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Surgical Perio Therapy

Advanced periodontal surgical care designed to repair gum and bone damage, restore proper gum structure, and support the long-term health of your smile.

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What is Surgical Perio Therapy?

Surgical periodontal therapy refers to a range of specialized procedures designed to repair damage to the gums and supporting bone that cannot be addressed through non-surgical treatment alone. It is typically recommended when gum disease has progressed to an advanced stage, when the bone structure supporting the teeth has been affected, or when non-surgical treatment has not produced sufficient improvement. Each surgical procedure is targeted to a specific condition and is performed by an experienced periodontal specialist.

Surgical periodontal therapy sounds more serious than it often is. Many of these procedures are routine outpatient treatments performed under local anesthesia, and most patients are back to normal activity within a few days.

Surgical periodontal care is performed by experienced specialists who take the time to evaluate your condition thoroughly and explain every aspect of your treatment before anything begins. Your provider will recommend only what is necessary and support you through every stage of your recovery.

Here is what most patients can expect from the Surgical Perio Therapy process at a glance:

1–2
Hours typical procedure duration
1–2
Weeks typical initial recovery time

Surgical Periodontal Procedures

Surgical perio therapy includes a range of targeted procedures depending on the nature and severity of your condition. Your provider will evaluate your gum and bone health and recommend the specific treatment that is right for your situation, you will never need to figure out which one applies to you on your own.
 

Bone Grafting

A procedure that restores bone that has been lost due to gum disease, creating a stable foundation for the teeth and supporting long-term oral health.

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Gingivectomy

The surgical removal of excess or diseased gum tissue to eliminate deep pockets where bacteria can collect and to restore a healthier gum line.

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Guided Tissue Regeneration

A procedure that uses a specialized membrane to encourage the regrowth of bone and gum tissue that has been destroyed by advanced disease.

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Gum Grafting

A surgical procedure that restores receded gum tissue by transplanting tissue to cover exposed root surfaces and protect the teeth from further recession and sensitivity.

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Periodontal Plastic Surgery

Cosmetic and functional procedures that reshape the gum line to improve the appearance of the smile and correct issues such as a gummy smile or uneven gum levels.

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Ridge Augmentation

A procedure that rebuilds the natural contour of the jaw ridge after tooth loss, creating the proper foundation needed for dental implants or other restorations.

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Ridge Preservation

A procedure performed immediately after a tooth extraction to prevent bone loss in the socket and preserve the jaw ridge for future implant placement or restoration.

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Sinus Lift

A surgical procedure that adds bone to the upper jaw in the area of the molars and premolars to create sufficient bone height for the safe placement of dental implants.

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When Is Surgery Perio Therapy  Recommended? 

 
Your provider may recommend surgical treatment if any of the following apply to your periodontal condition or treatment history.
 
 

Advanced gum disease

Gum disease that has progressed to a stage where non-surgical treatment alone is no longer sufficient to restore gum and bone health effectively.

 

Significant bone or tissue loss

Damage to the bone or gum tissue supporting the teeth that requires surgical repair to prevent further deterioration and
tooth loss.

 

Recurring gum infections

Persistent or repeated infections around the gums and teeth that keep coming back despite routine cleanings and at-home care.

 

Preparing for dental implants

Patients who need bone or gum tissue restored before implant placement can safely proceed, such as through bone grafting or ridge preservation.

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What To Expect

A step-by-step look at the surgical perio therapy process at Smart Dental Network.
  
Dentist smiling with patient
1

Surgical consultation

Your provider reviews your periodontal history, evaluates your gum and bone condition, and recommends the right surgical procedure for your needs.

2

Your procedure

Most surgical perio procedures are performed under local anesthesia in a single outpatient appointment. Your provider will walk you through what to expect on the day of your procedure and before treatment begins.

3

Recovery and follow-up

Your provider will give you detailed aftercare instructions to support healing and schedule follow-up visits to monitor your recovery, confirm the procedure was successful, and determine any next steps.

After Your Procedure

A smooth recovery starts with following your provider's aftercare instructions closely. Here is what to keep in mind.

First few days

Rest and care

Avoid strenuous activity, stick to soft foods and water, and follow all post-surgical instructions from your provider to minimize discomfort and support initial healing after your procedure.

As Directed

Medications

Take any prescribed medications as directed, including pain relievers and antibiotics, and use any recommended rinses to keep the surgical site clean
during recovery.

Ongoing

Follow-up visits

Attend all scheduled follow-up appointments so your provider can monitor healing, confirm the procedure was successful, and determine any next steps in your care.

Looking for a less invasive option?

Non-Surgical Perio Therapy

Non-surgical perio therapy is the first line of treatment for early to moderate gum disease, using deep cleaning techniques to restore gum health without surgical intervention.

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Young woman learning aftercare with dentist

Related Resources

 
From our resource center, helpful reading to support you as you prepare for and
recover from your periodontal surgical procedure.
 
  
Explore Our Resources

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