Candidates who have already undergone significant procedures to combat gum disease such as a root canal, scaling, or intensive perio-maintenance (gum hygiene) but still have a pocket of infected tissue are candidates for osseous surgery.
Candidates who have not tried other measures to treat gum disease are not good candidates for osseous surgery.
In preparation for osseous surgery, your dentist may ask you to eat a light meal and reduce your fluid intake the night before. If you are receiving nitrous oxide (laughing gas) or intravenous sedation, you will need to stop eating and drinking at least 6 hours before surgery. It is also important to brush and floss your teeth prior to the procedure.
Disclose all medications you are currently taking to your dentist, as certain medications, such as blood thinners, may interfere with the recovery process. Otherwise, continue taking all medications as prescribed by your physician.
Osseous surgery carries the same risks of other forms of intensive dental surgery, such as swelling, bruising, pain, and minor bleeding. You may need pain relievers or antibiotics to combat pain and infection. Antibacterial mouthwash may be used to prevent infection. You may need to avoid hard or crunchy foods while the site heals for up to 14 days. Stitches may need to be removed a week and a half after surgery, or self-dissolving stitches may be used.
As with any surgery, the surgery associated with full mouth reconstruction can pose some health risks. Risks include infection at the surgery site, root or tooth sensitivity, or cavities developing at the root. A tooth or a few teeth may appear longer due to bone loss and tissue removal. Sensitivity of the root which can be treated with a sensitivity gel or toothpaste.
If intravenous sedation is chosen over a local anesthetic, the risks of full mouth reconstruction increase. Amnesia, oversedation, and temporary problems with breathing are common risks involved with intravenous sedation. However, these are not life threatening and can usually be resolved by the dentist or other healthcare providers at the time of occurrence.
$900-$2,000 (per quadrant of mouth)