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Osseous Surgery

Guy smiling at the dental chairIf you are suffering from advanced periodontal or gum disease, Dr. Bembey might suggest osseous surgery. Osseous surgery, also referred to as pocket depth reduction, is usually recommended when non-surgical treatments such as scaling and root planing have failed to recondition the impacted tissue around your teeth.

Of course, we want to do everything we can to help you avoid surgery, but the best way to do that is to schedule an appointment today so that together we can identify any potential issues that pose a threat to your healthy smile.

Periodontal Disease

According to a 2009 study, 64.7 million American adults over the age of thirty have some form of periodontitis. Both gum disease and periodontitis are defined at their core as the spread of bacteria throughout the gums, causing inflammation and infection. If periodontal disease is not treated, then pathogens can spread, eating away at your enamel, gums, and even the alveolar bone below the teeth pockets.

Osseous surgery becomes necessary when bacteria enlarges the pockets around your teeth by eating away at the soft and hard tissues in your mouth. The alveolar bone, teeth, and gums should fit together tightly. If they do not, then bacteria will spread unchecked throughout the gums.

The Surgical Process

The goal of osseous surgery is to reduce pockets, recontour compromised bone, and remove damaged tissue. Ideally, Dr. Bembey will eliminate infection, remove decay, and prevent potential future damage that would occur if left untreated.


1.  Dr. Bembey will begin the procedure by applying a local anesthetic.
2.  After the anesthetic has taken effect, Dr. Bembey will make a small incision into the gum.
3.  The bone and the roots of the tooth will be exposed.
4.  Then, Dr. Bembey will use manual and powered instruments to gently scrape deposits off of the surface of the roots.
5.  He will also re-contour and trim jagged bone that has been damaged by bacteria.
6.  The tissue will then be sutured to reduce pocket depth.
7.  If damage from periodontitis is extensive, a bone graft or guided tissue regeneration may be necessary before the gums are stitched back together.
8.  We will cover the impacted area with gauze, and send you home to recover.

What is Bone Grafting

Sometimes bone grafting is necessary. If it is, do not worry, the process is relatively easy. Bone grafts are made from either synthetic, bovine, or human bone particles to help you. The bone has a powder-like consistency and is mixed with antibiotics. We add Human Growth Factors to the bone grafts to stimulate a robust regenerative response. Studies have shown a 50% reduction in the time needed to achieve stable new bone in the sites. We will gently apply this mixture to the exposed alveolar bone, and then carefully suture the gums back together. Because the graft fools the body into thinking that the bone is broken, it facilitates growth and regeneration. A healthy jaw bone is a foundation for a healthy smile.

After the Surgery

Dr. Bembey will provide you with post-operative instructions that are specific to you that you will need to make sure to read thoroughly and follow closely.

If you are recovering from periodontal surgery, you will typically be asked to do the following:
•  Manage swelling with ice-packs
•  Rinse mouth with salt water
•  Obtain over-the-counter analgesics to manage discomfort
•  Follow up with Dr. Bembey after a week
•  Make sure to follow a well-structured oral hygiene routine

"My experience with Dr. Bembey has been great… She explains everything that needs to done and makes sure you understand ... She cares about your overall well-being…. Her assistants also made sure I was comfortable and if I needed anything…. I am very happy with the dental work that has been done…. I have already passed on her information to a friend for her future dental work…" - Catherine L.

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Encinitas Periodontics & Dental Implants in Encinitas, CA
Encinitas Periodontics & Dental Implants
Dr. Bembey and Dr. Yokoyama
477 North El Camino Real #C-306
Encinitas, CA 92024

Phone: 760-632-9055

Monday: 8:00 am - 12:00 pm
Tuesday: 8:00 am - 5:00 pm
Wednesday: 8:00 am - 5:00 pm
Thursday: 8:00 am - 5:00 pm
Friday: 8:00 am - 12:00 pm
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Encinitas Periodontics & Dental Implants, 477 North El Camino Real #C-306, Encinitas, CA 92024, 760-632-9055,, 11/24/2021, Key Phrases: Periodontist Encinitas CA, Periodontist Encinitas CA,