Also called flap surgery, osseous surgery is performed on periodontal pockets that have resisted all other attempted treatments and continue to worsen. Osseous surgery creates a clean environment around the tooth, promoting tooth and periodontal health.
Your doctor will begin by treating the surgical site and surrounding area with a local anesthetic to minimize pain and discomfort during the procedure. An incision is made in the gum, which is then lifted away from the tooth root to fully access the treatment site. The newly exposed tooth root is cleaned of all plaque build-up. The surfaces of both the tooth and supporting bone, which have been eaten away by bacteria, are smoothed. This smoothing is critical for proper healing and maintaining optimal health. The doctor will trim the gums to match the new bone and tooth structure and reattach them with sutures to hold the gums in place while the treated site heals.
After the procedure, your doctor may prescribe pain medication. The stitches securing the gums will then need to be removed in 6-10 days, unless dissolving stitches were used. You will need to schedule and attend a follow up appointment about 1 month after the procedure. This allows your doctor to check the healing and health of the treated site.
It is important to know that due to the reshaping of the bone and trimming of gums, your tooth may appear longer due to the lower gumline. This can also lead to increased sensitivity.