Nashua Periodontics Logo

Samar Shaikh B.D.S   M.S.

John Paul R. De Guzman D.M.D  M.S.

PRACTICE LIMITED TO PERIODONTICS

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Procedures

Osseous Surgery

Your periodontist may recommend osseous surgical treatment for individuals with advanced gum or periodontal disease. This procedure, also known as pocket depth reduction, becomes necessary when non-surgical treatments like root canal scaling and planning are insufficient in restoring affected tissue around teeth. While the preference is to avoid surgery, scheduling an appointment is crucial for identifying potential threats to oral health.

Periodontal Disease

A 2009 study revealed that 64.7 million American adults aged over 30 suffer from periodontitis. Both gum disease and periodontitis involve the spread of bacteria in the gums, leading to inflammation and infection. The consequences include the spreading of pathogens that can erode enamel, gums, and alveolar bones beneath tooth pockets.

The Surgical Process

The goal of osseous surgery is to reduce pockets, recontour compromised bone, and remove damaged tissue. Ideally, your periodontist will eliminate infection, remove decay, and prevent potential future damage that would occur if left untreated.

Step-By-Step

1. Your periodontist will begin the procedure by applying a local anesthetic.
2. After the anesthetic has taken effect, your periodontist will make a small incision into the gum.
3. The bone and the roots of the tooth will be exposed.
4. Then, your periodontist will use manual and powered instruments to gently scrape deposits off of the surface of the roots.
5. She will also re-contour and trim jagged bone that has been damaged by bacteria.
6. The tissue will then be sutured to reduce pocket depth.
7. If damage from periodontitis is extensive, a bone graft or guided tissue regeneration may be necessary before the gums are stitched back together.
8. We will cover the impacted area with gauze, and send you home to recover.


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What is Bone Grafting

Bone grafting may be necessary, involving the use of bovine or human bone fragments, synthetic materials, or a powdery mixture with antibiotics. This procedure promotes growth and regeneration, ensuring a healthy foundation for a smile.

After the Surgery

Your periodontist will provide you with post-operative instructions that are specific to you that you will need to make sure to read thoroughly and follow closely.
If you are recovering from osseous surgery, you will typically be asked to do the following:


• Change gauze pads as needed
• Manage swelling with ice-packs
• Rinse mouth with salt water
• Obtain over-the-counter analgesics to manage discomfort
• Follow up with your periodontist after a week
• Make sure to follow a well-structured oral hygiene routine


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