What is Osseous Surgery?
Osseous surgery, sometimes called pocket reduction surgery and/or gingivectomy, is actually a number of different procedures that may be used to reach to the root of the teeth in order to remove tartar and disease-causing bacteria.
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The Goal of Osseous Surgery
The primary goal of osseous surgery is to reshape abnormalities and reduce pockets in the alveolar bone that surrounds the teeth. This is commonly necessary to effectively treat the advanced stages of periodontal disease. Although “surgery” is used in the name, the treatment actually feels more like deep cleaning. Some of the specific goals of osseous surgery include:
- Minimizing Bacteria:
Bacteria in the mouth can spread throughout the body, causing other serious health conditions, such as heart and respiratory disease. Removing deep plaque and tartar helps reduce the risk of bacteria spreading.
- Preventing Bone Loss:
Bone loss can occur when the immune system responds to the presence of bacteria with inflammation, causing the teeth to fall out. Osseous surgery stops and prevents further periodontal disease by eliminating bacteria.
- Improving the Smile:
Patients with periodontal disease often have unsightly smiles. Recessing or discolored gums, decayed teeth, and bad breath can leave a person feeling too self-conscious to smile with confidence. Osseous surgery and periodontal maintenance can help address many of these issues, restoring your mouth to a healthy, attractive state.
- Facilitating Home Care:
It is often difficult, if not impossible, to properly remove plaque and bacteria from teeth with deep pockets. Osseous surgery reduces the size of the pocket, helping you to effectively clean your teeth, preventing worsening periodontal disease.
Osseous Surgery Technique
Local anesthesia will be administered to the treatment area before the procedure begins. Next, Dr. Ramirez will gently trim around each tooth in the affected area to release the gum tissue from the bone. Then, our team will clean the roots of the teeth using scaling techniques before reshaping the bone around the teeth. In some situations, the bone is removed to restore the bone to a normal shape. Bone grafting may also be necessary to fill in large defects.
Upon completion, the gums will be placed back over the remaining bone and sewn into place. The treatment site will be bandaged with a periodontal pack or dressing. Pain medicine and mouth rinses containing chlorhexidine will be prescribed following the surgery.
It is not uncommon for bleeding and swelling to occur after osseous surgery. These symptoms can be controlled by placing an ice pack on the outside of the treatment area. If bleeding or swelling is severe, contact NobelPerio for advice. You will be asked to attend several follow-up visits after surgery and to follow a detailed maintenance program during your recovery. This will help you to avoid infection.