Pocket Reduction Surgery

Pocket reduction surgery (also known as gingivectomy, osseous surgery, and flap surgery) is a collective term for a series of several different surgeries aimed at gaining access to the roots of the teeth in order to remove bacteria and tartar (calculus).

The human mouth contains dozens of different bacteria at any given time.  The bacteria found in plaque (the sticky substance on teeth) produce acids that lead to demineralization of the tooth surface and ultimately contribute to periodontal disease.

Periodontal infections cause a chronic inflammatory response in the body that literally destroys bone and gum tissues once they invade the subgingival area (below the gum line).  Gum pockets form and deepen between the gums and teeth as the tissue continues to be destroyed.

Periodontal disease is a progressive condition that, if left untreated, causes massive bacteria colonization in gum pockets and can eventually cause teeth to fall out.  Pocket reduction surgery is an attempt to alleviate this destructive cycle, and reduce the depth of the bacteria-harboring pockets.

Reasons for the pocket reduction surgery

Pocket reduction surgery is a common periodontal procedure that has been proven effective at eliminating bacteria, reducing inflammation, and saving teeth.  The goals of pocket reduction surgery are:

Reducing bacterial spread – Oral bacteria has been connected to many other serious conditions such as diabetes, heart disease, and stroke.  Oral bacteria can travel to various parts of the body from inside the bloodstream and begin to colonize.  It is important to decrease bacteria in the mouth in order to reduce the risk of secondary infection.

Halting bone loss – The chronic inflammatory response induced by oral bacteria leads the body to destroy bone tissue.  As the jawbone becomes affected by periodontal disease, the teeth lose their rigid anchor.  When the teeth become too loose, they may require extraction.

Facilitate home care – As the gum pockets become progressively deeper, they become incredibly difficult for the patient to clean.  The toothbrush and dental floss cannot reach the bottom of the pockets, increasing the risk of further periodontal infections.

Enhancing the smile – An oral cavity that is affected by periodontal disease is not attractive to the eye.  In fact, smiles may be marred by brown gums, rotting teeth, and ridge indentations.  Pocket reduction surgery halts the progression of gum disease and improves the aesthetics of the smile.

What does pocket reduction surgery involve?

Before recommending treatment or performing any procedure, the dentist will perform thorough visual and X-ray examinations in order to assess the condition of the teeth, gums, and underlying bone. Pocket reduction surgery can be performed under local or general anesthetic depending on patient preferences.

The gums will be gently pulled back from the teeth and bacteria and calculus (tartar) will be eliminated.  Scaling and root planing will generally be required to fully remove the ossification (tartar) from the surface of the tooth root.  If the root is not completely smooth, a planing procedure will be performed to ensure that when the gums do heal, they will not reattach to rough or uneven surfaces.

The final part of the surgery is usually the administration of an antimicrobial liquid to eliminate any remaining bacteria and promote healing.  The gum is then sutured with tiny stitches that are left in place for 5-10 days.

Though the gums will be more sensitive immediately following the procedure, there will be a significant reduction in pocket depth and a vast improvement in the condition of the teeth and gums.

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benefits of pocket reduction surgery

Pocket reduction surgery also known as osseous surgery, is a dental procedure aimed at reducing the depth of periodontal pockets between the teeth and gums. One of the benefits of this procedure is that it stops the progression of periodontal disease. When pockets are deep they become a place for bacteria to grow, which leads to bone and tissue loss. By reducing the pocket depth, bacteria are eliminated and overall oral health is preserved.

reducing bacterial spread

One important benefit of pocket reduction surgery is its role in preventing the progression of gum disease. Deep pockets are difficult to clean even with great hygiene practices. Once the pockets are reduced it becomes easier for patients to maintain great oral health. This reduction in bacteria helps to prevent damage to gums and bones. Reducing the need for treatments in the future. By controlling the spread of bacteria, pocket reduction prevents tooth loss, which is a common consequence of periodontal disease.

risks and considerations

Periodontal pockets are formed when gums pull away from the teeth, and bacteria can thrive in such an environment. These bacteria not only attack the soft tissue but can also enter the blood, leading to systematic health issues such as cardiovascular disease. By surgically reducing the depth of pockets, the risk of bacterial spread is reduced, contributing to better oral and overall health.

complications associated with the surgery

Pocket reduction surgery, while effective in managing periodontal disease, comes with potential complications that patients must be aware of. One of the most common complications that most patients face is pain and swelling in the treated areas. This discomfort can be managed with pain relievers and anti-inflammatory medications.

post-operative care

Post-operative care is a crucial aspect of the recovery process after a pocket reduction surgery. After the surgery, it is essential to follow a strict oral hygiene routine to stop and prevent infection. Patients are advised to avoid brushing the treated area for a few days, allowing the gums to heal. As the healing progresses over time, patients can brush and floss once again.

FAQ

What is pocket reduction surgery?

Pocket reduction surgery is a procedure that is aimed at reducing the depth of gum pockets formed between the gums and teeth. These pockets keep bacteria inside which leads to periodontal disease.

Why is pocket reduction surgery necessary?

This surgery is necessary to reduce the bacteria spread. Prevent bone loss around the teeth, and improve the appearance of the smile by stopping the progression of gum disease.

What does the procedure involve?

The surgery is done under anesthesia, depending on the preference. During the process, the gums are pulled to remove bacteria and tartar. The roots are smoothed to ensure attachment of the gums and finally antimicrobial liquid is applied to eliminate the remaining bacteria.

What are the benefits of pocket reduction surgery?

Stopping the progression of periodontal disease. Reducing the depth of gum pockets, making it easier to maintain oral health. Preventing the spread of bacteria that can lead to tooth loss and other health issues.

Are there any risks associated with the surgery?

While pocket reduction surgery is considered safe, there are some potential risks:

Pain and swelling in the treated area can be managed with pain relievers and OTC medications

which is why post-operative care is essential.