Osseous Surgery

Restore Gum and Bone Health for a Stronger Smile

Advanced periodontal disease can damage both gum tissue and the bone supporting your teeth. At Dr. Strutz Periodontics, osseous surgery is performed to eliminate infection, reshape damaged bone, and restore a healthy foundation that supports long-term oral stability.
When non-surgical therapies are no longer sufficient, Dr. William Strutz provides personalized surgical care designed to control disease progression, protect natural teeth, and rebuild lasting periodontal health.

Osseous surgery, also called periodontal bone surgery, is a procedure used to treat advanced gum disease by cleaning infected areas beneath the gums and reshaping damaged bone around the teeth.

As periodontal disease progresses, bacteria create deep gum pockets where infection continues to grow. Osseous surgery removes diseased tissue, reduces pocket depth, and creates conditions that allow gums to heal and reattach more effectively.

The procedure helps:

  • Remove bacteria and infected tissue
  • Reduce deep periodontal pockets
  • Reshape bone affected by disease
  • Stabilize teeth and improve gum health

What Is Osseous Surgery

How We Perform

Osseous Surgery

Treatment begins with a comprehensive periodontal evaluation to assess bone loss and disease severity.
During surgery, the gums are gently lifted to access infected areas. Bacteria and damaged tissue are removed, and the underlying bone is reshaped to eliminate areas where infection can return. The gum tissue is then repositioned and secured to promote proper healing.
Follow-up visits ensure recovery progresses smoothly and that periodontal health is successfully restored.

Your care may include:

Detailed periodontal examination

Digital X-rays or 3D imaging

Personalized surgical planning

Discussion of comfort and sedation options

Treatment Approach & Surgical Options

Osseous surgery is recommended when periodontal disease has advanced beyond what deep cleanings alone can resolve.
Our goal is always to eliminate infection, preserve natural teeth whenever possible, and create a healthier environment that patients can maintain with routine care.

Treatment may include:

Pocket Reduction Therapy

Cleaning and reshaping bone to decrease deep gum pockets where bacteria accumulate.

Bone Reshaping Procedures

Smoothing irregular bone surfaces to allow healthier gum attachment.

Regenerative Techniques

In some cases, bone grafts or regenerative materials may be used to encourage new bone growth and improve long-term stability.

Why Osseous Surgery Matters

Untreated advanced gum disease can lead to continued bone loss and eventual tooth loss. Surgical periodontal therapy helps stop disease progression and restore oral health before damage becomes irreversible.

Osseous surgery can:

  • Reduce periodontal infection
  • Improve gum attachment to teeth
  • Stabilize teeth affected by bone loss
  • Make daily oral hygiene more effective
  • Support long-term oral health and implant success


Early surgical intervention often prevents more extensive procedures later.

Take Control of Advanced Gum Disease

If you have been diagnosed with advanced periodontal disease or referred for surgical treatment, specialized care can help restore your oral health.