What is Osseous Surgery?

When you have periodontal disease, supporting tissue and bone around the teeth are destroyed and pockets develop.  Over time these pockets become deeper and create more space for bacteria plaque to form and invade underneath the gum.  This results in further bone and tissue loss around the teeth and can eventually lead to tooth loss.  Deep periodontal pockets cannot be properly cleaned with daily home care.   Osseous surgery is recommended when the bone supporting your teeth has been destroyed.  It is generally recommended in cases that have not responded to non-surgical treatment such as scaling and root planning (deep cleaning).  The goal of osseous surgery is to eliminate gum pockets by trimming away the infected gum tissue and diseased bone.  The end result is a healthier environment that promotes long term maintenance and stops the progression of periodontal disease.

How is Osseous Surgery performed?

During the procedure, your periodontist will gently fold back the gum tissue and remove the disease-causing bacteria before securing the gum tissue back into place.  If the underlying bone appears to be damaged, irregular surface will be smoothed out to limited areas where the disease-causing bacteria can reside.  This will essentially allow your gum tissue to reattach to healthy bone more effectively.


You may experience some slight swelling after the surgery, so applying an ice pack to the outside of your face over the treated area can help with any discomfort.  In some cases, antibiotics are given before, during, and after the treatment in order to prevent any infections.  After a week or two, you will come back to our office so that your periodontist can check the surgical area and make sure your gums are healing properly.