Oral Surgery

Pocket Reduction

Pocket reduction surgery refers to a series of different surgeries aimed at accessing the root of the teeth to remove bacteria and tartar caused by periodontal disease.

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Fort Worth, TX Pocket Reduction Surgery

These procedures are also referred to as gingivectomy, osseous surgery, and flap surgery. Custom Periodontics is pleased to offer pocket reduction surgery to help patients whose periodontal disease has not been alleviated through scaling and root planing.

Pocket reduction starts with flap surgery. The gum is separated from the tooth and later reattached in a new position. In many cases, osseous surgery is also performed, which involves reshaping and smoothing the bone. After the procedure is complete, the gum line will likely be lower, leaving more of the tooth exposed. If the root is exposed, continuing treatment with fluoride or another material may be necessary to reduce sensitivity.

Pocket reduction is incredibly effective at eliminating bacteria, minimizing inflammation, and saving teeth. For more information on pocket reduction surgery in Fort Worth, please contact our office to request an appointment with our knowledgeable periodontist, Dr. Shelby Nelson.


If you have gum disease that cannot be cured with antibiotics or scaling and root planning, Dr. Shelby Nelson may suggest a surgical procedure, such as a gingivectomy. A gingivectomy is necessary when the gums have pulled away from the teeth, creating deep pockets. These pockets make it difficult to clean away plaque. Our periodontist will usually perform a gingivectomy before gum disease has damaged the bone supporting your teeth. A gingivectomy removes and reshapes loose, diseased gum tissue to do away with pockets between the teeth and gums.

Our periodontist will start this procedure by numbing your gums with a local anesthetic. She may then use a laser to remove loose gum tissue. After removing the gum tissue, the remaining gums are reattached around the teeth by sutures, and the area is cleaned with saline and special rinses. 

A temporary putty may also be placed over your gum line. This will protect your gums while they heal. While the putty is in place, you are able to eat soft foods and drink cool or slightly warm liquids while your gums are healing.

After a gingivectomy, it will be easier for you to keep your teeth and gums clean. To learn more about receiving a gingivectomy in Fort Worth, please contact the team at Custom Periodontics!

Osseous Surgery

If you suffer from severe periodontal disease, Dr. Shelby Nelson may recommend osseous surgery as an ideal solution. This procedure uses pocket reduction to restore your gums to a healthier, more natural state. To learn more about osseous surgery in Fort Worth, Texas, please contact Custom Periodontics to request a consultation with our periodontist.

Osseous surgery is a procedure we may recommend to treat periodontal disease. As the condition progresses, our team strives to reduce the depth of the “pockets” that form between the teeth and the gums. If deep cleanings and other periodontal treatments have not successfully reduced the pocket depth, our periodontist may recommend osseous surgery. This procedure is designed to smooth and reshape bone that has been damaged by periodontal disease, as well as to create a shallow pocket that makes it more difficult for bacteria to survive.

During the osseous surgery procedure, we will numb the area and lift the gum tissue away from the teeth and underlying bone. We then thoroughly clean the root surface and smooth the root and the bone surrounding the root. The surface of the bone may have become uneven due to destruction caused by periodontitis, and smoothing and reshaping the bone creates a better surface for the repair and development of healthy tissue. Once our periodontist has cleaned the tooth roots and reshaped the bone, we trim the gum tissue to match the new underlying structure and then stitch it in place. In some cases, we may also suggest a bone graft or guided tissue regeneration membrane to supplement the tissue regeneration process.

We invite you to contact our office today to learn more about osseous surgery and how we can help you improve your oral health.

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