Osseous Surgery Gaithersburg MD

Osseous surgery, sometimes referred to as pocket reduction surgery or gingivectomy, refers to a number of different surgeries aimed at gaining access to the tooth roots to remove tartar and disease-causing bacteria.

Goals of Osseous Surgery

Osseous surgery is used to reshape deformities and remove pockets in the alveolar bone surrounding the teeth. It is a common necessity in effective treatment of more advanced periodontal diseases. The ultimate goal of osseous surgery is to reduce or eliminate the periodontal pockets that cause periodontal disease. Despite the word “surgery” the procedure is reported to feel more like a thorough cleaning.

The specific goals of surgery include:

  • Reducing Bacterial Spread:
    Bacteria from the mouth can spread throughout the body and cause other life-threatening conditions such as heart disease and respiratory disease. Removing deep tartar and thereby bacteria can help reduce the risk of bacteria spreading.
  • Preventing Bone Loss:
    The immune system’s inflammatory response prompted by periodontal bacteria can lead to bone loss in the jaw region, and cause teeth to fall out. Osseous surgery seeks to stop periodontal disease before it progresses to this level.
  • Enhancing the Smile:
    Mouths plagued with periodontal disease are often unsightly. Brown gums, rotting teeth, and ridge indentations can leave a person feeling depressed and too self-conscious to smile. Fortunately, osseous surgery can help reduce bacteria and disease and thereby restore your mouth to its former radiance, while restoring confidence at the same time.
  • Facilitating Home Care:
    As the gum pocket deepens, it can become nearly impossible to brush and floss adequately. Osseous surgery reduces pocket size, making it easier to brush and floss and thereby preventing further periodontal disease.

What does the procedure entail?

A local anesthetic will be used to numb the area prior to surgery. First, Dr. Hadeed will cut around each tooth of the affected area to release the gum tissue from the bone. This allows access to the bone and roots of the teeth.

After the roots have been thoroughly cleaned through scaling, a drill and hand tools will be used to reshape the bone around the teeth. Bone is removed in some areas to restore the normal rise and fall of the bone but at a lower level. Bone grafting may also be necessary to fill in large defects.

Next, the gums will be placed back over the remaining bone and suture them in place. The site will also be covered with a bandage (periodontal pack) or dressing. Pain medicine and mouth rinses containing chlorhexidine are generally prescribed following the surgery.

Do not be alarmed if bleeding and swelling occur after the surgery. This can be controlled easily by placing an ice pack on the outside of the affected area. In cases where the bleeding and swelling are in excess, it is advised that you call to notify our office.

Several follow-up visits may be necessary and you must fulfill a meticulous maintenance program especially during the initial phases of healing to avoid post-operative infection.

Interested in Osseous Surgery?

Contact us today for more information or to schedule an appointment with Dr. Hadeed.

Call us: 301-330-5000

Patient Reviews for Osseous Surgery

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Aesthetic Laser Periodontics & Dental Implants

5 out of 5 stars based on 7 Osseous Surgery reviews

Patient Testimonial

Dr. Hadeed and Ms. Tracy (his assistant) are simply the best!! Dr. Hadeed was the only periodontal surgeon in the area (and I went to the others as well) who didn't try to dismiss me by referring me to other specialists. I had a failing implant and even though it was done about 12 years ago abroad with unknown abatement, he found a way to save it. I am very happy to have my implant recovered. Along with his professionalism in dental surgery, I would also like to acknowledge his way of treating patients with respect. He talks to you like to his equal and listens to your complaints and Internet search ideas instead of looking down and showing superiority like other dentists that I came across. I would highly recommend him. I will be bringing now my whole family to him. I am sure that if he cannot treat the condition, he will refer us to a great specialist. Thank you Dr. Hadeed and Ms. Tracy!

- Inna B

5 out of 5 stars on

Patient Testimonial

Dr. Hadeed, Tracie & Freda, are true professionals whose expert care is only matched by their genuine love for their patients. To say you are good hands in this office is an understatement - you are in the best hands. They are caring, patient, highly skilled and thorough. I recommend them without hesitation to any and all in need of compassionate care at the highest level - you'll get it here without question.

- Jeff D

5 out of 5 stars on

Patient Testimonial

First things first I thank the lord for guiding me to Dr Hadeed and his wonderful wife Tracy.I had never been a fan of going to the dentist,but today I had an osseous surgery and bone grafting done whilst i listened to the Beatles,this was done with much love,care and perfection. May the good lord bless and keep you both:) Thank you so much for making me feel at home.

- Sidney Hayford

5 out of 5 stars on

Patient Testimonial

Dr. Hadeed performed osseous surgery to treat a large infection and bone loss due to a failed implant by another dentist. When I was making the appointment, Dr. Hadeed and Tracie were really thorough in explaining what the procedure involved in order to access the infected site, the debriding process, the direct application of antibiotics to the site, and the process to regenerate the bone in the infected site. Tracie even went over some of the discharge instructions. All of his information really helped drop my anxiety level. The procedure was done using local anesthetic and was painless! Throughout the procedure, Dr. Hadeed was telling me what he saw and what he was going to do based on that (the implant was removed) and Tracie was letting me know what each step would feel like (tugging, a lot of tugging, possible sensations in neighboring teeth). He contacted me several times on the day of the procedure, as well as the following days to see how I was doing. Dr. Hadeed and Tracie are not just really great health professionals, they are very caring people. I absolutely recommend them!


5 out of 5 stars on

Patient Testimonial

Amazed!! I had been looking for a periodontist for quite some time and had even been to two other offices prior to finding Dr. Hadeed''s office right under my nose (around the corner from me). Which I know was not by accident. See, I had previously experienced an early life dental incident that left me traumatized and terrified of dentist ever since, and sadly my mouth reflected this. BUT that all changed the moment I stepped foot into Dr. Hadeed''s office. I felt immediate warmth and welcome from Freda at the front desk, and more of the same from Tracie (the Dental Hygienist) and Dr. Hadeed himself. So much so, that within two weeks time I underwent a full mouth cleaning and lower jaw osseous surgery with two wisdom teeth extractions. All with 1) genuine compassion for my earlier experience, 2) unrestricted time covering my specific prognosis/images, 3) gentleness, care and concern throughout the entire procedure and 4) personal follow-up text from both Tracie and Dr. Hadeed for several days following the procedure! My word to describe Dr. Hadeed & Staff: Godsend.

- Sheryl N

5 out of 5 stars on

Patient Testimonial

I had a wonderful experience with Dr. Hadeed and his practice. I have bad dental anxiety and he made me feel very relaxed and comfortable. I would highly recommend him for any dental procedure.

- Deborah B

5 out of 5 stars on

Patient Testimonial

I have been a periodontal and implant patient of Dr. Hadeed for nearly 20 years. Of all his strengths, his ability and willingness to communicate with patients to allow them to make considered judgments about their own treatment is both rare and invaluable. He has performed some challenging surgeries in my mouth, all of which have had extremely successful results. If you need periodontal treatment or are a candidate for implants, I highly recommend Dr. Hadeed.

- Laurence S

5 out of 5 stars on