Pocket Reduction Surgery

Pocket Reduction Surgery (also referred to as Osseous Surgery) is a procedure by which the underlying bone which supports the tooth and gums that is diseased is removed. 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.

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If you have any of the following indications, Osseous Surgery may be beneficial in order to maintain your oral health:

  • Deep Persistent spaces between the gum and the tooth
  • Difficulty in accessing and removing hardened plaque (calculus) below the gum-line because the pockets are too deep to clean with daily at-home oral hygiene and a professional care routine.
  • Bony defects such as craters and
  • Periodontal Abscesses
  • Osseous surgery may also be indicated to enhance restorative, prosthetic, and cosmetic procedures, call us today for a comprehensive full mouth examination.

During this procedure, Dr. Cohen will fold back the gum tissue and remove 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.

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 both you and our dental professionals to clean, so it’s important for us that they be reduced. 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.