Osseous (Flap) Surgery

Osseous surgery, sometimes called flap surgery, is a periodontal procedure used to treat advanced gum disease that has not responded to non-surgical care. The gum tissue is gently lifted away from the tooth roots so that hardened deposits and infected tissue can be thoroughly cleaned out, and any irregular bone contours that trap bacteria can be smoothed. The gum is then repositioned and secured so it can heal snugly against the tooth and bone.

When This Procedure Is Considered

Osseous surgery is generally considered when periodontal pockets remain deep despite scaling and root planing, or when bone loss around the teeth has created contours that make ongoing hygiene difficult. It is often discussed alongside related periodontal services as part of a broader plan to stabilize the gums and supporting bone.

Comfort During Treatment

The Wand (STA) Anesthesia — computer-controlled anesthesia delivers numbing slowly for a more comfortable start to treatment.
Nitrous Sedation — nitrous oxide can take the edge off anxiety and wears off before you leave the office.
High-Powered Suction — quiet, strong suction keeps the mouth comfortable throughout the procedure.

Related Periodontal Care

Scaling & Root Planing — a deep cleaning step often completed before surgical care is considered.
Bone Grafting — may be used to help rebuild areas where bone support has been lost.
Periodontal Maintenance — ongoing care that supports healing after gum treatment.