Gum disease occurs as a result of a bacterial infection in your mouth. When it first develops, it does not seem all that serious, and often goes unnoticed. As it progresses, however, it continues to worsen. Your gums swell and begin to pull away from your teeth. Bacteria fall into the pockets that form and begin attacking the supporting structures of your teeth. As the bacteria attack your jawbone and periodontal ligaments, this can lead to the formation of bony defects. These defects provide hiding places for bacteria, making gum disease treatments more difficult. At Edward I. Jutkowitz, D.M.D., P.C. - Periodontics and Implantology, we can eliminate these bony defects and help to restore the health of your mouth with osseous surgery.
Scaling and Root Planing for Gum Disease
Scaling and root planing is a common treatment for gum disease. It is a deep cleaning of your teeth that involves cleaning their visible surfaces as well as the surfaces below the gumline. Scaling is the cleaning of the areas of your teeth above the gumline. We use a tool known as a scaler to carefully remove plaque, tartar, bacteria, and other debris.
We pay close attention to the area along, and just under, the gums. After scaling, we move on to root planing. This procedure involves the use of small, specialized tools that are inserted under the gums to eliminate plaque, bacteria, and toxins from the root surfaces of your teeth. This process smooths the roots and makes it difficult for new bacteria to adhere. An antibacterial wash helps to kill lingering bacteria. With this treatment, your gums can begin to reattach to your teeth, and your mouth can heal.
What Happens When the Pockets Are Too Deep?
If the pockets are too deep, scaling and root planing cannot be performed properly. Buildup may be missed which, even after treatment, can continue to accumulate and grow. Bacteria continue to multiply and attack your gums. As the bacteria move further down your gums, they eventually reach your periodontal ligaments and your jawbone. As bacteria attack these supporting structures, they become weak—bony defects form. These defects are regions of bone loss, and they create hiding places for bacteria, allowing them to continue to attack even if non-surgical treatments are provided.
Typically, if the periodontal pockets are too deep to be cleaned thoroughly with scaling and root planing, a surgical procedure called pocket reduction surgery is performed. This procedure involves opening up the gums so that we can effectively clean your teeth. However, if the bacteria have begun to create bony defects in your jawbone, osseous surgery becomes necessary.
Osseous surgery is often performed in conjunction with pocket reduction surgery. After opening up your gums, we use specialized tools to smooth the bony defects in your jaw. We clean the bone as well as thoroughly clean your teeth. If you have lost too much bone mass in your jaw, you may require a bone graft to restore strength as well. After surgery, your gums are sutured back against your teeth, and your gums can begin reattaching properly to your jawbone and your teeth.
The Benefits of Osseous Surgery
Osseous surgery has many benefits. These benefits include:
With osseous surgery, we can smooth your jawbone, eliminating hiding places for bacteria and helping your mouth to heal. Call Edward I. Jutkowitz, D.M.D., P.C. - Periodontics and Implantology today at (516) 740-1848 for more information.
Roslyn Heights70 Glen Cove Rd, Roslyn Heights,
Phone: (516) 740-1848 ❘
Manhattan133 East 58th St, Ste 803,
Manhattan, NY 10022
Phone: (212) 355-3944 ❘