A Proven Solution for Treating Advanced Gum Disease

At Park Cities Periodontics & Implant Dentistry, our goal is to help you maintain your natural teeth for as long as possible. When periodontal disease progresses to a certain stage, routine cleanings and home care are no longer enough to manage it. That is where osseous surgery, also known as pocket reduction surgery, becomes a valuable treatment option.

This surgical procedure allows our board-certified periodontists, Dr. Beth Tomlin and Dr. Stephanie Bowers, to thoroughly clean the roots of your teeth and reshape the surrounding gum and bone tissue—reducing periodontal pocket depth and giving your mouth the healthiest foundation possible.

What Is Osseous Surgery?

Osseous surgery is a specialized periodontal procedure designed to reduce the depth of the pockets that form around your teeth when gum disease has caused significant tissue and bone damage. These deep pockets can become a hiding place for bacteria and calcified tartar (calculus), which are extremely difficult—if not impossible—to clean with brushing, flossing, or even regular dental cleanings.

This process not only helps stop the progression of periodontal disease—it also makes your teeth and gums easier to keep clean moving forward.

During osseous surgery, we gain access to these hard-to-reach areas so we can:

  • Remove bacteria and hardened deposits from the root surfaces
  • Reshape irregular bone that has been damaged by infection
  • Reposition the gum tissue so it heals more securely around your teeth

Why Is Osseous Surgery Recommended?

When gum disease becomes advanced, it begins destroying the bone and tissue that support your teeth in an uneven, unpredictable pattern. As the bone is lost, the gum tissue follows, creating deep pockets between the teeth and gums. These pockets become breeding grounds for bacteria that contribute to further infection, bone loss, and eventually, tooth loss if left untreated.

If your periodontal pockets have become too deep to manage with brushing, flossing, or professional cleanings, we may recommend osseous surgery. Reducing these pocket depths helps restore the health of the gums, stop disease progression, and preserve your natural teeth.

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Is Osseous Surgery Right for Me?

Osseous surgery is often recommended when:

  • Non-surgical periodontal treatments have not fully resolved the infection
  • Periodontal pockets are too deep for effective at-home care or hygiene visits
  • You are at risk of tooth loss due to ongoing bone deterioration

By surgically reducing the pockets and recontouring the bone and gums, we improve access for both you and your dental hygienist. This makes it easier to maintain long-term oral health and reduces the likelihood of recurring infection. It can also help lower your risk for systemic conditions that have been linked to periodontal disease, including heart disease, diabetes, and certain inflammatory disorders.

What to Expect During the Procedure

Osseous surgery is performed right here in our comfortable, state-of-the-art office. We offer several sedation options to ensure your experience is as relaxed as possible. Most patients choose IV moderate/conscious sedation, which allows you to sleep through the procedure while remaining safely monitored throughout.

As you heal, the gum tissue naturally reattaches in a healthier, tighter position, making your mouth easier to maintain and less prone to reinfection.

Here is what the procedure typically involves:

  1. Local anesthesia is used to thoroughly numb the treatment area.
  2. The gum tissue is gently moved aside to reveal the roots and underlying bone.
  3. Hardened tartar and infected tissue are carefully removed from the root surfaces.
  4. Any irregular or damaged bone is smoothed and reshaped to eliminate deep pockets.
  5. The gums are repositioned and sutured into place for optimal healing and long-term health.

A Long-Term Investment in Your Oral Health

The success of osseous surgery does not end when you leave our office. With proper home care, regular periodontal maintenance visits, and a healthy lifestyle, this procedure can significantly increase the chances of keeping your natural teeth for a lifetime.

At Park Cities Periodontics, we take a comprehensive approach—looking beyond just today’s treatment and focusing on how to support your health for years to come.

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Ready to Learn More?

If you have been told you have advanced gum disease or have struggled to keep deep pockets under control, osseous surgery may be the next step toward a healthier smile. We are here to answer your questions, explain your options, and create a personalized plan that works for you.

Call us today at 214-522-9700 or contact us online to schedule your consultation. Let us take the next step in restoring your gum health—together.