Osseous Surgery in Sterling, Leesburg & Aldie, VA
At NOVA Implant & Perio Specialists, Dr. Jean-Claude Kharmouche provides osseous surgery (periodontal pocket reduction surgery) for patients with advanced periodontal disease that cannot be controlled with deep cleaning alone.
Osseous surgery removes infected bacteria, smooths damaged bone, and reduces periodontal pockets—restoring healthier gum attachment and preventing further tooth loss.
Patients across Sterling, Leesburg, and Aldie, VA trust our team for surgical precision and long-term periodontal stability.
What Is Osseous Surgery?
Osseous surgery is a periodontal procedure performed to clean advanced infection below the gumline and reshape damaged bone around the teeth. When gum disease progresses, deep pockets form, allowing bacteria to grow where brushing and flossing cannot reach.
Osseous surgery:
- Removes bacteria and tartar from deep pockets
- Repairs and smooths irregular bone
- Allows the gums to reattach more securely
- Prevents ongoing bone and tooth loss
This treatment is often the final step in stopping periodontitis from progressing.
Benefits of Osseous Surgery
Our Osseous Surgery Process
Why Is Osseous Surgery Necessary?
Scaling and root planing is effective for early-stage gum disease, but advanced bone loss requires surgical treatment.
Osseous surgery may be recommended if you have:
- Deep periodontal pockets
- Continued bleeding or inflammation
- Bone loss visible on X-ray
- Loose or shifting teeth
- Persistent infection after deep cleaning
- Difficulty maintaining the area with home care
Without treatment, periodontal disease can continue to destroy bone and lead to tooth loss.
What to Expect After Osseous Surgery
Healing is typically smooth and well-tolerated. Most patients experience:
- Mild soreness for a few days
- Reduced inflammation within weeks
- Significant improvement in gum stability
- Ability to maintain better oral hygiene long-term
A follow-up periodontal maintenance schedule every 3–4 months ensures the treated areas remain healthy.
Osseous Surgery vs. Other Periodontal Treatments
Osseous surgery may be recommended instead of—or in combination with—other treatments:
Scaling & Root Planing:
Used first; osseous surgery is recommended if deep pockets persist.
Laser Therapy:
Effective in certain cases but may not reshape bone or reduce deep pockets fully.
Gum Grafting:
Used for recession; osseous surgery targets infection and deep pockets, not gum coverage.
Regenerative Procedures:
When possible, regeneration is used, but osseous surgery is needed when the bone cannot be rebuilt.
Dr. Kharmouche will recommend the most conservative and effective option based on your exam.