Advanced periodontal treatment that saves smiles — specialized bone reshaping procedures that restore function and health when gum disease progresses.
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When periodontal disease advances beyond what non-surgical treatments can effectively manage, osseous surgery provides the necessary intervention to address damage to the supporting bone and create an environment conducive to long-term oral health. This specialized procedure addresses irregular bone patterns created by progressive gum disease, eliminating bacterial harbors and establishing the foundation for ongoing periodontal stability. At Park Smiles NYC, our experienced team offers precision osseous surgery in our state-of-the-art Manhattan facility.
Osseous surgery, also known as pocket reduction surgery or periodontal flap surgery, is a specialized procedure designed to eliminate periodontal pockets and reshape irregular bone damaged by advanced gum disease. This surgical intervention becomes necessary when non-surgical treatments like scaling and root planing cannot adequately address deep pockets and significant bone irregularities.
During this precision procedure, the gum tissue is temporarily reflected to gain direct access to the affected bone and root surfaces. The surgeon meticulously removes diseased tissue, thoroughly cleans the root surfaces, and carefully reshapes irregular bone using specialized instruments. This reshaping process eliminates the craters and deformities created by periodontal disease that harbor bacteria and prevent tissue reattachment. Once the bone is properly contoured, the gum tissue is repositioned and secured, often at a level that reduces pocket depth and enables more effective home care.
At Park Smiles NYC, our approach to osseous surgery emphasizes precision, tissue preservation, and careful postoperative management. We utilize microsurgical techniques whenever possible to minimize trauma and enhance healing. This procedure serves as a critical intervention for advanced periodontal disease, creating the anatomical foundation necessary for long-term periodontal health and helping patients maintain their natural teeth despite significant previous damage.
Don’t let advanced gum disease threaten your teeth. Our Manhattan specialists provide expert osseous surgery that eliminates disease and creates the foundation for lasting oral health.
Osseous surgery effectively eliminates periodontal pockets that harbor bacteria and perpetuate infection, creating an environment where disease progression can be halted. By removing diseased tissue and reshaping irregular bone, the procedure addresses the anatomical deformities that prevent healing and reattachment of the gums to tooth surfaces. This comprehensive approach resolves active infection and inflammation, alleviating symptoms like bleeding, swelling, and persistent bad breath that often accompany advanced periodontal disease.
By addressing advanced bone damage before it progresses to critical levels, osseous surgery helps preserve natural teeth that might otherwise require extraction. The procedure creates the structural foundation necessary for long-term tooth retention, protecting your natural dentition and avoiding the need for more complex and costly tooth replacement options. For many patients, this intervention represents the difference between maintaining their natural teeth and facing multiple extractions due to progressive bone loss.
Following successful osseous surgery and appropriate healing, patients benefit from a more manageable oral environment where effective home care becomes possible. The reduction in pocket depths allows for better access during brushing and flossing, while the smoother bone contours create fewer areas where bacteria can accumulate beyond the reach of cleaning tools. This improved cleansibility is essential for maintaining the results of surgery and preventing disease recurrence.
Beyond the direct periodontal benefits, resolving chronic oral infection through osseous surgery may positively impact overall health. Research has established significant connections between periodontal inflammation and systemic conditions including heart disease, diabetes, and respiratory issues. By eliminating persistent infection and reducing oral inflammation, osseous surgery may contribute to better management of these related health concerns in addition to improving oral health.
At Park Smiles NYC, our osseous surgery procedures are performed by our experienced team of specialists who understand the complexities of advanced periodontal disease and the precision required for successful surgical management. Our staff includes professionals with advanced training in contemporary periodontal surgical techniques. Dr. Krystle Kendall collaborates closely with our surgical specialists to ensure comprehensive care that addresses both the periodontal condition and any associated restorative needs.
Our team’s approach to osseous surgery emphasizes meticulous technique and individualized treatment planning. We utilize state-of-the-art technology for accurate diagnosis and precise surgical execution. Throughout your surgical journey, our entire staff provides attentive, supportive care with clear communication at each step. Our specialists regularly participate in continuing education focused on advances in periodontal surgery, ensuring that you receive the most current and effective treatment approaches for your condition.
At Park Smiles NYC, our osseous surgery procedures benefit from our team’s specialized expertise and our investment in advanced technology. We utilize precision surgical instruments, magnification systems, and in select cases, laser-assisted approaches that enhance results while improving patient comfort. Our digital imaging technology allows detailed pre-surgical planning and visualization of bone structures before incisions are made. This combination of skilled technique and technological advancement translates to more predictable outcomes and enhanced healing following your procedure.
We understand that periodontal surgery can cause anxiety, which is why we’ve developed protocols specifically designed to maximize your comfort throughout the experience. Beyond effective local anesthesia, we offer sedation options ranging from nitrous oxide to monitored IV sedation for anxious patients. Our surgical suites feature amenities that enhance relaxation, and our attentive team provides continuous support throughout your procedure. This comprehensive approach to patient comfort helps ensure a positive surgical experience even for those with significant dental anxiety.
Our approach to osseous surgery considers not just the periodontal condition but your overall dental health and restoration needs. When teeth in the surgical area require restorative treatment, we coordinate care with your restorative dentist to ensure optimal timing and treatment sequencing. For complex cases involving multiple health concerns, we collaborate with relevant specialists to develop comprehensive treatment plans. This integrated planning ensures that your osseous surgery supports both your immediate periodontal health and your long-term dental function and aesthetics.
Although the procedure is referred to as surgery, osseous surgery is actually a relatively simple procedure that is not overly invasive. Performed by a periodontist, it’s done under local anesthesia or with sedation dentistry. After anesthesia has been applied, your periodontist will cut around each tooth of the affected area to release the gum tissue from the bone, allowing access to the bone and roots of the teeth. The roots will then be thoroughly cleaned, followed by the reshaping of the bone around the teeth.Bone grafting may be necessary to fill in large defects. The gums will then be placed back over the bone and sutured back in place. The site will also be covered with a dressing. Following the procedure, pain medicine and antibiotic mouth rinses are typically prescribed for at-home use. Bleeding and swelling may occur, but this can be controlled by placing an ice pack on the outside of the affected area. If excessive bleeding and/or swelling occur, it’s important to notify our office. Follow-up visits may also be scheduled to ensure proper healing and avoid post-operative infection. As with any periodontal procedure, your commitment to lifelong care and professional maintenance will be essential for a long-lasting successful outcome.
Reducing bacterial spread. Bacteria from the mouth can spread throughout the body and cause life-threatening conditions such as heart and respiratory disease. Removing deep tartar and bacteria helps lower the risk of bacteria spreading.
Preventing bone loss. Periodontal bacteria can lead to bone loss in the jaw region, causing bone loss and teeth to fall out. Osseous surgery helps stop periodontal disease before it progresses to this level.
Enhancing your smile. Advanced periodontal disease can also cause brown gums, rotting teeth and ridge indentations. Osseous surgery helps to reduce bacteria and disease, subsequently restoring your smile – and your confidence.
Easing home care. As the gum pocket deepens, it becomes nearly impossible to adequately brush and floss, resulting in further periodontal disease. Following osseous surgery, thorough brushing and flossing becomes much easier.
Osseous surgery is typically recommended when non-surgical periodontal treatments have failed to adequately address advanced gum disease with significant bone irregularities. Specific indicators that might necessitate this procedure include: persistent deep periodontal pockets (typically 5mm or deeper) despite previous scaling and root planing; progressive bone loss visible on dental radiographs; continued bleeding, inflammation, or infection despite proper home care and regular maintenance; tooth mobility resulting from bone loss; and anatomical defects or craters in the jawbone that harbor bacteria beyond the reach of non-surgical cleaning. During your comprehensive evaluation at Park Smiles NYC, we perform detailed measurements and assessments to determine if osseous surgery would benefit your specific condition. We recommend this procedure only when necessary to address issues that cannot be managed effectively through less invasive approaches.
Recovery from osseous surgery progresses in stages, with most patients returning to normal activities within 2-3 days of the procedure. Immediately following surgery, you’ll have a periodontal dressing protecting the surgical area and detailed instructions for care. Mild to moderate discomfort typically peaks within 24-48 hours and is manageable with prescribed or over-the-counter pain medication. Some swelling and minor bleeding may occur during the first few days, gradually subsiding as initial healing progresses. A soft diet is recommended for the first week, with gradual return to normal foods as comfort allows. The protective dressing is typically removed after 7-10 days, at which point most visible healing has occurred. Complete tissue healing continues for 4-6 weeks, while bone healing and remodeling progresses over several months. Throughout this recovery period, we provide close follow-up care with appointments strategically timed to monitor your healing progress.
When performed appropriately for the right indications, osseous surgery typically produces significant improvements in periodontal health and stability. Most patients experience reduction in pocket depths to manageable levels (3mm or less in many areas), decreased bleeding and inflammation, and stabilization of previously progressive bone loss. The procedure creates an oral environment more conducive to effective home care, which supports long-term maintenance of the surgical results. It’s important to understand that osseous surgery does not regenerate lost bone but rather reshapes existing bone to eliminate disease-harboring defects. While some recession of gum tissue is an expected outcome as pockets are eliminated, this trade-off provides the significant benefit of disease control and tooth preservation. Success rates exceed 85% when followed by appropriate maintenance care, though individual results vary based on factors including disease severity, smoking status, systemic health conditions, and compliance with recommended maintenance protocols.
At Park Smiles NYC in Manhattan, NYC, our mission is to provide every patient with exceptional care, prioritizing comfort, compassion, and excellence at every step.
We are dedicated to delivering outstanding results through personalized attention in a welcoming and supportive environment. Led by Dr. Krystle Kendall, D.M.D., our skilled team offers a full range of top-quality dental services—all conveniently available under one roof in Manhattan.
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At Park Smiles in Manhattan, NYC, we make it easy for you to receive top-quality dental care in a convenient and accessible location. Whether you’re due for a routine checkup or seeking specialized treatment, our friendly team is here to provide exceptional service in a comfortable setting.
We look forward to welcoming you to our office and helping you achieve a healthy, beautiful smile. Schedule your appointment today!
If you are ready to enhance your smile, the experienced cosmetic dentists at Park Smiles NYC are here to help. Our dedicated team offers a comprehensive range of services, from orthodontics to teeth whitening, to meet all your oral health needs. We understand the importance of a healthy smile for your overall well-being and are committed to ensuring your satisfaction throughout your treatment journey.
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