Orthodontic Surgery Pre-Op
When Surgical Gum Treatment Becomes Necessary
Most patients and dentists prefer to treat gum disease using non-surgical methods whenever possible. However, once periodontal disease progresses beyond the early stages, a surgical procedure may be the only effective way to restore gum health and prevent tooth loss.
Periodontal surgery provides a proven solution to remove infection, rebuild lost bone tissue, and help patients achieve healthy, functional smiles again. For many, surgery is the next step toward long-term oral health and stability.
At Dr. Fred Alger Periodontics & Implants, we take a conservative approach. Whenever possible, Dr. Alger begins with deep cleaning or scaling and root planing to remove plaque and bacteria. If these treatments are not enough, he may recommend a surgical intervention to restore your gums and supporting structures.
What Is Periodontal Surgery?
Periodontal surgery, also known as gum surgery, is a collection of advanced procedures designed to treat severe gum disease, correct bone loss, and promote tissue regeneration.
When untreated, periodontal disease causes the gum tissue to pull away from the teeth, creating deep pockets that harbor bacteria. Over time, this leads to bone defects, gum recession, and eventually tooth loss.
Surgical treatment allows Dr. Alger to access and clean the roots of your teeth more effectively, repair damaged bone, and reposition the gums for easier maintenance. With proper aftercare and oral hygiene, these procedures can stop the disease from progressing and significantly improve your overall oral health.
Common Types of Periodontal Surgery
Depending on your needs, Dr. Alger may recommend one or more of the following periodontal surgical procedures:
Flap Surgery (Open Flap Debridement)
This procedure gently lifts the gum tissue away from the teeth so Dr. Alger can remove dental plaque, tartar, and bacteria from the root surfaces. Once the area is thoroughly cleaned, the gums are sutured back into place. This reduces pocket depth, making it easier to keep your mouth clean and healthy.
Orthodontic Surgery Post-Op
Bone Grafting and Regenerative Surgery
When significant bone loss has occurred, bone grafting replaces or encourages the growth of new bone around the teeth. Dr. Alger may use your own bone, donor bone, or synthetic materials. In some cases, he incorporates growth factors or performs guided tissue regeneration to stimulate natural bone healing and create a stable foundation for future dental implants.
Tissue Grafting (Gum Graft Surgery)
If you have areas of gum recession or exposed tooth roots, a connective tissue graft or free gingival graft can restore healthy gum coverage. This protects the roots, reduces sensitivity, and improves your smile’s appearance.
Osseous (Pocket Reduction) Surgery
Osseous surgery reshapes the bone around teeth affected by severe periodontitis. By smoothing irregularities and reducing deep pockets, Dr. Alger eliminates areas where bacteria can thrive, promoting easier cleaning and long-term success.
Crown Lengthening
For patients needing restorative or cosmetic improvements, crown lengthening recontours gum and bone tissue to expose more of the tooth’s surface. This may be required before placing crowns or bridges, or to correct a “gummy” smile for a more balanced appearance.
What to Expect During Surgery
Each surgical procedure is carefully tailored to your needs. Before treatment, Dr. Alger will complete a detailed evaluation of your gum line, bone structure, and overall health.
During your visit, you can expect:
- Local anesthesia for comfort during treatment
- Gentle techniques designed to preserve healthy soft tissue
- Precise management of periodontal pockets and bone defects
- A sterile, state-of-the-art surgical site for maximum safety
- Detailed post-operative instructions for easy recovery
Most patients experience only mild discomfort after surgery. A cold pack, soft foods, and over-the-counter pain relief usually keep healing smooth and comfortable.
When Is Periodontal Surgery Needed?
You may be a good candidate for periodontal surgery if:
- You have deep pockets that can’t be cleaned with non-surgical treatments
- Your gums are bleeding, swollen, or pulling away from your teeth
- You notice loose teeth or areas of bone loss on X-rays
- You need dental implants but lack sufficient supporting bone
- You have areas of gum recession or exposed roots
In these cases, surgical treatment helps preserve your natural teeth and strengthens the bone structure that supports them.
The Importance of Early Detection
The earlier periodontal disease is diagnosed, the more treatment options are available. Early intervention can often prevent the need for more extensive surgery later. Regular dental exams, proper brushing and flossing, and professional cleanings are key to maintaining healthy gums and preventing advanced gum disease.
Patients with systemic conditions such as heart disease, diabetes, or autoimmune disorders should be especially proactive about gum care, since these conditions increase the risk of inflammation and delayed healing.
Patient Comfort and Care
Dr. Alger and his surgical team prioritize patient comfort at every step. From local anesthesia to conscious sedation, each option is designed to ensure a calm, pain-free experience. Our conservative approach means surgery is only recommended when it provides the most predictable and effective outcome for your periodontal health.
After surgery, our staff provides personalized instructions to help you care for your gums, maintain proper oral hygiene, and promote tissue regeneration. Follow-up visits allow us to monitor healing and ensure the best long-term results.
Why Choose Dr. Alger for Periodontal Surgery
Dr. Fred Alger is a respected periodontal surgeon with decades of experience treating gum disease, performing bone grafting, and placing dental implants. His advanced training and gentle techniques have helped countless patients in Gahanna and the greater Columbus area restore and maintain their smiles.
At every stage, Dr. Alger:
- Collaborates with your general dentist to coordinate care
- Uses evidence-based treatment options backed by clinical research
- Offers a full range of periodontal surgical procedures for every level of disease
- Focuses on minimizing discomfort and optimizing long-term success
Flap Procedure |
Replacing Bone Procedure |
Sub Epithelial Gingival Graft Procedure |