Osseous Surgery

Much like a turtleneck tightly encircling your neck, your bone and gum tissue should fit snugly around your teeth. When you suffer from periodontal disease, over time the supporting bone and tissue are destroyed and this forms pockets around the teeth. These pockets become deeper and provide a large space for bacteria to live in. As the pockets collect bacteria it results in further bone and tissue loss. When these pockets become too deep to clean with daily at-home oral hygiene and a professional care routine your periodontist may recommend osseous surgery.

About Osseous Surgery

Osseous surgery, also known as pocket depth reduction, is a surgical procedure intended to restore your gums to a healthier, more natural state. This procedure helps restore your bone and tissue to fitting snugly around your teeth to create a protective cover from bacteria. Osseous surgery is generally used when you have not responded to any other dental treatment such as non-surgical scaling and root planing.


The goal of this surgery is to create an environment that is easier for you to keep clean as reducing pocket depth and eliminating existing bacteria are important in preventing damage caused by the progression of periodontal disease. By reducing the pockets it makes it easier to maintain your daily oral hygiene and increases your chances of keeping your natural teeth while decreasing your chances of serious health problems associated with periodontal disease.

The Procedure

During osseous surgery, the gum tissue is folded back and the disease-causing bacteria is removed. Then, the tissue is secured back in place. If the underlying bone has been damaged, the irregular surface will be smoothed out to limit areas where disease-causing bacteria can hide. This also allows your gum tissue to reattach to healthy bone more effectively.


Following the surgery, you may experience some swelling. Applying an ice pack to the outside of your face over the treated area to help with discomfort. In some cases, antibiotics are prescribed before, during and after the treatment to prevent any infections.

A week or two following the surgery, you’ll come back to the office for us to check the surgical area and ensure your mouth is healing properly.

Is Osseous Surgery Painful?

Historically patients have though periodontal surgery is painful but with modern techniques using cutting-edge equipment and techniques, osseous surgery can save your teeth with minimum discomfort and rapid healing.

The team at Silverlake Dental Center is prepared to answer any questions you have about this procedure. Call today to schedule your appointment with our periodontist.