Osseous surgery, sometimes referred to as pocket reduction surgery, refers to a number of different surgeries aimed at gaining access to the tooth roots to remove tartar and disease-causing bacteria.
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 and exacerbate periodontal disease. Despite the word “surgery” the procedure is reported to feel more like a thorough cleaning. The specific goals of surgery include:
A local anesthetic will be used to numb the area prior to surgery. First, Dr. Brooks will lift the gum tissue around each affected tooth 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 dental handpiece, with specialized burs, and hand tools will be used to reshape the bone around the teeth. Bone is removed, or remodeled, in some areas to restore the natural contour of the bone, but at a lower level. Bone grafting may also be necessary to fill in any significant defects.
Next, the gums will be placed back over the remodeled bone and sutured. 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 swelling or minor bleeding after the surgery. This can be controlled easily by placing an ice pack on the outside of the affected area. Dr. Brooks follows his patients closely; therefore several follow up visits may be necessary. A thorough oral care cleaning program is necessary to ensure optimum healing and avoid post-operative complications.
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