Osseous Surgery

Treating advanced stages of Periodontal Disease

Osseous surgery is a dental procedure that reshapes the bone structure that holds one or more teeth in place. The surgery is most commonly used to treat advanced stages of periodontal disease, where patients develop holes in the bone surrounding their teeth. Osseous surgery is done to get rid of the defects to make the bone structure stronger.

How is the Surgery Done?

Before surgery commences, a basic non-invasive treatment called scaling and root planing is required to remove the bacteria from under the gum line and tooth roots. A local anesthetic is first used to numb the area before your dentist cuts around the teeth being treated to release the gum tissue from the bone. The roots are then cleaned and the bone around the teeth is reshaped using a drill and other professional dental tools. Bone may need to be removed in order to restore the contour of the bone. Bone grafting may also be used in conjunction with this treatment to fill large cavities or other defects.

The gums will then be placed back over the remaining bone and stitched into place. The surgery site will be covered by a bandage and a prescription may be given to reduce the pain and swelling.

Osseous Surgery After Care

Bleeding and swelling of the gums is natural after your surgery. It is essential that you keep your mouth clean after the surgery and while your mouth is healing to prevent the risk of infection to the site. Brushing and flossing on a regular basis is required; however, it is important to be gentle around the surgery site to prevent further damage on the teeth and surrounding gums. A chlorhexidine mouth rinse may be prescribed, which is used to slow down the growth of plaque and help your mouth heal.

Swelling is normal in the days after your surgery. To reduce swelling, you may apply an ice pack to your cheek and take over-the-counter pain medications as directed by your dentist. If the pain or swelling persists longer than expected, contact our office for a follow-up appointment.

After treatment, the gums that were removed are more likely to recede. This can cause the treated teeth to look longer and it may create a sensitivity to heat and cold. Proper care is essential as the affected teeth could develop cavities in the roots if you do not practice proper dental care.

Call your dentist if you have excessive bleeding or if there is swelling or pain one week after surgery. This could be a sign of infection. For more information about the benefits of osseous surgery, contact The Mission Implant Center to schedule your initial consultation with us.