Periodontal Services
Non Surgical Therapy
Surgical Periodontal Treatment
Cosmetic Periodontal Surgery
Dental Implants
Oral Medicine

Why should you see a periodontist?

  • Red, swollen or tender gums

  • Bleeding while brushing or flossing

  • Gums pulling away from the teeth making them appear longer

  • Loose or separating teeth

  • Pus between teeth and gums

  • Persistent bad breath

  • A change in the way your teeth fit together when you bite

  • A change in the fit of partial or complete dentures

  • Interested in implants to replace missing teeth

  • Learn More >

Learn more about the relationships between cardiovascular disease,
stroke, diabetes and periodontal diseases. Learn More >
Home > Services > Surgical Periodontal Treatment

Surgical Periodontal Treatment

Periodontal surgery is necessary when the tissue around your teeth has become unhealthy and cannot be repaired with non-surgical treatments.

The following four types of surgical treatments are the most commonly prescribed:

Pocket Reduction Procedures

When healthy, your bone and gum tissue should fit snugly around your teeth. When you have periodontal disease, however, supporting tissue and bone are destroyed and the gum separates from the teeth, forming "pockets". Over time, the pockets become deeper. This provides an increasingly large space for bacteria to multiply and advance under the gum tissue. As the pockets deepen, they collect even more bacteria, resulting in further bone and tissue loss. If this is allowed to continue, too much bone is lost and the teeth must be extracted.

This process is referred to as Periodontal disease.

A pocket reduction is recommended when the gaps between your teeth and gums have become too deep to clean at home or with routine professional care. The procedure involves folding back the gum tissue and removing the disease-causing bacteria, then securing the tissue back in place. In some cases, it is necessary to smooth damaged portions of the bone in order to limit the areas where bacteria can hide and help the gum tissue re-attach to healthy bone.

By reducing pockets and continuing with good daily oral hygiene and professional care, you will increase your chances of keeping your natural teeth and decrease the chance of serious health problems associated with periodontal disease.

Regenerative Procedures

Periodontal disease destroys supporting gum tissue as well as the bone surrounding your teeth. If too much bone and tissue is lost, it becomes necessary to extract your teeth.



In some cases, we may recommend regenerative procedures in order to help grow new tissue and bone in an effort to avoid having to extract the tooth. This procedure begins with the periodontist folding back the gum tissue and removing disease-causing bacteria. We then place membranes (filters), bone grafts or tissue-stimulating proteins that encourage your body’s natural ability to regenerate bone and tissue.

We have a number of options available for restoring your bone and gums to a healthy state. Be sure to ask us about these options during your visit with us.

What are the benefits of regeneration?

Regenerating bone and tissue and eliminating bacteria will help reduce pockets and repair the damage caused to your gums and bone by periodontal disease. A combination of daily oral hygiene and professional maintenance care following treatment will increase your chances of keeping your natural teeth and decrease the chances of developing the serious health problems that are associated with periodontal disease.

Crown Lengthening (functional)

Are your teeth decayed or broken below the gum line? Is there insufficient structure below the gumline for restoration? We may suggest crown lengthening in order to make restorative or cosmetic dental procedures possible. Crown lengthening adjusts the gum and bone level, exposing more of the tooth so it can be restored. Be sure to ask us about this procedure during your visit.

Soft Tissue Grafts

Soft tissue grafts are a periodontal technique that can stop further dental problems and gum recession, and/or to improve the esthetics of your gum line.

Gum recession results in exposed tooth roots, creating the illusion of excessively long teeth. It can also cause your teeth to be overly sensitive to hot or cold foods and liquids.

Gum recession occurs for a variety of reasons, including aggressive tooth brushing and periodontal disease. We can help you identify the factors contributing to your gum recession issue. Once they are controlled, we can perform a soft tissue graft to repair the defect and help prevent additional recession and possible bone loss.

Soft tissue grafts cover roots or develop gum tissue eroded away thanks to excessive gingival recession. During this procedure, we will take gum tissue from your



palate or another donor source and then cover the exposed root. We can perform this procedure for just one tooth or for several in order to even out your gum line and reduce sensitivity.

What are the benefits of soft tissue grafts?

Soft tissue grafts can reduce gum recession and bone loss and in some cases, can cover exposed roots and protect them from decay. The procedure may reduce tooth sensitivity and improve the aesthetics of your smile. Whether having a crown lengthening in order to improve function or esthetics, patients often receive the benefits of both: A beautiful new smile and improved periodontal health, the keys to smiling, eating and speaking with comfort and confidence.

To prevent periodontal problems, grafts are best placed before orthodontics to gain gingival thickness, an avoid future recessions.


Coastal Periodontics | 431 This Way | Lake Jackson, Tx 77566
ph: 979.258.3491 | fax: 979.258.3475

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