★★★★★ 4.9 Rated (184 Google Reviews)  •  Main Line Dental Arts • Specialized Periodontics & Dental Implants  •  Dr. Milita Borguet, DMD • Dr. Margaret Hodgson, DMD • Dr. Peter Susanin, DMD  •  Call (610) 664-9510  •  110 N Essex Ave, Narberth, PA 19072
Gum & Periodontal Services

Periodontal Gum Surgery

Periodontal Gum Surgery
Board-Certified Periodontal Care Narberth, PA

Periodontal Gum Surgery & Pocket Reduction in Narberth, PA

Advanced Pocket Reduction, Regenerative Flap Surgery, and Bone Regeneration

Duration 1–2 Hours Typical
Comfort Local & Sedation
Clinician Board-Certified
Partnership Dentist Coordinated

When periodontal disease progresses beyond the reach of non-surgical cleanings, deep bacterial pockets (typically 5mm or deeper) form beneath the gumline. In these subterranean environments, aggressive anaerobic bacteria multiply rapidly, continuously destroying supporting bone and periodontal ligaments.

Periodontal Gum Surgery (also referred to as pocket reduction surgery or osseous surgery) allows our board-certified periodontists to gently fold back the gum tissue, directly visualize and eradicate deep calcified tartar deposits, smooth damaged bone defects, and place regenerative bone grafts and barrier membranes.

At Main Line Dental Arts, Dr. Borguet, Dr. Hodgson, and Dr. Susanin employ minimally invasive microsurgical techniques and laser-assisted protocols to reduce pocket depths, eliminate bleeding, and secure the long-term survival of your natural teeth.

Who Is a Candidate?

You may benefit from this treatment if you experience any of the following:

Deep periodontal pockets (5mm, 6mm, or greater) that persist after scaling and root planing
Visible bone loss patterns (vertical or angular bone defects) on dental radiographs
Persistent bleeding, suppuration (pus), and chronic inflammation around natural teeth
Loose or shifting teeth requiring surgical pocket reduction and regenerative splinting

What to Expect: Step-by-Step

1

1. Flap Access & Direct Visualization

Under local anesthesia, the gum tissue is gently separated slightly from the tooth, providing clear visibility of the infected root surface and irregular bone topography.

2

2. Thorough Root Debridement & Decontamination

All subterranean tartar, bacterial toxins, and granulation tissue are painstakingly removed using ultrasonic scalers and lasers.

3

3. Osseous Reshaping & Regenerative Bone Grafting

Irregular bone craters that harbor bacteria are smoothed, and bioactive bone particulate or enamel matrix proteins (Emdogain) are placed into deep defects to stimulate real bone regrowth.

4

4. Precision Microsuturing

The gum tissue is repositioned snugly against the tooth at a healthier level and secured with tiny sutures, dramatically reducing pocket depth and facilitating easy daily cleaning.

Key Clinical Advantages

Reduces Dangerous Pocket Depths

Transforms unmanageable 6-8mm infected pockets into healthy, cleanable 2-3mm sulci.

Regenerates Lost Jawbone

Bioactive bone grafts stimulate the body to rebuild lost bone and connective tissue.

Halts Tooth Loss

Eliminates the chronic progressive infection that causes teeth to loosen and fall out.

Easier Daily Home Care

Allows standard brushing and flossing to reach all tooth surfaces effectively.

Patient Preparation & Recovery Guide

Practical instructions to ensure an anxiety-free visit and smooth, rapid healing.

Pre-Procedure Preparation
  • Health & Medication Review: Continue taking prescribed routine medications unless specifically advised by our doctors.
  • Pre-Op Nutrition: Eat a light, nourishing meal prior to procedures performed under local anesthesia. (If conscious sedation is scheduled, follow fasting guidelines provided).
  • Comfort Attire: Wear comfortable, loose-fitting clothing. Feel free to bring earbuds to listen to relaxing music during care.
  • Escort for Sedation: If receiving conscious oral sedation, arrange a trusted companion to drive you home and assist you afterward.
Post-Procedure Recovery Care
  • Rest & Cold Therapy: Rest quietly with your head slightly elevated. Apply an ice pack externally (20 minutes on, 20 off) to reduce swelling.
  • Gentle Soft Diet: Enjoy nutritious soft foods (protein shakes, Greek yogurt, broths, scrambled eggs). Never drink through a straw.
  • Gentle Oral Hygiene: Do not spit or rinse vigorously during the first 24 hours. After 24 hours, begin gentle warm salt-water rinses after meals.
  • Dedicated Follow-Up: Our clinical team phones you to check on your comfort, and we coordinate digital records directly with your general dentist.

Treatment Roadmap & Clinical Milestones

What to expect from your initial specialist consultation through complete recovery.

Phase 1
Diagnostic Probing

Comprehensive 6-point periodontal charting per tooth to assess pocket depths and bone loss stages.

Phase 2
Active Therapy

Deep ultrasonic debridement, scaling, root planing, and therapeutic antimicrobial decontamination.

Phase 3
Tissue Re-Evaluation

Follow-up check 4 to 6 weeks later to measure pocket depth reduction and gum reattachment.

Phase 4
Periodontal Recall

Personalized 3-month periodontal maintenance cleanings to keep infection in permanent remission.

The Specialist Advantage

Why Choose a Board-Certified Periodontist?

Periodontists undergo 3 additional years of accredited university surgical residency beyond dental school, focusing exclusively on jawbone biology, tissue regeneration, and micro-precision implant placement. We partner closely with your family dentist to deliver lasting clinical excellence.

Frequently Asked Questions

No. Profound local anesthesia numbs the entire area completely. Sedation options are readily available for patients with dental anxiety. Post-procedure discomfort is typically mild to moderate and managed with pain relievers.

Most patients resume normal work and daily routines within 24 to 48 hours. Sutures are usually dissolvable or removed in 7 to 10 days.

Because the inflamed, puffy tissue is reduced to a healthy, tight margin, your teeth may appear slightly longer and have minor spaces near the gumline. This is a sign of healthy, healed tissue.

Without surgical access to deep bacterial reservoirs, the infection will continue to erode the jawbone, eventually leading to unavoidable tooth loss and chronic systemic inflammation.
Main Line Dental Arts

Schedule Your Personal Consultation Today

Our board-certified periodontists, Dr. Borguet, Dr. Hodgson, and Dr. Susanin, are here to help restore your oral health with compassionate, personalized care.