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Osseous
Surgery
- a.k.a. Pocket Depth Reduction
"Surgical Cleaning
or Pocket Reduction"
Traditionally, gum disease is treated by eliminating
the gum pockets by trimming away the infected
gum tissue and by re-contouring the uneven bone
tissue. Although this is still an effective way
of treating gum disease, new and more sophisticated
procedures are used routinely today.
Your bone and gum tissue should fit snugly around
your teeth like a turtleneck around your neck.
When you have periodontal disease, this supporting
tissue and bone is destroyed, 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. These deep pockets
collect even more bacteria, resulting in further
bone and tissue loss. Eventually, if too much
bone is lost, the teeth will need to be extracted.
During
this procedure, your periodontist folds back the
gum tissue and removes the disease-causing bacteria
before securing the tissue into place. In some
cases, irregular surfaces of the damaged bone
are smoothed to limit areas where disease-causing
bacteria can hide. This allows the gum tissue
to better reattach to healthy bone.

What
are the benefits of this procedure?
Reducing pocket depth and eliminating existing
bacteria are important to prevent damage caused
by the progression of periodontal disease and
to help you maintain a healthy smile. Eliminating
bacteria alone may not be sufficient to prevent
disease recurrence. Deeper pockets are more difficult
for you and your dental care professional to clean,
so it's important for you to reduce them. Reduced
pockets and a combination of daily oral hygiene
and professional maintenance care increase your
chances of keeping your natural teeth – and decrease
the chance of serious health problems associated
with periodontal disease.
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