Periodontal SurgeryWhat Is Periodontitis?

Periodontitis is an advanced form of gingivitis. When the gums are visibly pulling back from the teeth, they can become infected. Additionally, connective tissue and bone tissue can be damaged at this stage. Periodontitis can get so bad that the removal of teeth is needed because the mouth can no longer support them. Many oral surgeons in Sacramento offer oral surgery for complete oral care. Check out our other blogs on oral surgery here:

Why Do People Get Periodontal Surgery?

Periodontal surgery is often done when people have damage to their gums or to their bones from gum disease. Gingivitis and periodontitis are the two primary forms of gum disease. Gingivitis occurs when plaque and tartar remain on the teeth for long periods of time. This plaque and tartar can cause inflammation in the gums. This inflammation causes the gums to pull back from the teeth, bleed, and cause pain.

Some Risk Factors of Gum Disease

Risk factors for gum disease include the following:


Certain medications can cause you to have dry or less saliva in your mouth; saliva keeps bacteria at bay while you are not brushing your teeth, so this can increase the risk of gum disease. If you are on medications that cause dry mouth, make sure to get plenty of water throughout the day.


Having diabetes puts people at a higher risk of contracting gum disease and gum infections.


Smoking plays a role in the development of gum disease.

Hormone Changes

Changes in hormones, such as estrogen cycles in women, put them at a higher risk of developing gum disease.


Some genes are associated with the development of gum disease and the contraction of infections in the mouth.


If you have gum disease, you probably have some or all of the following symptoms:

  • Pain while chewing
  • Persistent bad breath
  • Bleeding and receding gums
  • Loose teeth
  • Red or swollen gums
  • Sensitive teeth

What Happens During Periodontal Surgery?

There are four major types of periodontal surgery that take place. Before you get the surgery, you will probably have a deep cleaning or scaling. This will remove tartar from deep in the gum pockets to ensure cleanliness in the area after finishing the surgery. Common types of periodontal surgery are:

Flap Surgery

This is similar to scaling, but the surgeon will go deeper and then stitch the gums back up after completing the work. Additionally, bone shaping may be part of this procedure, depending on the amount of tartar removed.

Tissue Grafting

This takes place when the gums have receded to the point of no return. Surgery involves moving tissue from another place in the mouth so that the roots of the tooth have protection.

Guided Tissue Regeneration

This is when bone tissue needs direction to grow. The surgeon opens the gums, and places mesh to stimulate bone growth inside the gums. This will get tissue growing where needed.

Bone Grafting

This procedure is similar to tissue grafting. The surgeon grafts a piece of bone to support the teeth and the roots of the teeth.

Don’t Let Dentophobia Stop You From Getting Periodontal Surgery

One of the most significant causes of dental fear is associating visiting your dentist with past distressing experiences. For example, experiencing pain during a dental procedure or complications afterward could trigger nervousness and fear of the dentist. In some cases, the fear can arise from a subpar interaction with a dentist that causes the patient to feel disregarded. Some of these interactions include ignoring the patient’s choices and failing to an adequate enough anesthetic.

Lack of control during dental or cosmetic surgery exams can cause anxiety, especially for those with a history of trauma. Some people also tend to feel uncomfortable around doctors. They may also be triggered by smells related to hospitals. Another common cause of dentophobia, especially in younger people, is hearing about others’ frightening experiences.

Tips for Overcoming Fear of Surgery

The most essential stage in dealing with a fear of surgery is admitting that it is a problem. Talking to others who have overcome their fears can be helpful as well. This step often involves identifying the exact causes of the nervousness and developing ways to cope with it. One piece of advice is to focus on the results instead of worrying about what could go wrong. Your plastic surgeon may also engage patients in conversations to help take their minds off the ongoing procedures.

Finding an Oral Surgeon

When looking for periodontal surgery, finding a doctor that you feel comfortable with should not be hard. Feel free to interview surgeons. If you are seeking an oral surgery provider in the Sacramento area, have a look at Sacramento Surgical Arts. We specialize in many types of dental surgery as well as cosmetic surgery. Call us at 866.930.5837 today to book a free consultation.