What to Expect During Osseous Surgery

Osseous surgery, a critical procedure in periodontal care, addresses advanced stages of gum disease. Many patients feel apprehensive about undergoing such a surgical intervention.

However, avoiding crucial treatment can lead to worsening health conditions. In advanced health stages, advanced gum disease can result in chronic inflammation affecting the entire body, increasing the risk of systemic health complications such as diabetes, respiratory disease, cardiovascular disease, and stroke.

Understanding the process could alleviate anxiety and help you get the treatment you need.

Understanding the process for osseous surgery could alleviate anxiety and help you get the treatment you need.

Understanding Osseous Surgery and Pocket Reduction Surgery

Osseous surgery involves the reshaping of bone and gum tissue to treat periodontal disease. The goal of osseous surgery is to clear concealed plaque, close periodontal pockets, and restore oral health. It is often recommended when non-surgical treatments fail to restore gum health. The primary goal of this surgery is to reduce the pocket depths around teeth. These pockets, if left untreated, can harbour bacteria, leading to further bone loss and potential tooth loss.

During the procedure, the dentist removes diseased gum tissues and bacteria. Your dentist then reshapes the bone to create a more natural and healthy contour. This procedure involves reshaping damaged bone to repair areas affected by gum disease. This not only helps preserve teeth but also contributes to restoring health and restoring proper function to the mouth.

This process could not only improve oral health but also enhance the aesthetic appearance of the gums. Osseous surgery creates a better oral environment by reducing bacteria and inflammation, thereby supporting a healthier oral environment overall.

Preparing for the Procedure

Preparation for osseous surgery begins with a thorough evaluation of your oral health. Your dentist will conduct a detailed examination of your gums and take X-rays to assess the extent of bone loss. In some cases, a deep cleaning, known as scaling and root planing, may be required before surgery. This procedure helps to reduce inflammation and bacterial load in the mouth.

Your dentist will also discuss anesthesia options with you. Local anesthesia is commonly used to numb the surgical area. However, for those who experience anxiety, sedation options are available. It is crucial to follow any pre-operative instructions provided by your dentist.

These may include dietary restrictions or adjustments to your medication regimen. Patients are advised to stop taking blood-thinning medications before osseous surgery to minimize bleeding risks. You may also be advised to stop taking blood-thinning medicines before surgery to minimize bleeding risks.

The Day of Surgery

On the day of your surgery, it is important to wear comfortable clothing. Avoid wearing makeup or jewelry, as these can interfere with the sterilization process. Arrive at the dental office early to complete any necessary paperwork and to allow time for relaxation.

Your dentist will review your medical history and confirm your choice of anesthesia. You will receive detailed instructions regarding post-operative care. It is essential to follow these instructions to ensure a smooth recovery.

During the Surgical Procedure

The osseous surgery procedure begins with the administration of local anesthesia to numb the gums. Your dentist will make small incisions in the gum tissue to access the underlying bone.

During osseous surgery, the periodontist will cut along the gum line to assess the condition of the gums and remove any plaque from the root of the teeth. Diseased tissue and bacteria are carefully removed from the pockets around the teeth.

The number of teeth treated during osseous surgery will depend on the extent of the disease. Your dentist then reshapes the bone to create a more natural and healthy contour.

This process helps reduce the depth of the pockets, making them less conducive to bacteria. Once the reshaping is complete, your dentist will close the incisions with stitches. The entire procedure typically takes one to two hours, depending on the extent of the disease.

Alternatives to Surgery

For individuals diagnosed with gum disease, it’s important to know that surgery is not always the first step in treatment. There are several non-surgical options available that can effectively treat gum disease, especially in its earlier stages.

One of the most common treatments is scaling and root planing, a deep cleaning procedure that removes plaque and tartar from below the gum line and smooths the tooth root to help gum tissue reattach. This approach can significantly reduce inflammation and halt the progression of gum disease.

In addition to deep cleaning, your dentist may recommend antimicrobial mouth rinses or prescription medications to control infection causing bacteria and support healing.

Improved daily oral hygiene, including brushing with fluoride toothpaste and regular flossing, is essential for maintaining gum health and preventing further damage. For some patients, lifestyle changes such as quitting smoking and managing underlying health conditions can also play a vital role in treating gum disease.

These non-surgical treatments are most effective for mild to moderate gum disease. 

Discussing all available options with your dental professional ensures you receive the most appropriate care for your stage of gum disease and overall oral health.

Aftercare and Recovery for Oral Health

Post-operative care is crucial for a successful recovery. After the surgery, you may experience some swelling and discomfort. Osseous surgery can help prevent further tooth loss due to advanced gum disease. Your dentist will likely prescribe pain medication to manage these symptoms.

It is important to follow the dosage instructions carefully. Applying an ice pack to the outside of your face can help reduce swelling. Post-operative discomfort, including pain and bleeding, is common after osseous surgery.

For the first few days, stick to a diet of soft foods. Avoid hot, spicy, or crunchy foods that could irritate the surgical site. Maintaining good oral hygiene is essential during the recovery period. Symptoms such as chronic bad breath and bleeding gums often improve as healing progresses. Gently brush your teeth and use an antimicrobial mouthwash to reduce bacterial load. Smoking can significantly delay healing, so it is advisable to avoid it altogether.

Follow-Up Appointments

Follow-up appointments play a critical role in ensuring proper healing. Your dentist will schedule several visits to monitor your progress. During these appointments, the dentist will remove any stitches and examine the area for signs of infection or complications. They will also clean your teeth to remove any plaque or tartar buildup. 

Potential Risks and Complications

As with any surgical procedure, osseous surgery carries some risks. These include infection, bleeding, and swelling. However, following your dentist’s aftercare instructions can minimize these risks.

Contact your dentist if you experience severe pain or swelling, as these may be signs of an infection. In such cases, your dentist may prescribe antibiotics to manage it. Long-term complications are rare but can include gum recession and increased tooth sensitivity. 

Osseous Surgery for Periodontal Disease in Plano, TX

Dr Bradley Dean and his experienced team provide expert care to help you maintain a healthy smile. Dr Dean is a gum specialist who provides expert gum disease treatment, including gum surgery and osseous surgery.

If you suffer from advanced gum disease, osseous surgery may be beneficial. Contact his office today to schedule a consultation and see if treatment is right for you. Book a gum disease consultation to discuss your options, including dental implants if teeth have been lost due to gum disease.