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William J. Cho D.D.S. M.S.

Diplomate American Board of Periodontology

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Call Today

William J. Cho D.D.S. M.S.

Diplomate American Board of Periodontology

Osseous Surgery

Osseous Surgery

Osseous surgery, sometimes referred to as pocket reduction surgery or gingivectomy, refers to a number of different surgeries aimed at gaining access to the tooth roots to remove tartar and disease-causing bacteria.

Goals of Osseous Surgery

Osseous surgery is used to reshape deformities and remove pockets in the alveolar bone surrounding the teeth. It is a common necessity in effective treatment of more advanced periodontal diseases. The ultimate goal of osseous surgery is to reduce or eliminate the periodontal pockets that cause periodontal disease. Despite the word “surgery” the procedure is reported to feel more like a thorough cleaning. The specific goals of surgery include:

  • Reducing Bacterial Spread:
Bacteria from the mouth can spread throughout the body and cause other life-threatening conditions such as heart disease and respiratory disease. Removing deep tartar and thereby bacteria can help reduce the risk of bacteria spreading.
  • Preventing Bone Loss:
The immune system’s inflammatory response prompted by periodontal bacteria can lead to bone loss in the jaw region, and cause teeth to fall out. Osseous surgery seeks to stop periodontal disease before it progresses to this level.
  • Enhancing the Smile:
Mouths plagued with periodontal disease are often unsightly. Brown gums, rotting teeth, and ridge indentations can leave a person feeling depressed and too self-conscious to smile. Fortunately, osseous surgery can help reduce bacteria and disease and thereby restore your mouth to its former radiance, while restoring confidence at the same time.
  • Facilitating Home Care:
As the gum pocket deepens, it can become nearly impossible to brush and floss adequately. Osseous surgery reduces pocket size, making it easier to brush and floss, and thereby prevent further periodontal disease.

What does the procedure entail?

A local anesthetic will be used to numb the area prior to surgery. First, Dr. Cho will cut around each tooth of the affected area to release the gum tissue from the bone. This allows access to the bone and roots of the teeth. After the roots have been thoroughly cleaned through scaling, a drill and hand tools will be used to reshape the bone around the teeth. Bone is removed in some areas to restore the normal rise and fall of the bone, but at a lower level. Bone grafting may also be necessary to fill in large defects.
Next, the gums will be placed back over the remaining bone and suture them in place. The site will also be covered with a bandage (periodontal pack) or dressing. Pain medicine and mouth rinses containing chlorhexidine are generally prescribed following the surgery.
Do not be alarmed if bleeding and swelling occur after the surgery. This can be controlled easily by placing an ice pack on the outside of the affected area. In cases where the bleeding and swelling is in excess, it is advised that you call to notify our office. Several follow up visits may be necessary and you must fulfill a meticulous maintenance program especially during the initial phases of healing to avoid post-operative infection.

Top Rated Dentist In Carlsbad

Jessica Grimmett
Jessica Grimmett
2021-09-16
I was very impressed with Dr Cho and his staff! Very organized and efficient. Ashleigh is amazing! Totally on top of everything. I had crown lengthening done and the experience was great! No pain at all and Dr Cho walked me through everything so I knew what was happening and what to expect next. Ariel and Dr Cho work great together! They gave me post op instructions verbally and Ashleigh also gave me instructions on paper so I know how to care for the area when I get home. I will definitely refer my friends and family to Dr Cho in the future!
Lafave Silver
Lafave Silver
2021-08-05
I am so happy with my results after Dr. Cho performed a gum surgery on me to fix my gummy smile. He made the process fast and painless and made sure to explain everything thoroughly to me. I would definitely recommend visiting his office!
Cyndy Hamasaki
Cyndy Hamasaki
2021-02-06
As the wife of a retired Dentist, I am fortunately accustomed to excellent dental care. Dr. William Cho and his entire staff exceeded my expectations and exemplify the very best of outstanding periodontal care. Dr. Cho is not only well trained, he strives to care for all his patients with outstanding and diligent skills explaining each step of every periodontal procedure. I recommend Dr. Cho with the highest of accolades possible. Thank you Dr. Cho! Cyndy Hamasaki
Pantelis Vassilakis (acousticslab)
Pantelis Vassilakis (acousticslab)
2021-02-04
Dr. Cho was thorough, quick, clear, and direct in his exam and assessment of our daughter, visiting for a possible labial frenectomy. He has earned our full trust. Highly recommended. The front office is efficient as courteous. The entire operation is a caring, effective, and efficient well-oiled medical machine :-). Congrats!
Kirsten Davis
Kirsten Davis
2021-01-21
I have been going to Dr. Cho for at least the last 5 years, and I highly recommend him and his practice to everyone I know who's looking for a quality periodontist. After many years of getting the run-around or getting too short "perio quadrant scaling cleanings" from traveling periodontists working with NO oversight from the dental providers they partner with, I finally realized that I needed to find someone with extra expertise and integrity. I feel Dr. Cho has both. I have had regular cleanings, deep cleanings and 1 implant surgery with him. Very happy with his care!
Elmer Catapang
Elmer Catapang
2021-01-08
Dr. Cho is a very professional and knowledgeable periodontist. I would highly recommend him to anyone.
Diane Hanson
Diane Hanson
2020-12-23
Dr. Cho has been with me thru the years. He always is helpful and give great advise as well as referrals. I know I can count on him as I have for over a decade.
JT “Answerman20000” Y
JT “Answerman20000” Y
2020-12-01
Dr. Cho cares about each patient and recommends the right procedure and considers the cost to the patient. His work is thorough and answers all questions asked. He also asks questions to understand why they are visiting his practice and any background before making any recommendation. He made me feel very comfortable and I felt he was the Periodontist for me..
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