Osseous surgery is a type of periodontal surgery to clean infected gum pockets and restore the health of your gums. Here’s what you need to know about it.
Osseous surgery is a periodontal procedure that removes diseased bone from around your teeth. The goal of osseous surgery is to improve the health and appearance of your gums. Osseous surgery can also decrease the size of deep gum pockets around your teeth.
What does osseous surgery treat?

Periodontal disease is a bacterial infection in your gums that causes inflammation in your gum tissue. Periodontal disease may lead to other oral health complications, like tooth loss and jawbone decay. Osseous surgery may be used to treat moderate or advanced periodontal disease.
What can I expect during osseous surgery?

Your dentist will use local anesthesia to numb the affected area before they begin osseous surgery. You’ll be able to go home after the procedure and won’t need anyone else there with you, but you should have someone available to drive you home if necessary.
Osseous surgery, also known as osseous resection surgery and osteoplasty, is an oral surgical procedure in which the bony ridge of the upper or lower jaw is reshaped. The procedure is commonly performed by an oral surgeon in preparation for a dental implant.
Oral surgeons perform osseous surgery to remove a portion of the bone to make space for the dental implant to be placed. This procedure can also be used to treat periodontal (gum) disease.
The primary advantage of osseous surgery is that it reduces the amount of time needed before placing a dental implant. In some cases, it may allow implants to be placed immediately after tooth loss. In addition, osseous surgery can reduce the need for bone grafts prior to implant placement in some patients with limited bone tissue.
Osseous surgery, also called flap surgery or pocket reduction surgery, is a procedure designed to remove plaque and tartar deposits from below the gumline. Osseous surgery reshapes the bone surrounding the teeth to eliminate periodontal pockets.
Periodontal disease is an infection of the tissues that support your teeth. It is a major cause of tooth loss in adults. Because periodontal disease is usually painless, you may not know you have it.
The first stage of periodontal disease is called gingivitis. At this stage, your gums may become red, swollen and bleed easily. This is caused by bacteria in plaque, a sticky film that forms on your teeth every day. If gingivitis is not treated, it can advance to more serious forms of periodontal disease and eventually lead to tooth loss.
In osseous surgery, the periodontist removes diseased tissue with a scalpel. The aim is to provide better access for cleaning along the roots of your teeth, to remove pockets around the roots, and to remove rough spots on the roots where plaque tends to accumulate.
Osseous surgery, also known as “pocket reduction surgery,” is a surgical procedure used to treat periodontal disease. During this surgery, the periodontist removes all plaque and tartar from the tooth surface and from beneath the gum line. Bacterial toxins, or poisons, are removed from the area below your gums. The periodontist then smoothes out rough areas of the damaged bone to prevent bacteria from collecting in these areas. The goal of osseous surgery is to create a smooth surface on the roots of your teeth so that the gums can reattach to healthy bone and tissue. Osseous surgery may be needed if you have moderate or advanced periodontitis, which requires more extensive treatment than scaling and root planing alone.
This surgical procedure is done under local anesthesia with sedation, if desired. You should not drive after receiving sedation and will need someone to drive you home after your appointment. You may experience some pain or discomfort during or after osseous surgery, but it can be controlled with prescribed medication.
Osseous Surgery Recovery Period
After osseous surgery, it is very important that you follow all of your periodontist’s instructions for care at home and for subsequent follow-up visits
Osseous surgery, also known as flap surgery and osseous resective surgery, reshapes the jawbone to remove deep pockets of infection that have formed around the teeth. This procedure is necessary when gum disease has progressed so far that the bone around your teeth has deteriorated. The surgery removes infected gum tissue and reshapes the underlying bones to create a healthy environment for your teeth.
Osseous surgery is a procedure that eliminates pockets of infection in your gums and reshapes the affected bone. It is used to treat periodontal disease, or gum disease.
Periodontal disease is an infection of the tissues that surround and support your teeth. It’s typically caused by poor brushing and flossing habits that allow plaque — a sticky film of bacteria — to build up on the teeth and harden.
The bacteria in plaque produce toxins or poisons that irritate the gums and cause them to become inflamed. The inflammation causes the breakdown of connective tissue that supports the teeth, ultimately resulting in tooth loss if left untreated.
If you have gum disease, you may have symptoms such as:
Red, swollen gums
Bone grafting is a surgical procedure that replaces missing bone in order to repair bone fractures that are extremely complex, pose a significant risk to the patient, or fail to heal properly. Some of these procedures use artificial, synthetic, or autologous materials to aid in bone healing.
It is also used to help regenerate bone and support implants following tooth removal (extraction).
Indications
Bone grafts are used when there is a deficiency of bone structure or volume. There are many different types of bone grafts and bone graft substitutes depending on the location and extent of the defect.
Bone grafts can be autologous (bone from your own body), allograft (bone from another person), xenograft (animal bone), alloplastic (synthetic material) or a combination of materials.