Surgical Periodontal Procedures

Osseous Surgery

Osseous surgery has great historical value in the field of periodontology. It is Dr. Gouldin’s opinion that the best periodontists combine the osseous surgery technique with regenerative techniques to achieve the most optimal outcomes. Biologic materials in Periodontology are constantly improving the outcome for patients in this exciting field.

Osseous surgery is a type of surgery that involves reshaping the jawbone under the gum. Most of the damage associated with periodontal disease occurs in the underlying bone; osseous means bone. Bone is frequently destroyed by the infection associated with gum disease. The resultant irregular bone contour will prevent the gum from laying down flat. Reshaping this irregular bone with osseous surgery will allow the gum to lay down flat in the areas between the teeth.

Periodontal disease destroys the supporting tissue and bone, 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. In those individuals who are genetically susceptible, the body’s immune response results in bone and tissue loss. Eventually, if too much bone is lost, the teeth will need to be extracted.

During osseous surgery, Dr. Gouldin folds back the gum tissue, removes the disease-causing bacteria from the teeth, reshapes the surrounding bone, and then secures the tissue into place. Smoothing and reshaping the irregular surfaces of the damaged bone allows the gum tissue to heal in a more uniform way, with reduced pocket depth.

What are the benefits of this procedure?

Reducing pocket depth and eliminating existing bacteria can deprogram the overexuberant immune response which many feel is the cause of progressing periodontal disease. Research shows that the combination of reducing pocket depths around the teeth to a cleansable level, effective daily oral hygiene, and frequent professional dental cleanings increase your chances of keeping your natural teeth, and decrease the chance of serious health problems associated with periodontal disease.