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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 which, 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 which 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.

If you have any questions about pocket reduction surgery or treatment for periodontal disease, please contact our practice.

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Testimonials

Dr. Mirkin is a trustworthy dentist with a gentle touch. I went in for a cleaning yesterday and was pleasantly surprised by how thorough she was with my consultation. She noted a few problem areas but was not pushy, which was refreshing. She took a lot of time discussing which teeth were most in need of work, and others that may need work down-the-line. I highly recommend Dr. Mirkin to anyone looking for a caring and professional dentist. Thanks Dr. Mirkin!

CR.

Saw Dr. Mirkin today. She does a great job will be seeing her again for the third time. Nice office and very good location it blends in with the neighborhood so don’t drive right past it ok it’s there!

Josh W.

Since going back to school I lost my dental insurance. I found Dr. Mirkin through groupon and read great reviews so decided to give her a try. She is a very caring, attentive dentist that truly cares about your overall health as well as your teeth. She spends quality time explaining things and making you feel comfortable. She referred me to the dental choice program which is basically a discount program for those without dental insurance. Her prices are reasonable and her services are great. I recommended her to my boyfriend who started seeing her for dental care and we will not go anywhere else now. Also, Jessica her secretary is very friendly, responds quickly to phone calls and online appointment requests and or messages. She has made dealing with this office smooth and efficient.

Emily.

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Contact Us.We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.