Types of Surgery

Pocket Reduction Surgery
Surgery on gum and bone can reduce pocket depth and save a tooth or teeth, and allows the dentist to remove tartar deep below the gumline.

Reshaping Gum and Bone
Pocket reduction begins with flap surgery. The gum is separated from the tooth and later reattached in a new, usually slightly lower position. In most cases, osseous surgery is also performed. This involves reshaping and smoothing the bone. If the root is exposed, ongoing treatment with fluoride or another material may be needed to reduce sensitivity.

Regenerative Procedures
Certain procedures can be used to stimulate growth of new bone. This increases the height of the bone around the tooth, giving it more support, which can extend the life of the tooth (teeth).

Bone Replacement Graft
A graft helps your body replace lost bone, and could consist of your own bone, synthetic material, or bone from a tissue bank. A material containing growth factors may also be used to stimulate tissues to grow.

Guided Tissue Regeneration (GTR)
A special membrane usually is placed between gum and bone. This blocks fast-growing gum tissue from filling the space where bone was lost, so that the slower growing new bone has time to regrow where it is needed.

Gingival or Soft Tissue Surgery
If your gumline looks uneven, or you see too little gum, surgery on the gums can lower or even out the gumline. If more of the tooth needs to be exposed, surgery can achieve this as well.

Soft tissue Graft
When the gum isn’t supported by bone, the gum can start to pull away. A graft can be used to fill in an area where the gum has receded. The graft tissue may be taken from the roof of the mouth or from a tissue bank.

Crown Lengthening
Surgery to expose more of the crown includes:
  1. Functional. In some cases, a restoration (artificial crown) is needed. Gum andbone are removed to expose enough tooth to anchor the new crown.
  2. Cosmetic. This is done to treat an overgrowth of gum tissue that causesa “gummy” smile, often creating dramatic esthetic enhancement.
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Helpful Links
We encourage you to visit the American Academy of Periodontology website at www.perio.org for everything you need to know about periodontal health!