Madison Dental Art



At Madison Dental Art, we prioritize your dental health and are dedicated to providing a wide range of specialized services to address your unique needs. One such service is osseous surgery, a procedure designed to tackle periodontal pockets that have not responded to other treatments. In this comprehensive guide, we’ll delve into the details of osseous surgery, its purpose, the process involved, and how it can help you achieve and maintain a healthier smile.


Osseous surgery is a specialized dental procedure performed when you have a periodontal pocket surrounding a tooth that has not shown improvement with other treatment methods. The primary objective of this surgery is to preserve the affected tooth and create an environment conducive to easier maintenance and improved oral health. The surgical intervention involves the following key steps:


  1. Reshaping and Smoothing: The procedure begins by smoothing and reshaping the affected bone surrounding the tooth. This process aims to eliminate irregularities in the bone structure that can harbor harmful bacteria and contribute to the progression of periodontal disease. 

  2. Pocket Reduction: Osseous surgery involves creating a shallower pocket around the tooth, making it less hospitable for aggressive bacteria to thrive. By reducing the depth of the pocket, it becomes easier for you to clean and maintain proper oral hygiene. 

  3. Thorough Root Surface Cleaning: During the surgery, a comprehensive cleaning of the tooth’s root surface is performed. This meticulous cleaning helps remove bacterial deposits and calculus buildup, minimizing the potential for bacterial growth. 

  4. Facilitating Self-Repair: By addressing bone irregularities and reducing pocket depth, osseous surgery creates an environment that supports the body’s natural self-repair mechanisms. This aids in the healing process and helps prevent the recurrence of periodontal issues.


Determining whether osseous surgery is necessary involves a thorough examination by a skilled periodontist or dentist. Key indicators that may signal the need for osseous surgery include:


  • Deep Periodontal Pockets: A primary characteristic is the presence of periodontal pockets measuring 4mm or deeper when assessed using a periodontal probe.

  • Gum Inflammation: The gum tissue surrounding the affected tooth may appear red, inflamed, swollen, and may bleed easily, especially during brushing or flossing.


  1. Consultation and Evaluation: The process begins with a comprehensive evaluation of your oral health. X-rays and periodontal probing are typically conducted to assess the depth of the periodontal pockets and determine the extent of bone irregularities.

  2. Anesthesia: Before the surgery begins, local anesthesia is administered to ensure your comfort and pain-free experience during the procedure.

  3. Surgical Intervention: The periodontist or oral surgeon will access the affected area, remove irregularities from the bone, and reshape it to create a healthier environment for the tooth. The depth of the pocket is reduced, facilitating easier maintenance.

  4. Root Surface Cleaning: Thorough cleaning of the tooth’s root surface is conducted to remove bacterial deposits and promote healing.

  5. Suturing: In some cases, sutures may be used to close the incision site, aiding in the healing process.


Following osseous surgery, proper care and maintenance are crucial for a successful recovery and sustained oral health. Here are some essential guidelines:


  • Oral Hygiene: Maintain diligent oral hygiene practices, including regular brushing, flossing, and rinsing. Be sure to follow any specific instructions provided by your dental care team.

  • Regular Checkups: Schedule and attend routine dental checkups to monitor the progress of your healing and address any concerns promptly.

  • Lifestyle Adjustments: Avoid habits that can hinder the healing process, such as smoking or consuming foods and beverages that may irritate the surgical site.


At Madison Dental Art, we are committed to partnering with you on your journey to optimal periodontal health. If you have concerns about periodontal pockets or suspect you may require osseous surgery, our experienced team is here to provide expert care and guidance. Contact us today to schedule a consultation and take the first step toward a healthier, happier smile.