Pocket Reduction

Understanding Pocket Reduction Surgery

Pocket reduction surgery, also known as osseous surgery or flap surgery, is a periodontal procedure aimed at reducing the depth of periodontal pockets. By eliminating these pockets, the procedure helps to prevent the accumulation of bacteria and plaque, thereby stopping the progression of periodontal disease and promoting healthier gums and bone structure.

Why You Might Need Pocket Reduction Surgery

Periodontal pockets can develop due to a variety of factors, including poor oral hygiene, genetic predisposition, smoking, and certain medical conditions. When these pockets become too deep, they can no longer be effectively cleaned with regular brushing and flossing, making professional intervention necessary. Signs that you might need pocket reduction surgery include:

• Deep Gum Pockets: If your dentist measures deep pockets around your teeth during a periodontal exam, this is a clear indication that pocket reduction surgery might be needed.
• Chronic Inflammation: Persistent gum inflammation, even with good oral hygiene, suggests that bacteria are present deep within the pockets.
• Bone Loss: X-rays showing bone loss around the teeth can indicate advanced periodontal disease requiring surgical intervention.
• Loose Teeth: Teeth that feel loose or are shifting can be a sign that the supporting bone has been compromised.

The Pocket Reduction Procedure

The goal of pocket reduction surgery is to clean the roots of the teeth and reduce the size of the periodontal pockets. Here’s what you can expect during the procedure:

1. 1. Consultation and Diagnosis: During your initial consultation, Dr. Schlueter and Dr. Boszko will perform a comprehensive periodontal examination, including measuring the depth of your gum pockets and taking X-rays to assess bone loss. This helps determine if pocket reduction surgery is the best treatment option for you.
   2. Preparation: Before the procedure, we will discuss your medical history, any medications you are taking, and your sedation preferences to ensure your comfort and safety. Sedation options, such as nitrous oxide, oral sedation, or intravenous conscious sedation, may be offered.

Surgical Procedure:

1. 1. Incision and Flap Creation: Small incisions are made in the gums to create a flap, which is then lifted to expose the roots of the teeth and the underlying bone.
   2. Cleaning and Scaling: The exposed roots are thoroughly cleaned to remove plaque, tartar, and bacteria. This may involve scaling and root planing to smooth the root surfaces and make it harder for bacteria to reattach.
   3. Bone Reshaping: If necessary, the underlying bone may be reshaped to eliminate any craters or defects that could harbor bacteria.
   4. Flap Repositioning: The gum tissue is then repositioned and sutured back into place, reducing the depth of the pockets and providing a snug fit around the teeth.
   5. Recovery and Aftercare: After the procedure, you may experience some swelling and discomfort, which can be managed with prescribed medications. Detailed post-operative care instructions will be provided to ensure optimal healing. Follow-up appointments will be scheduled to monitor your progress and remove sutures if necessary.

Benefits of Pocket Reduction Surgery

• Prevents Disease Progression: By eliminating deep pockets, the procedure helps to prevent further bacterial infection and bone loss.
• Improves Oral Hygiene: Shallower pockets make it easier to clean around your teeth and gums, reducing the risk of future periodontal disease.
• Promotes Healthier Gums: Reducing pocket depth allows the gums to reattach to the teeth, resulting in healthier and more stable gum tissue.
• Enhances Smile Aesthetics: Healthier gums contribute to a more attractive smile and better overall oral health.

Contact Us

If you have been diagnosed with periodontal disease and have deep pockets around your teeth, pocket reduction surgery at Schlueter Periodontics & Implants may be the solution you need to restore your oral health. Our team is here to guide you through every step of the process, from initial consultation to post-operative care. Contact us today to schedule a consultation and take the first step toward achieving healthier gums and a more confident smile.