4-6 weeks after scaling and root planing, periodontal re-evaluation is performed: full mouth periodontal probing and charting is completed at this visit. Areas of the mouth that have higher residual probing depths, bleeding, and radiographic bone loss, will require surgical treatment.
1. Ensure that the root surfaces of the teeth are clean of bacteria by directly visualizing root and bone interface – this is the primary goal of periodontal surgery.
2. Address/treat the bone loss. Bone loss results in irregular topography, which is shaped and contoured to allow the gum tissue to lay lower on the tooth (osseous surgery), and/or bone grafting is performed to regenerate lost tooth support (guided tissue regeneration utilizing bone graft, membrane barrier, growth factors).
3. Facilitate patient hygiene by enabling access to the root surfaces of the diseased teeth. This is accomplished by decreasing probing depth by osseous surgery and/or bone grafting. Proper hygiene is key in long term periodontal stability and treatment of gum disease!!!