Port Charlotte Dentist    Pocket Reduction Surgery    Charlotte County Dentistry

If non-surgical treatments can't reduce pocket depth, surgery may be needed. Surgery on gum and bone can reduce pocket depth and save a tooth or teeth. It also allows the dentist to remove tartar deep below the gum line. In some cases, pocket reduction surgery is combined with regenerative procedures.

Port Charlotte Dentist  Reshaping Gum and Bone

Pocket reduction begins with flap surgery. The gum is separated from the tooth and later reattached in a new position. In most cases, osseous surgery is also performed. This involves reshaping and smoothing the bone. After treatment is complete, the gum line will most likely be lower, leaving more of the tooth exposed. If the root is exposed, ongoing treatment with fluoride or another material may be needed to reduce sensitivity.

Before Surgery Opening the Gum Reshaping the Bone
Before Surgery
A deep pocket allows plaque and tartar to collect far below the gum line. Inflammation and infection have destroyed some supporting bone.
Opening the Gum
The gum is first lifted and rolled back, creating a "gum flap." Tartar is then removed from the root. The surgeon also removes diseased gum tissue.
Shaping the Bone
If needed, the bone is smoothed and reshaped. This reduces pits and rough areas where bacteria grow.
     
Helping Tissue Heal Closing Up After the Gum Heals
Helping Tissue Heal
A substance may be applied to the root to help the ligaments and gum reattach. Instruments may be used to cauterize (seal off) the area and reduce bleeding.
Closing Up
The gum flap is sewn shut in a position that reduces pocket depth. A dressing may be used to protect the area. This dressing is a bit like clay or putty. If used, it remains in place until removed by your dentist at a follow-up visit.
After the Gum Heals
Once the gum is healed, the stitches dissolve or are removed. Your dentist also removes the dressing. The pocket is shallower. With a lower gum line, it is likely that more of the tooth will be visible.
     

Other effective procedures are also available for replacing gum tissue and bone destroyed in advanced stages of periodontal disease. These procedures are used for specific periodontal problems.  Talk to your dentist or contact Dr. Carol Stevens about the treatments that may be right for you.