Osseous surgery, also known as pocket reduction surgery, is a surgical procedure that is performed to treat periodontal disease, a condition that affects the gums and bone supporting the teeth. This type of surgery is usually recommended when non-surgical treatments such as scaling and root planing have not been successful in treating periodontitis.
Procedure of Osseous Surgery
An initial visit with a periodontist, a dental expert who focuses on treating periodontal disease, is the first stage in the osseous surgery procedure. During the consultation, the periodontist will examine your teeth and gums to determine if you are a good candidate for osseous surgery.
Preparation for the Surgery
Before the surgery, you will be given local anesthesia to numb the area around the affected tooth. Once the area is numb, the periodontist will make an incision in the gum tissue to expose the root of the tooth.
Incision and Flap Elevation
The next step in the surgery is to elevate a flap of gum tissue to gain access to the bone and root surface. This allows the periodontist to remove the tartar and bacteria that have accumulated below the gum line.
Cleaning and Smoothing the Root Surface
After the root surface has been exposed, the periodontist will use special instruments to clean and smooth the root surface. This helps to remove the bacterial toxins that have accumulated on the root surface and promotes the reattachment of the gum tissue to the tooth.
If necessary, the periodontist may reshape the bone around the affected tooth to eliminate the pockets where bacteria can accumulate. This is done using a bone file or a drill.
Once the bone has been reshaped and the root surface has been cleaned and smoothed, the periodontist will place the gum tissue back over the tooth and suture it in place. The sutures will be removed approximately one week after the surgery.
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Recovery and Aftercare
Pain Management: After the surgery, you may experience some discomfort and swelling. The periodontist will prescribe pain medication to help manage the pain and may also recommend that you use an ice pack to reduce swelling.
Postoperative Care: After undergoing osseous surgery, it is important to follow your periodontist’s instructions for postoperative care to ensure that the gums heal properly and to minimize the risk of infection and other complications.
Follow-up Appointments: Subsequent visits with the periodontist should be made after the surgery to guarantee the gums are recuperating correctly. It could take several months to track your progress, requiring multiple visits to the doctor.
Risks and Complications
Like any surgical procedure, osseous surgery does come with some risks and potential complications. The following are some of the most typical hazards connected with this kind of surgery:
Infection: There is a risk of infection after osseous surgery, but this can be minimized by following the periodontist’s instructions for postoperative care.
Bleeding: Some bleeding is normal after osseous surgery, but excessive bleeding may require additional treatment.
Nerve Damage: There is a risk of nerve damage during osseous surgery, but this is rare.
Tooth Sensitivity: Some patients may experience tooth sensitivity after osseous surgery, but this usually resolves within a few weeks.
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Alternatives to Osseous Surgery
It may treat periodontal disease, although other therapies may be necessary depending on severity. Some of the most common alternatives to include:
Scaling and Root Planing:
Scaling and root planing is a non-surgical treatment that is often recommended as a first line of treatment for periodontal disease.
Laser Gum Therapy:
Laser gum therapy is a non-surgical treatment that uses lasers to remove bacteria and tartar from the gums.
Gum grafting is a surgical procedure that is used to treat gum recession. Tissue from the roof of the mouth is transplanted onto the afflicted region.
It is a very successful periodontal disease therapy that may help stop the loss of bone and teeth. While the surgery does come with some risks and potential complications, the benefits generally outweigh the risks.
Is Osseous Surgery Painful?
Most patients report minimal discomfort during and after the surgery. The periodontist will prescribe pain medication to help manage any pain or discomfort that you may experience.
How Long Does It Take to Recover from Osseous Surgery?
The recovery period for osseous surgery varies by patient, however most individuals are able to resume their typical activities within a few days to a week.
Can It be Performed on Any Tooth?
It can be performed on any tooth that has periodontal disease and requires treatment.
Is Osseous Surgery Expensive?
Several variables, including as the severity of the problem and the location of the periodontist, might affect the price of osseous surgery.
How Successful is Osseous Surgery?
It is generally highly successful in treating periodontal disease and preventing the loss of teeth and bone. The severity of the ailment and the patient’s subsequent care affect the surgery’s success.