Osseous Surgery

Periodontal Disease Treatment Options

Taking care of your oral health with regular cleanings and professional dental treatments will help to ward off gum disease and other problems that can affect your oral health. Dr. Ari Moskowitz offers a range of periodontal treatment options, including the following to protect your oral health:

Osseous Surgery | Baltimore Periodontics | Catonsville MD
Osseous Surgery | Baltimore Periodontics | Catonsville MD
Osseous Surgery | Baltimore Periodontics | Catonsville MD
Osseous Surgery | Baltimore Periodontics | Catonsville MD


What is osseous surgery?

Osseous surgery is a periodontal procedure that is also known as pocket depth reduction. Scaling and root planing therapy is an effective treatment that targets the early stage of periodontal disease, while osseous surgery treats later stage periodontal disease. The procedure involves reshaping the bone and periodontal pockets that are damaged by infection and may be effective when the gums have not responded to localized antibiotic therapy or periodontal cleanings.

If you have dental anxiety, talk to us about sedation dentistry procedures that can relieve your fears.You cannot afford to postpone these treatments — especially if you are at risk for periodontal disease.

When Is osseous surgery needed?

A periodontist may recommend osseous surgery when deep pockets have developed around teeth. Ideally, the gums should adhere tightly around the teeth. This prevents bacteria from penetrating through the gum line. When toxic deposits from bacteria have weakened the gums, the soft tissue pulls away from teeth. At first, the pockets that result from this recession are relatively shallow. They may be cleaned at home or with a minor professional cleaning. Over time, pockets caused by gum recession deepen, providing more space in which bacteria can accumulate. By reducing the depth of these pockets, osseous surgery can help reverse gum recession and prevent further damage to the periodontal ligament and bone that support teeth.

What are the benefits of gum surgery?

Osseous surgery can halt the progress of infection in the deeper areas of the gums. It can also reinforce structural support around teeth, thereby increasing the chances that a patient can keep their natural teeth. Additionally, the treatment of gum disease decreases the risks associated with potentially serious health problems that have been associated with ongoing oral infection.

How is osseous surgery performed?

Osseous surgery begins with the application of a topical anesthetic to the gums. After the treatment area has been numbed, the periodontist creates an incision that allows the gums to be folded back. This reveals the inner area in which pockets harbor harmful bacteria and debris. Special instruments are used to remove the biological waste products as well as badly damaged gum tissue. The underlying bone is observed, as well. If necessary, irregular bone surfaces are reshaped to keep disease-causing bacteria from collecting in small crevices. Smoothing the bone also encourages gum tissue to reattach more readily. The gums are moved closer to the bone to reduce or eliminate the pockets.

What results should you expect?

Osseous surgery reduces or eliminates the pockets that make periodontal disease more difficult to manage. After this procedure, patients can expect to continue performing oral care twice a day, including flossing once a day. Routine dental check-ups and cleanings are also integral to long-term results after the initial treatment.

what are the side effects of gum surgery?

Gum surgery may result in minor swelling and soreness or tenderness in the treated area. This side effect may be more apparent the day after surgery.


what is recovery like after osseous surgery?

To control comfort, a cold compress can be held against the outer cheek for a short time. Pain medication is prescribed and should be taken as directed. It is best to begin this medication before the anesthetic wears off.  Some people also find it helpful to use a sensitivity toothpaste for a few days or weeks after osseous surgery. The reshaping and repositioning of the gum tissue may make some teeth appear longer or spaces between teeth to appear larger.
Full post-op instructions are provided by our staff. We can be reached during office hours if questions arise.

Patient Testimonials

  • Best periodontics, in town, very patient, understanding, no pain, friendly and all receptionist, hygienist, and all office workers, very friendly and helpful, I would recommend all family and friends to Dr Moskowitz.Lucille B.
  • Dr. Moskowitz is incredibly thorough and insightful. My consultation with him was a great experience. He and his staff are very accommodating and patient and they did not rush me in the slightest when I presented them with a multitude of questions. I will definitely return for treatment and recommend them to friends and family.Shauna K.
  • Amazing service! Everyone was so sweet and made me feel comfortable. I would recommend him to everyone! My teeth look great!Allison R.

Schedule a Consultation

If you are suffering from periodontal disease and would like to learn more about osseous gum surgery, call (410) 744-6088 to schedule a consultation at our Catonsville, MD office.

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