Osseous surgery is a surgical dental procedure done when there is a pocket around the tooth that has not responded to other kinds of dental treatments. The goal of this type of surgery is to save the affected tooth and for dental health and hygiene to prevail. The procedure is all about smoothing and reshaping the affected bone to avoid bacteria build-up and survival. When the bone is prepared the body will have an easier time to heal and repair any inflammation due to bacteria growth in the area.
Not all dentists may perform osseous surgery; only trained dental professionals are able to do so. The usual procedure starts with identifying the teeth that needs treatment or surgery. This is done by measuring the pocket that has formed around the tooth; a periodontal probe is a diagnostic tool that is used to measure the depth of the pocket. A depth of 4mm or more is a candidate for osseous surgery. The gum area around the tooth is also assessed; it is usually red, inflamed, easily bleeds and swollen.
After the affected tooth is identified, other kinds of treatments will be done to reduce the inflamed gum tissue. If the inflammation does not subside or the tooth pocket worsens, the patient is scheduled for surgery.
Osseous surgery is done in a doctor’s office. The dentist applies anesthesia over the area and once the area is already numb, an incision will be made in the gum tissue that will need treatment. The gum will be lifted from the area and the lower part of the tooth will be cleaned with the use of an instrument that will scrape dirt. Usually inflammation and decayed pockets around the tooth destroy bone over time. Bone that is irregularly shaped is cleaned thoroughly with a powerful hand piece; this looks like a toothbrush that rotates from the tip.
And aside from cleaning the irregularly destroyed bone, a tool also smoothens the surface so that gum will be reattached will easily heal. When the lifted gum is returned to its position it is cut to meet the exact shape of the bone and with a simple suture will hold the gum in place to aid in the reattachment of the tissue to the gums. It would take up to 10 days before the stitches are removed and mostly there is pain felt over the area as the gum tissue heals.
Dentists that perform osseous surgery will recommend using pain relievers and antibiotics to reduce the possibility of infection. The surgical site will be inspected regularly to check for complications of the treatment and to inspect the healing of the gum tissue. These are done before and after the sutures have been removed. Further pain medications are prescribed as well as antibiotic treatments to ensure efficient tissue healing. The dentist will also recommend further treatments for the patient to preserve other teeth. Affected teeth are treated according to severity and usually the teeth with the deepest pockets get to receive the first treatment.