South Shore Long Island
Periodontics & Implantology P.C.
Dr. Leslie G. Batnick, D.D.S.
Dr. Lois B. Levine, D.D.S.
Dr. Joo H. Kim, D.D.S.
Diplomates, American Board of Periodontology

Osseous Surgery

Ideally, we’d like to catch all cases of periodontal disease at their earliest stages when noninvasive therapies are possible. Unfortunately, this isn’t always possible. Once periodontal disease has advanced past a certain point, surgery becomes necessary.

Gum disease is a chronic condition where definitive therapy with diligent follow-up and maintenance is key for long-term success.

In most cases, we will begin treatment with non-surgical therapies, such as scaling and root planing. If your disease is unresponsive to these less-invasive therapies – or it has progressed past the point where it is likely to respond to these therapies – the doctors at South Shore Long Island Periodontics & Implantology may recommend surgical therapies to further control your gum disease.

What Is Osseous Surgery?

Osseous surgery is a therapy that involves modifications such as reshaping or recontouring of the soft and hard tissues around the teeth. The objective is to arrest the disease progression and regain the physiologic form, which was altered by the destructive disease progress.

At this point, the physiologically sound gum tissue will allow for predictable home care by the patient as well as proper professional periodontal maintenance. When indicated, we may also recommend the addition of regenerative materials to enhance the surgical outcome – particularly if we are planning for implants or other restorative techniques.

What Is a Root Resection?

Whenever possible, we prefer to save your natural teeth. In the long run, preserving your teeth – and the important connection between your roots and your periodontal bone – is better for your overall oral health than removing the tooth and replacing it with a prosthetic. While dental implants are an excellent replacement option, your own natural teeth are still usually the best option.

When a tooth with two or more roots is severely affected by disease, a root resection procedure may be a viable option to the removal of the affected tooth. The doctors at South Shore Long Island Periodontology & Implantology will examine the tooth carefully to ensure that this procedure is predictable and favorable for the patient.

During a root resection, we remove the affected root or roots, leaving the other healthy root (or roots) in place. If needed, we may also remove part of the tooth itself right above that root, and if this occurs, we can restore the tooth with a crown or sometimes a filling.

Since a root resection requires us to cut into the tooth structure, a root canal will be done first to remove the nerve and blood vessels from the root.