Perio Surgical Specialists

Periodontal Therapy

Osseous (Pocket-Reduction) Surgery

Advanced gum disease creates deep pockets between the teeth and gums where bacteria collect and bone is destroyed. When deep cleaning alone cannot reach or control these pockets, osseous surgery folds back the gum to thoroughly clean the roots, smooths damaged bone, and repositions the tissue to leave shallower, cleanable pockets.

The goal is to halt the progression of periodontitis and create gum architecture that you and your hygienist can actually keep healthy day to day.

Who it's for

  • Moderate to advanced periodontitis with deep pockets
  • Pockets that persist after scaling and root planing
  • Bone loss and inflammation that non-surgical therapy can't control
  • Patients committed to ongoing periodontal maintenance

What to expect

  1. 1

    Periodontal assessment

    Pocket depths, bone levels, and the pattern of disease are mapped to target treatment precisely.

  2. 2

    The procedure

    Under local anesthesia, the gum is gently reflected, roots are cleaned, irregular bone is reshaped, and the tissue is secured to reduce pocket depth.

  3. 3

    Healing

    Gums heal against the teeth at a shallower, healthier level over the following weeks.

  4. 4

    Maintenance

    A tailored periodontal maintenance schedule keeps the disease controlled long-term.

Recovery & aftercare

Mild swelling and soreness for a few days are typical and managed with standard pain relief. You'll receive instructions on gentle cleaning and diet while the area heals.

Long-term success depends on regular periodontal maintenance, which we plan in coordination with your general dentist or hygienist.

Common questions

Is osseous surgery the only option?
No — many cases are controlled with non-surgical scaling and root planing. Surgery is recommended when deep pockets persist and continue to threaten the teeth.
Will my teeth feel loose afterward?
Treating the infection and inflammation usually improves stability over time. Any sensitivity or temporary changes are reviewed at follow-up.

Talk to a specialist about osseous (pocket-reduction) surgery

Whether you're a patient considering treatment or a dentist referring a case, we'll evaluate, plan, and coordinate care from diagnosis through follow-up.

Sources

  1. 1.American Academy of Periodontology — Pocket Reduction Procedures
  2. 2.NIDCR (NIH) — Periodontal (Gum) Disease

This information is provided for educational purposes and is not a substitute for a professional evaluation. Diagnosis and treatment should always be determined by a qualified dental professional based on your individual condition.