Osseous Surgery

Osseous surgery, sometimes referred to as pocket reduction surgery or gingivectomy, refers to a number of different surgeries aimed at gaining access to the tooth roots to remove tartar and disease-causing bacteria.

Goals of Osseous Surgery

Osseous surgery is used to reshape deformities and remove pockets in the alveolar bone surrounding the teeth. It is a common necessity in effective treatment of more advanced periodontal diseases. The ultimate goal of osseous surgery is to reduce or eliminate the periodontal pockets that cause periodontal disease. Despite the word “surgery” the procedure is reported to feel more like a thorough cleaning. 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 tartar and thereby bacteria can help reduce the risk of bacteria spreading.
  • Preventing Bone Loss:
    The immune system’s inflammatory response prompted by periodontal bacteria can lead to bone loss in the jaw region, and cause teeth to fall out. Osseous surgery seeks to stop periodontal disease before it progresses to this level.
  • Enhancing the Smile:
    Mouths plagued with periodontal disease are often unsightly. Brown gums, rotting teeth, and ridge indentations can leave a person feeling depressed and too self-conscious to smile. Fortunately, osseous surgery can help reduce bacteria and disease and thereby restore your mouth to its former radiance, while restoring confidence at the same time.
  • Facilitating Home Care:
    As the gum pocket deepens, it can become nearly impossible to brush and floss adequately. Osseous surgery reduces pocket size, making it easier to 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. Hager or Bowers 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. Bone is removed in some areas to restore the normal rise and fall of the bone, but at a lower level. Bone grafting may also be necessary to fill in large defects.

Next, the gums will be placed back over the remaining bone and suture them in place. The site will 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. Several 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.

Periodontal Implant Center

5 out of 5 stars based on 3 Periodontal Reduction Surgery reviews

Our Latest Patient Testimonial

Everything from beginning to end was of the highest caliber. Appointments, reminders, payment plan explanaton were all done efficiently, timely and with courtesy. Office was extremely clean, well kept and inviting. Dr. Hager was fantastic. He took the time to expain procedures and the reasoning behind different options and causes of problems and he was excellent when it came to oral surgery. The appointment times were so there was nearly no wait upon arrival. The office handled insurance billing and when my insurance refunded a portion of the already paid bill, without having to request it, the office mailed me my refund. Highly recommend Dr. Hager and his staff.

- Sandra L

5 out of 5 stars on

Our Latest Patient Testimonial

My procedure with Dr. Hager was completed 6 months ago and I just returned from my follow up appointment. I'm am so impressed with the staff's professionalism and efficiency. From the point of scheduling, procedure completion, insurance filing to the follow up everyone was wonderful to work with. This has been a very, very positive experience for me. They are all ROCK STARS!!

- Debbie B

5 out of 5 stars on

Our Latest Patient Testimonial

I am very pleased with the care and customer service in the office. I greatly appreciate Dr. Hagers care and concern for my dental needs and will continue to trust him in the future. . I have already highly recommend him to friends of mine.

- Nancy W

5 out of 5 stars on