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Osseous/ Bone Surgery

Osseous surgery is a type of surgery that involves reshaping the jawbone under the gum.

Osseous (bone) surgery is a type of surgery that involves reshaping the jawbone under the gum. Most of the damage associated with periodontal disease occurs in the underlying bone. Bone is frequently destroyed by the infection associated with gum disease. The resultant irregular bone contour will prevent the gum from laying down flat. Reshaping this irregular bone with osseous surgery will allow the gum to lay down flat in the areas between the teeth.

Periodontal disease destroys the supporting tissue and bone, forming pockets around the teeth. Over time, these pockets become deeper, providing a larger space for bacteria to live. As bacteria develop around the teeth, they can accumulate and advance under the gum tissue. In patients who are genetically susceptible, the body’s immune response results in bone and tissue loss. Eventually, if too much bone is lost, is lost or will need to be extracted.

During osseous surgery, the dentist fold back the gum tissue, remove the disease-causing bacteria from the teeth, reshape the surrounding bone, and then secure the tissue into place. Smoothing and reshaping the irregular surfaces of the damaged bone allows the gum tissue to heal in a more uniform way, with reduced pocket depth.

 

Reducing pocket depth and eliminating existing bacteria can deprogram the overexuberant immune response which many feel is the cause of progressing periodontal disease. Research shows that the combination of reducing pocket depths around the teeth to a cleansable level, effective daily oral hygiene, and frequent professional dental cleanings increase your chances of keeping your natural teeth, and decrease the chance of serious health problems associated with periodontal disease.

During this procedure, after administering anesthetic, the periodontist pushes back the gum tissue and removes disease causing bacteria and calculus. In most cases, irregular surfaces of the damaged bone are smoothed to limit areas where disease causing bacteria can hide. This reshaping of the bone allows for the gum tissue to reattach to the tooth after healing at a lower level down the root surface, reducing the pocket depth and improving the health of the affected teeth. The gums are then placed back over the newly shaped bone and sutured in place. Typically no antibiotics are prescribed for this treatment and over-the-counter pain medication is sufficient for any post-operative discomfort.

Benefits of the procedure

Reducing pocket depth and eliminating existing bacteria can deprogram the overexuberant immune response which many feel is the cause of progressing periodontal disease. Research shows that the combination of reducing pocket depths around the teeth to a cleansable level, effective daily oral hygiene, and frequent professional dental cleanings increase your chances of keeping your natural teeth, and decrease the chance of serious health problems associated with periodontal disease.

The Procedure

During this procedure, after administering anesthetic, the periodontist pushes back the gum tissue and removes disease causing bacteria and calculus. In most cases, irregular surfaces of the damaged bone are smoothed to limit areas where disease causing bacteria can hide. This reshaping of the bone allows for the gum tissue to reattach to the tooth after healing at a lower level down the root surface, reducing the pocket depth and improving the health of the affected teeth. The gums are then placed back over the newly shaped bone and sutured in place. Typically no antibiotics are prescribed for this treatment and over-the-counter pain medication is sufficient for any post-operative discomfort.

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