Recontouring of Bone Around the Teeth to Reduce Pockets and Make Cleaning More Effective.
When nonsurgical therapy has achieved all it can to reduce pockets, but craters are still present in the bone from periodontal (gum) disease, osseous surgery is usually needed. This procedure allows the periodontist to gently pull back the gums to gain access to the roots of the teeth and the surrounding bone. This is usually the first time a dental professional has been able to actually see the roots and verify that all plaque and tartar have been removed and to identify any unusual root characteristics that might be hard to get clean during a dental cleaning. Under a local anesthetic, the procedure involves cleaning the roots thoroughly, removing infected gum tissue and then reshaping the bone around the teeth to make daily cleaning easier and to eliminate as many of the bone craters as possible. The end result is a reduction in periodontal pockets and the creation of gum contours that are now optimized for daily cleaning.