Osseous Surgery​

Osseous surgery, also known as flap surgery or pocket reduction surgery, is a dental surgical procedure performed by periodontists (dentists specializing in the treatment of gum and periodontal disease) to treat advanced gum disease, particularly when it has led to significant bone loss around the teeth.

What To Expect​

Assessment and Diagnosis
Dr. Christos Constantinides initiates the Osseous Surgery process with a comprehensive assessment and diagnosis. During this initial step, your oral health and specific needs are evaluated. This typically involves X-rays and examination to determine the extent of periodontal disease and bone loss.
Anesthesia and Access
On the day of the procedure, local anesthesia is administered to ensure your comfort. Dr. Constantinides makes small incisions in the gum tissue to access the affected areas where bone loss has occurred.
Removal of Damaged Tissue and Bone
During this step, Dr. Constantinides removes the damaged gum tissue and any compromised bone to create a clean and healthy environment for your teeth and surrounding structures. This helps eliminate pockets where bacteria can thrive.
Sutures and Healing
After the removal of damaged tissue and bone, the incisions are closed with sutures. Dr. Constantinides provides post-operative care instructions, which you should follow diligently to ensure proper healing and the restoration of a healthier periodontal environment.

Goals Of Osseous Surgery​

1. Gum Disease Management:

Osseous Surgery is primarily aimed at treating advanced gum disease by removing diseased tissue, promoting healing, and reducing pocket depths.

2. Tooth Preservation:

By addressing gum disease and repairing damaged bone, Osseous Surgery aims to preserve teeth that might otherwise be at risk of extraction due to severe periodontitis.

3. Improved Gum and Bone Health:

The procedure contributes to the restoration and regeneration of gum and bone tissue, enhancing the overall health and stability of the oral structures.

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Frequently Asked Questions

We will be as gentle as possible. The periodontal exam can be completed with little or no discomfort.

We will need current periodontal x-rays in order to see disease not otherwise visible. If your referring dentist has taken x-rays, you may request that they be forwarded to us.

Since all patients are different, your periodontist must complete your examination before establishing your treatment planning and the fee for care. The fee for periodontal treatment can vary considerably depending on the type of problems and the complexity and length of treatment. An approximate fee can usually be determined at the initial visit; but on occasion, some initial treatment or further diagnostics must be completed before the final treatment planning can be established. Our philosophy of practice is to treat as conservatively as possible to attain treatment goals.

Dental insurance policies often cover periodontal treatment. Please bring all medical and dental benefit information and cards to your examination appointment.

Not everyone needs periodontal surgery. If treated early, gum disease can be controlled without surgery. We will make recommendations based on your individual situation. Our philosophy of practice is to treat as conservatively as possible to attain treatment goals.

The recent advances in periodontal treatment allow us to successfully treat most teeth.

Our office and your dentist will work closely together. If crowns and fillings are needed your dentist will provide them. Regular visits to your dentist are an important part of periodontal maintenance.

Periodontal disease is a progressive, painless infection. Delay can cause you further bone loss and more expense. If your teeth are lost, dentures are never as effective as your own natural teeth.

After tooth extraction, if the walls of the socket are very thick, they will usually fill naturally with bone in two to three months. However, when the walls of your socket are very thin (such as in your upper and lower front teeth), this type of healing will not be as predictable. In these situations, a bone graft is often placed at the time of tooth extraction to help your body fill in the empty socket with bone. This step will maintain the width and volume of bone you will need for implant placement several months later.

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