osseous surgery

osseous surgery

Is Osseous Surgery Right for You?

What is Osseous Surgery

Osseous surgery, also known as periodontal surgery or pocket reduction surgery, is a surgical procedure that is performed to treat gum disease. Gum disease is a bacterial infection that can damage the gums and bone that support the teeth. If gum disease is left untreated, it can lead to tooth loss.

Osseous surgery is typically performed by a periodontist. During the surgery, the periodontist will make an incision in the gum tissue and then fold it back to reveal the tooth roots. The periodontist will then clean the tooth roots and remove any diseased tissue and bone. The gum tissue will then be repositioned and sutured in place.

Understanding Osseous Surgery

Osseous surgery, also known as flap surgery, is a surgical procedure aimed at treating advanced stages of periodontal disease. This condition, characterized by the inflammation and infection of the tissues surrounding the teeth, can lead to gum recession, bone loss, and even tooth mobility. Osseous surgery comes into play when non-surgical treatments, such as scaling and root planing, are no longer sufficient.

When Is It Recommended?

Typically, osseous surgery is recommended when:

  • Deep Gum Pockets: When gum pockets become too deep (usually measuring 5mm or more), making it difficult to clean and maintain oral hygiene.
  • Bone Loss: When X-rays reveal significant bone loss around the teeth due to periodontal disease.
  • Tooth Mobility: When teeth become loose due to the loss of supporting bone.
  • Persistent Infection: When there is a persistent infection despite non-surgical treatments.

The Osseous Surgery Procedure

Preoperative Preparation

Before undergoing osseous surgery, your dentist will conduct a thorough examination, which may include X-rays and periodontal probing. This assessment helps determine the extent of the problem and plan the surgery accordingly.

The Surgical Process

During the surgery, the dentist or periodontist will:

  • Anesthetize the Area: Local anesthesia is administered to ensure you’re comfortable and pain-free during the procedure.
  • Lift the Gum Tissue: The dentist will gently lift the gum tissue away from the teeth to access the root surfaces and underlying bone.
  • Remove Tartar and Bacteria: The root surfaces are carefully cleaned to remove tartar and bacteria.
  • Reshape Bone: If necessary, the underlying bone may be reshaped to eliminate irregularities.
  • Suturing: The gum tissue is then repositioned and sutured in place.

Postoperative Care

After osseous surgery, it’s crucial to follow postoperative care instructions diligently. This typically includes:

  • Pain Management: Managing any discomfort or pain with prescribed medications.
  • Oral Hygiene: Maintaining excellent oral hygiene to prevent infection and promote healing.
  • Follow-up Appointments: Scheduling and attending follow-up appointments with your dentist for monitoring and removal of sutures.

Benefits of Osseous Surgery

Improved Gum Health

Osseous surgery is highly effective in reducing the depth of gum pockets, allowing for easier cleaning and maintenance. This improvement in gum health can help prevent further progression of periodontal disease.

Halting Bone Loss

By addressing the underlying bone loss, osseous surgery can halt the deterioration of the supporting structures of your teeth, preventing tooth loss in the long run.

Enhancing Aesthetics

Osseous surgery can also have aesthetic benefits. It can improve the appearance of your smile by reducing gum recession and restoring a more natural gumline.

Is Osseous Surgery Right for You?

Candidate Assessment

Not everyone with periodontal disease requires osseous surgery. Your dentist will assess your condition and determine if you are a suitable candidate for this procedure. Factors such as the extent of bone loss and the overall health of your teeth and gums will be considered.

Alternatives to Osseous Surgery

In some cases, less invasive treatments like scaling and root planing or laser therapy may be recommended as alternatives to osseous surgery. Your dentist will discuss the options with you and recommend the most suitable approach.

The Importance of Periodontal Maintenance

Following osseous surgery, consistent periodontal maintenance is vital to ensure the long-term success of the procedure. This typically involves regular dental check-ups and cleanings to monitor your oral health and prevent the recurrence of periodontal disease.

Recovery and Aftercare

The recovery period after osseous surgery can vary from person to person. It’s essential to follow your dentist’s instructions for postoperative care, including diet restrictions and oral hygiene practices, to promote healing and minimize complications.

Side Effects of Osseous Surgery

The most common side effects of osseous surgery include:

  • Pain
  • Swelling
  • Bleeding
  • Bruising
  • Sensitivity to hot and cold foods and drinks
  • Discomfort when chewing

These side effects are typically mild and go away within a few days or weeks.

Osseous Surgery for Dental Problems

Osseous surgery is commonly used to treat the following dental problems:

  • Periodontitis: Periodontitis is a severe form of gum disease that can damage the bone that supports the teeth.
  • Peri-implantitis: Peri-implantitis is an infection of the gums and bone around dental implants.
  • Furcation defects: Furcation defects are deep pockets that form between the roots of multi-rooted teeth.
  • Bone loss: Bone loss can occur as a result of gum disease, injury, or other factors.

Cost of Osseous Surgery

The cost of osseous surgery varies depending on a number of factors, including the severity of the gum disease, the number of teeth that need to be treated, and the surgeon’s experience and fees.

In general, the average cost of osseous surgery in the United States ranges from $1,000 to $5,000 per tooth.

Success Rate of Osseous Surgery

Osseous surgery has a high success rate. Studies have shown that osseous surgery can reduce the depth of gum pockets and improve the long-term health of the teeth and gums.

Recovery from Osseous Surgery

Most people recover from osseous surgery within a few weeks. However, it is important to follow your surgeon’s instructions carefully during the recovery period. This may include taking pain medication, eating a soft diet, and avoiding strenuous activity.

Osseous Surgery with Bone Graft

In some cases, osseous surgery may be performed in conjunction with a bone graft. A bone graft is a procedure that is used to replace lost bone. Bone grafts are commonly used to treat bone loss caused by gum disease.


Q: What Is the Cost of Osseous Surgery?

The cost of osseous surgery can vary depending on the complexity of the case, the number of teeth involved, and your location. It’s best to consult with your dentist for a personalized estimate.

Q: Does Osseous Surgery Hurt?

During the procedure, you will be under local anesthesia, so you shouldn’t feel pain. However, some discomfort and mild pain may be experienced during the recovery period, which can be managed with prescribed medications.

Q: How Long Does Recovery Take?

Recovery time can vary but typically ranges from a few days to a few weeks. Following postoperative care instructions diligently can expedite the healing process.

Q: Can Osseous Surgery Be Prevented?

Preventing the need for osseous surgery involves maintaining excellent oral hygiene, addressing periodontal issues early, and attending regular dental check-ups.

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