grow back to the tooth.  The gum tissue will heal with a better healthier attachment to the tooth.  Sutures are removed in 7-10 days. Most patients are back to work the next day with minimal discomfort.