Osseous Surgery


Osseous Surgery

In most cases of periodontitis, dental deep cleaning procedure is the standard treatment by which to treat gum disease and restore oral health. During dental deep cleaning procedure, scaling and root planing treatments are used to remove all the plaque and tartar and then reconnect the gums to the teeth.

However, in some cases, periodontitis may advance to such a stage that you still have a pocket of space around your tooth. In that case, osseous surgery is used as the final treatment for gum disease. In this article, we discuss what is osseous surgery and what to expect during the osseous periodontal surgery.

What is Osseous Surgery?

Osseous surgery is a periodontal procedure in which the dentist removes or reshapes the damaged bone around the affected tooth or teeth. This is done because bacterial infection often spreads to the bones during periodontitis. This periodontal procedure gets rid of all the bacteria, reduces pockets of space between the tooth and gums, and finally smoothens the damaged bone so that the receding gum tissues can reattach to the bone.

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Description of Osseous Periodontal Surgery

The following steps are involved in the osseous periodontal surgery procedure:

  • The dentist applies local anesthesia to numb the area so you don’t feel any pain.
  • The dentist makes a small incision in the affected gum tissues and flaps it back to reveal the bone and root of the tooth.
  • The root surface will be cleaned and all deposits will be scraped off. The dentist will also reshape and smoothen the jagged bone.
  • The incised tissue will be sutured up in such a manner so as to minimize the gap once the wound heals.
  • In some cases, if there’s heavy loss of bone structure, the dentist may also have to perform a bone graft procedure. In this case, the dentist will first plant a bone graft — derived from another part of the individual’s body, or another person, or an animal, or a synthetic material — into the gum tissue before suturing it. This will promote healing and encourage tissue and bone regeneration.

When and Why is Osseous Periodontal Procedure Necessary?

No matter how well you brush and floss your teeth, you can’t get rid of all the food particles stuck between your teeth, especially those in the deeper recesses of your mouth. Over time, these food particles attract bacteria that lead to the formation of plaque, which, in turn, hardens into a substance called tartar. Plaque and tartar are hard to remove on your own and they further facilitate bacterial infection. Over time, bacterial decay sets into your teeth and you suffer from gingivitis. If you don’t treat gingivitis in a timely manner, the bacterial decay can also spread under your gums, which eventually leads to the formation of pockets between your teeth and gums that causes them to pull apart. This is known as periodontitis.

In most cases, dentists perform a non-invasive procedure called dental deep cleaning — which comprises scaling and root planing — to treat periodontitis. However, in some cases, the infection has already spread under your gums and into your bones, which makes the dental deep cleaning procedure ineffective. In that case, osseous surgery becomes a necessity. If you don’t treat periodontitis with osseous surgery in a timely manner, it can eventually infect your bones and lead to the loss of teeth. That’s why an osseous periodontal procedure is absolutely necessary if simple dental deep cleaning doesn’t work.


James B.

My minor procedure was pleasant, quick and painless. Dr. Grant and his assistant were very cordial, professional and informative about the procedure and the follow up care.

Joshua F.

I had another regular scheduled appointment at West Orem dental. Ease and flexible scheduling. Walked in, friendly service with no wait. X-rays and cleaning was smooth and relaxing. The friendly service and customer care had me lose track of time. I already scheduled my next appointment. Glad me and my family made the switch to West Orem Dental.

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Heard about Dr. Grant at W.Orem Dental through a friend and I’m so glad I did. Office staff is very friendly and organized. Dr. Grant did great work on my fillings and left me in virtually no pain at all. I’ll definitely be going back.

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Dr Grant is extremely patient with his clients. He goes out of his way to ensure your comfortable. He genuinely cares about excellence in his work. He gives personal service and takes his time with you individually. Dr Grant is not Just another dentist.

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I hate the dentist but I LOVE West Orem Dental, entering the doors are full of smiles and welcomes from Mary and Stephanie they make me feel way more comfortable, the service was great as usual I will be returning soon they’re the best

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My family and I have been coming to Dr. Grant for years. We love his dental work, very professional and good bedside manner. His staff is very helpful. They also accept Care Crédit for those unexpected dental expenses that dental insurance doesn’t cover. I definitely recommend West Orem Dental.

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I have been going to West Orem Dental Center for many years for all of my dental needs. The staff is so caring, kind and gentle. Their work is exceptional. Thank you for restoring my smile. I appreciate all that you do.

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West Orem Dental is great. Dr. Grant and his staff are very professional. They make your dental visit experience as comfortable as possible. I’ve been a customer for many years and have always been welcomed with smiling faces.

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Been coming here since I was five now its over 40 years later and I’m bringing my kids
Dr Watkins was always great and now Mark Grant is just as good and makes us always feel important
Mary is great also always finding out answers to my many questions!!

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I’ve been going to the West Orem Dental for over a decade and have never been disappointed. The staff is amazing, they make you feel right at home. This is the most efficient place I’ve ever been to. Thank you West Orem Dental Center for always taking care of my teeth. They even make a Dental extraction pleasant and easy.

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I have been going there for years and Dr Grant is a great dentist. He is very friendly and caring plus I am very pleased with the work he has done on my teeth.

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The people are caring and do a good job to educate you about the importance of good dental health. I recommend them to take care of all your dental needs. Thank You West Orem Dental

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Dr. Grant, is a good, and caring dentist…He listens to you, and helps you to decide the best treatment for your problem…I had a root canal , yesterday, was scared to death..my first one… I didn’t need to be afraid…it was a snap ! If you need a good dentist, he’s you man ..

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Mary and Stephanie we absolutely amazing!!! I came in with horrible pain and needing a tooth extracted and they fit me in immediately and worked with me on everything!! I cannot tell you how amazed I am with these guys!!! And Dr Grant is one of a kind!!! No pain and super quick!!! Love love love!!!!

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Well I found this dentist thru my insurance. They were great. The dentist did a great job on my teeth and dentures. I have received a lot of compliments on my teeth. I would recommend them in a minute. I even send my sister there and she was happy with the work they did on her teeth.

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Very patient and explains everything … About to get my first root canal and I am very calm knowing that Dr. Grant will do an awesome job.. staff is very welcoming and make sure you are taken care of.

Joyce M.

I have seen Dr Grant several times. I had a wisdom tooth pulled. It wasn’t an easy process, tooth just had broken the gums and had been this way for years. Dr Grant did a wonderful job, I had no pain during the procedure or afterwards, only soreness. I’m now having a root canal done and have also been well taken of….no pain. He informs you of what he will be doing. He and all his staff are very friendly. It is so comforting to walk in the door and be greeted by smiling faces from the ladies at the front desk. I feel important as a patient, well taken care of and recommend Dr Grant to anyone who is in need of a great dentist.

Beverly J

I have been coming to West Orem for over 20 years. The service is remarkable and the staff is wonderful. Dr Grant is the best and he is very sensitive to your needs. The staff goes over and beyond to help you and make you feel like you are the only patient in the world. Thank you West Orem Dental for caring enough to give me the best of your service.

What to Expect after Osseous Periodontal Surgery?

You can expect the following after your osseous periodontal surgery:

  • The dentist will place a gauze over the wound to stop the bleeding.
  • You will be instructed to rinse your mouth with warm salt water on a regular basis and apply cold compressors to your cheeks to minimize swelling.
  • You’ll need to keep changing the gauze pads as long as your gums continue bleeding.
  • The doctor will also prescribe over-the-counter medications you can take to handle the pain.
  • You’ll need to avoid hard foods for a day or two.
  • After a day or two, you’ll heal completely and you’ll be able to return to your daily activities, but you’ll have to continue seeing your dentist at least once a week.
  • You’ll also have to go to the dentist regularly for preventative maintenance so you don’t get gum disease again.
  • The dentist will also recommend an oral care routine such as brushing twice a day with a specific toothpaste or rinsing your mouth regularly with an antibacterial mouthwash.

Periodontal Disease Treatment Cost

There’s no way to predict your periodontal disease treatment cost without checking your condition. Treatments for gum disease can range all the way from $500 to $10,000 depending on the procedure, extent of treatment necessary, number of sessions necessary, and various other factors. Periodontal disease treatment is almost always covered by insurance, at least to some extent, so you won’t have to pay for the entire treatment out of pocket.

Frequently Asked Questions about Osseous Surgery

What can I do to treat my own periodontal disease?

It’s not advisable to treat your own periodontal disease. You can incorporate some oral hygiene techniques in your day-to-day life to avoid periodontal disease altogether. But periodontitis is a very serious disease and you can only treat it with medical procedures at a dental clinic. Please schedule an appointment with your dentist immediately so they can come up with the right treatment plan.

What are the pros and cons of dental implants?

The pros of dental implants are that they look and function just like real teeth, are convenient, durable, and they’re permanent. The biggest con of dental implants is that they’re extremely expensive.

Schedule an Appointment with one of the Best TMJ Dentist

At West Orem Dental, we have some of the world’s finest dentists who can treat periodontitis using the most non-invasive procedures available. We generally treat periodontal disease using a simple dental deep cleaning procedure and we only proceed to complex osseous periodontal surgery if all other options fail. For more information, please schedule an appointment today.

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