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Osseous Surgery

In extreme cases of periodontal disease such as periodontitis or gum disease, the bones and teeth themselves may come under attack. When this happens, it causes holes to form in the bone. This can severely weaken the structure, form, and function of the jaw and teeth and lead to tooth loss. In such circumstances, being able to clean deep below the gum line and repair or reshape the bone becomes a critical consideration to help ward off further incursion from the disease and allow the bone structure to recover.

Osseous surgery (literally surgery directly on a bone) is designed to allow the doctor to access the deepest parts of the jaw. By separating the gums from the underlying bone structure, the doctor can go in and clean the roots of the teeth to prevent further damage. While the doctor has the gum separated, he can also repair any holes or defects in the bone and sculpt or reshape the bone to maximize its effectiveness and structural integrity. Depending on the size, location, and type of defects in the bone, bone grafting material may be placed to help augment the matrix of the bone and shore up the damaged areas. Once this is completed, the gums will be reset over the site, sutured, and covered with a chemical periodontal bandage to speed healing and protect the site from food particles and germs.

Like any surgical procedure, osseous surgery carries its own set of risks and complications. At the time of consultation, you’ll be given a series of preoperative instructions. These must be followed closely and conscientiously to reduce the risk of complications. After the surgery, you’ll be given postoperative instructions, as well as any medications and antibiotics necessary. Careful monitoring and rigorous follow-up, as well as proper oral hygiene in accordance with your instructions and taking your medications as directed, can help prevent infection at the surgical site. If you experience bleeding that won’t stop on its own, contact Dr. De Andrade’s office immediately, as this may be a sign of a severe complication.

Our staff at Anthem only performs surgical procedures when there is a dire need to do so, because therapeutic measures often have equal or better effect with less risk of damage or complications to the mouth or the patient’s overall health. However, when osseous surgery is indicated as a result of comprehensive medical examination or radigraphic examination, following the instructions you are given closely and carefully can make the difference between a successful procedure and a potentially life-threatening complication.