Periodontal Surgery

Pocket reduction surgery is recommended to treat more advanced periodontal disease. This treatment is used to reshape deformities and remove pockets in the bone surrounding teeth.  The ultimate goal of pocket reduction surgery is to reduce or eliminate the periodontal pockets that contribute to periodontal disease.  Despite the word “surgery” this procedure is reported to feel more like a thorough cleaning.

Your bone and gum tissue should fit snugly around your teeth like a cuff around each tooth. When you have periodontal disease, this supporting tissue and bone is destroyed, forming “pockets” around the teeth.

Over time, these pockets become deeper, providing a larger space for bacteria to live. As bacteria develop around the teeth, they can accumulate and advance under the gum tissue. These deep pockets collect even more bacteria, resulting in further bone and tissue loss. The teeth may become loose and may have to be removed if too much bone loss has taken place.


Explanation of Osseous Surgical Procedure


During this procedure, Dr. Goggin folds back the gum tissue to access the root surfaces and bone around the teeth. The inflamed tissue and disease causing bacteria are removed. If irregular surfaces of damaged bone are found they are smoothed to limit areas where disease-causing bacteria can hide. This allows the gum tissue to better reattach to healthy bone. In some situations, defects are found that can have a bone regeneration procedure. If this is found at the time of surgery, it will be discussed with you. At the end of the procedure, tissue are secured in place with sutures.


Why is it so important to have Osseous Surgery Performed?


Reducing pocket depth and eliminating existing bacteria are important to prevent damage caused by progression of periodontal disease and to help you maintain a healthy smile.

Eliminating bacteria alone may not be sufficient to prevent disease recurrence. Deeper pockets are more difficult for you and your dental care professional to clean, so it is important for you to reduce them. These deeper pockets will continue to harbor bacteria and lead to progression of your periodontal condition.

The reduction of pockets and a combination of daily oral hygiene and professional maintenance care increase your chances of keeping your natural teeth— and decrease the change of serious health problems associated with periodontal disease. After pocket reduction surgery it is extremely important to continue with the advised periodontal maintenance progr

In regards the Coronavirus (Covid-19):
At Asheville Periodontics, the health of our community is our top priority.  For the greater good of the community and the safety of our patients and staff, we will be temporarily closed beginning Thursday, March 19.  Stay tuned here, and on our website for more updates as the situation progresses.
To lessen the load on hospital emergency rooms, we will be available should you have a serious dental emergency.  You can reach Dr. Goggin via phone or text at 828-423-0146 or Rachel our office manager 828-571-0116.  We do request that if you have cold, flu, COVID-19 symptoms, or have been in an active COVID-19 area in the last 14 days or have been in contact with someone who has, please let us know before being seen.
For those of you with appointments in the coming weeks, we will reach out to you to reschedule your appointment.  Thank you for your understanding.