Pocket Reduction Surgery

Dental Pocket Reduction Surgery in Daytona Beach and Palm Coast, FL

Dental pocket reduction surgery (also known as osseous surgery, and flap surgery) is a collective term for a series of several different surgeries aimed at gaining access to the roots of the teeth to remove bacteria and tartar buildup (calculus).

The human mouth contains dozens of different bacteria at any given time. The bacteria found in dental plaque (the sticky substance on teeth) produce acids that lead to demineralization of the tooth surface and ultimately contribute to periodontal disease.

Periodontal infections cause a chronic inflammatory response in the body that destroys bone and gum tissues once they invade the subgingival area (below the gum line). Gum pockets form and deepen between the gums and teeth as the tissue continues to be destroyed.

Periodontal disease is a progressive condition that, if left untreated, causes massive bacteria colonization in gum pockets and can eventually cause teeth to fall out. Pocket reduction surgery is an attempt to alleviate this destructive cycle, and reduce the depth of the bacteria-harboring pockets.

Reasons for the osseous surgery

Pocket reduction surgery is a common periodontal procedure proven effective at eliminating bacteria, reducing inflammation, and saving teeth. The goals of dental pocket reduction surgery are:

• Reducing bacterial spread– Oral bacteria has been connected to many other serious conditions such as diabetes, heart disease, and stroke. Bacteria from the mouth can enter the bloodstream and spread to other body parts. From there they can start to multiply and form colonies. It is important to decrease bacteria in the mouth to reduce the risk of secondary infection.
• Halting bone loss– The chronic inflammatory response induced by oral bacteria leads the body to destroy bone tissue. As the jawbone becomes affected by periodontal disease, the teeth lose their rigid anchor. When the teeth become too loose, they may require extraction.
• Facilitate home care– As the gum pockets become progressively deeper, they become problematic for the patient to clean. The toothbrush and dental floss cannot reach the bottom of the deep pockets, increasing the risk of further periodontal infections.
• Enhancing the smile– An oral cavity affected by periodontal disease is not attractive to the eye. Smiles may be marred by brown gums, rotting teeth, and ridge indentations. Pocket reduction surgery can stop the progression of gum disease and improve your smile’s overall appearance.

In the event of an anticipated tooth loss, a periodontist may recommend a bone grafting procedure. It can help maintain the integrity of the bone structure and prevent tooth loss by supporting the affected tooth. This dental procedure involves placing bone material in the area surrounding the tooth to encourage bone regeneration and secure the tooth in its position.

What does dental pocket reduction surgery involve?

Before recommending treatment or performing any procedure, the dentist will perform thorough visual and X-ray examinations to assess the condition of the teeth, gums, and underlying bone. Gum flap surgery can be performed under local or general anesthetic depending on patient preferences. Sedation options are available for anxious patients.

The gums will be gently moved away from the teeth and harmful bacteria and calculus (tartar) will be eliminated. Scaling and root planing will generally be required to remove the ossification (tartar) from the tooth root surface. In cases where the surface is not entirely smooth, a root planing procedure may be necessary to prevent the gums from reattaching to rough or uneven surfaces as they heal.

After dental surgery, it is usual to apply an antimicrobial liquid to eliminate any remaining bacteria and facilitate the healing process. The gum is then sutured with tiny stitches left for 5-10 days.

Though the gums will be more sensitive immediately following the procedure, there will be a significant reduction in pocket depth and a vast improvement in the condition of the teeth and gums.

For patients who would prefer a scalpel-free alternative, ask about LANAP laser surgery. After surgery, follow our post-periodontal flap surgery instructions. If you have any questions about pocket reduction surgery, please contact our office.