Osseous Surgery


Image of gum and periodontal diseaseKarl Zeren DDS If you are suffering from advanced periodontal or gum disease, Dr. Karl Zeren 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 planning 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. Karl Zeren will eliminate infection, remove decay, and prevent potential future damage that would occur if left untreated.

Step-By-Step


1.  Dr. Karl Zeren will begin the procedure by applying a local anesthetic.
2.  After the anesthetic has taken effect, Dr. Karl Zeren will make a small incision into the gum.
3.  The bone and the roots of the tooth will be exposed.
4.  Then, Dr. Karl Zeren 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 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. Karl Zeren will provide you with post-operative instructions that are specific to you that you will need to be sure to read thoroughly and follow closely.
If you are recovering from osseous surgery, you will typically be asked to do the following:
•  Change gauze pads as needed
•  Manage swelling with ice-packs
•  Rinse mouth with salt water
•  Obtain over-the-counter analgesics to manage discomfort
•  Follow up with Dr. Karl Zeren after a week
•  Make sure to follow a well-structured oral hygiene routine

We appreciate all that you do



“Dr Zeren and his staff are professionals in every sense of the word. They really care about their patients. This Doctor is as good as they get. I always felt well cared for on every visit. If you are looking for the best in the area put your full trust in the expertise of Dr Zeren.”
Humphrey M.


Office Location

9515 Deereco Rd. Suite 308
Timonium, MD 21093

Opening Hours

Mon, Tue, Thr: 8am–5:00 pm
Fri: Complex surgical cases


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