What is Osseous Surgery?
If you have a healthy mouth, there should be less than a 2- to 3-millimeter (mm) pocket (rift) between the base of your teeth and gums.
Gum disease can increase the size of these pockets.
When the gap between your teeth and gums becomes deeper than 5 mm, the area becomes difficult to clean at home or even with a professional cleaning by a hygienist.
Gum disease is caused by a buildup of bacteria that appear as a sticky and colorless plaque.
As your pockets get deeper, more bacteria can enter and wear away at your gums and bone. If left untreated, these pockets may continue to get deeper until your tooth needs to be removed.
Osseous surgery, also known as pocket reduction surgery, is a procedure that gets rid of bacteria living in pockets. During the procedure, a surgeon cuts back your gums, removes the bacteria, and repairs damaged bone.
About Iranian Surgery
Iranian surgery is an online medical tourism platform where you can find the best Dentists in Iran. The price of Osseous Surgery in Iran can vary according to each individual’s case and will be determined based on photos and an in-person assessment with the doctor.
For more information about the cost of Osseous Surgery in Iran and to schedule an appointment in advance, you can contact Iranian Surgery consultants via WhatsApp number 0098 901 929 0946. This service is completely free.
Before Osseous Surgery
Goals of osseous surgery
The main goal of osseous surgery is to eliminate or reduce pockets formed by gum disease.
Mild gum disease that hasn’t spread to your jawbone or connective tissue is called gingivitis. It’s thought that as many as 90 percent of people around the world have gingivitis.
If left untreated, gingivitis can lead to periodontitis. Periodontitis can cause damage to the bone that supports your teeth. If gum disease and pockets aren’t treated properly, they can eventually lead to tooth loss.
Surgeries for gum disease, including osseous surgery, have a high success rate.
Avoiding tobacco, following good dental hygiene, and listening to your dentist’s post-surgery recommendations can increase the effectiveness of the surgery.
Potential Risks
Even if you have the most qualified dental surgeon, there’s always the possibility of complications. With osseous surgery, you should be aware of the following risks:
. Cavities: You’re more likely to develop root-based cavities in the teeth that were treated with gum pocket reduction surgery. Maintaining regular dental cleanings and check-ups, along with proper care at home, will help protect more vulnerable teeth.
. Infection: It’s possible that you’ll end up with an oral infection after surgery. If left untreated, an infection in the mouth can spread to the rest of your body, producing a serious health concern. Following your aftercare instructions will help minimize the chance of infection.
. Receding gumline: After surgery, your gums around the treated teeth may start to recede faster than the rest of your gums, making these teeth look longer than the others. Treatment is available to correct this issue if it occurs.
. Sensitive teeth: Your teeth may feel more sensitive to hot and cold. Using a straw with beverages and waiting for your food to cool down before eating will help you avoid discomfort.
Contraindications
Treating advanced gum disease is essential to prevent more dangerous issues from arising. If a patient is pregnant or has allergies to certain medications, additional precautions will need to be taken during oral surgery. Always let your healthcare provider know about your full medical history to ensure your safety.
During Osseous Surgery
During the procedure
Pocket reduction surgery usually takes about 2 hours. A periodontist usually performs the surgery.
Your dentist may recommend pocket reduction surgery if you have severe gum disease that can’t be treated with antibiotics or root planing.
Here’s what you can expect during your surgery:
1. You’ll be given a local anesthetic to numb your gums.
2. The periodontist will make a small incision along your gumline. They’ll then fold back your gums and remove the bacteria underneath.
3. They’ll then smooth down any areas where the bone is damaged or irregularly shaped.
4. If your bone is severely damaged, a periodontal regeneration technique may need to be implemented. These techniques include bone grafts and guided tissue regenerative membranes.
5. Your gums will be sewn back and covered with a periodontal dressing to help manage the bleeding.
After Osseous Surgery
Recovery from the procedure
Most people can return to their normal life within a few days of osseous surgery.
You’ll be required to visit the periodontist within seven to 10 days after your surgery to check on healing and get stitches removed. You should feel fully healed in about two to four weeks.
Some swelling and bleeding are normal following oral surgery. You’ll be provided with aftercare instructions including pain medication to ease discomfort and mouth rinses to keep the area clean. You may also be prescribed antibiotics to reduce the risk of infection.
Putting extra pillows on your bed will let you keep your head elevated above your heart. This can reduce swelling and help you feel better faster. When bleeding starts, bite down a piece of gauze to apply pressure and stop the bleeding.
The periodontist may give you specific recommendations about dietary changes you should make while recovering.
The following habits may help you recover from gum surgery:
. Avoid smoking, which can be difficult, but your doctor can help build a plan that works for you
. Avoid using a straw until your mouth completely heals
. Drink plenty of water to stay hydrated
. Stick to soft foods for the first few days
. Avoid physical activity after surgery
. Change your gauze regularly
. Rinse your mouth with saltwater after 24 hours
. Place an ice pack against the outside of your mouth to manage swelling
You can reduce your chances of developing gum disease and pockets by following good dental hygiene.
For optimal tooth and gum health, it’s a good idea to make the following activities daily habits:
. Visiting a dentist regularly
. Brushing your teeth twice per day
. Using fluoride toothpaste
. Flossing your teeth every day
. Eating a healthy and balanced diet
. Avoiding using all tobacco products, including smoking
Osseous surgery alternatives
If your gum disease has reached an advanced stage, osseous surgery may be necessary to save your tooth. However, root planing and scaling may be recommended in cases of mild gum disease.
. Scaling and root planing
Scaling and root planing make up the gold standard initial treatment option for periodontitis.
A dentist may recommend it if you have a mild case of gum disease. Scaling and root planing offer a deep cleaning method that involves scraping away built-up plaque and smoothing exposed parts of your roots.
. Antibiotics
A dentist may recommend either topical or oral antibiotics to get rid of bacteria built up in your pockets. Antibiotics are a treatment option for mild gum disease.
. Bone grafting
If gum disease has destroyed the bone around your tooth, a dentist may recommend bone grafting. The graft is made of pieces of your own bone, donated bone, or synthetic bone.
After the surgery, new bone will grow around the graft and help keep your tooth in place. Bone grafting may be used along with pocket reduction surgery.
. Soft tissue grafts
Gum disease often leads to gum recession. During a soft tissue graft, a piece of skin from the roof of your mouth is used to cover your gums.
. Guided tissue regeneration
Guided tissue regeneration is a procedure that helps you regrow bone damaged by bacteria.
The procedure is performed by inserting a special fabric between your bone and tooth. The fabric helps your bone regenerate without other tissues interfering.
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