Osseous Surgery

Cascadia Dental Specialists

Endodontists & Dental Implant Specialists located in Bellevue, WA

When periodontal disease causes gums to recede, they form pockets that are safe havens for bacteria. Osseous surgery is a treatment that locates and reduces the size of these pockets while also cleaning out the affected area. If you need osseous surgery, contact Cascadia Dental Specialists in Bellevue, Washington, to start the process today.

Osseous Surgery

What is osseous surgery?

Because periodontitis destroys the supporting tissue around teeth, it’s common for patients to develop “pockets” around them. As the pockets deepen, there’s more room for dangerous bacteria. Osseous surgery reduces these pockets, helps you to retain your tooth, and makes the environment easier to clean.

The surgical procedure is used to smooth and reshape the affected bone and create a shallow pocket that makes it harder for more aggressive bacteria to survive. The surgery includes a thorough cleaning of the root surface, making it more difficult for the bacteria to grow and multiply, and making it easier for the body to repair itself.

How can osseous surgery help fight periodontitis?

Osseous surgery is a major step in combating periodontitis, as it helps to eliminate bacteria from the gums. However, eliminating bacteria alone may not be sufficient to prevent the disease from coming back.

When pockets become very deep, they are harder for you and your dental care professional to clean, so it's important to maintain good oral hygiene after the procedure. A combination of reduced pocket depth, daily oral hygiene, and professional periodontal maintenance increases your chances of keeping your natural teeth and decreases the chance of serious health problems associated with periodontal disease.

How is the procedure done?

Once local anesthesia numbs the area, the dentist makes an incision in the gum tissue around the area to be treated. They then lift the gum away from the tooth, giving them access to the bone so they can clean the root surface.

If the bone of the tooth is uneven, it may be smoothed so bacteria can’t hide behind it. When the roots have been cleaned, and the bone has been reshaped, the gum tissue is trimmed to match the new underlying structure and stitched in place. The stitches hold the gum tissue in place while it heals.

The dentist may prescribe a pain medication for the post-surgical healing process. The stitches need to be removed in 7-21 days. They check the surgical site about 3-6 months after surgery to ensure the area is completely healed.