Pocket Reduction Surgery

Progression of Periodontal Disease

Healthy

Gums are pink, firm, and do not bleed. No bone loss. Maintain with regular professional care.

Gingivitis

Gums become red and swollen, may bleed easily. Early, reversible stage with proper treatment.

Periodontitis

Pockets form, bacteria attack the bone. Irreversible damage starts; requires professional intervention.

Advanced Periodontitis

Severe bone loss, teeth become loose or lost. Advanced care needed to save remaining teeth.

Deep pockets trap bacteria, causing ongoing infection and bone destruction. Our minimally invasive pocket reduction uses advanced surgical techniques and regenerative materials to eliminate pockets and restore gum attachment. The result is a healthier, easier-to-clean environment with significantly less discomfort thanks to modern high-tech methods.

Periodontal Pockets Lead to Gum and Bone Destruction A breakdown of your gum and bones caused by bacteria can lead to pockets, or gaps, between your teeth and gum. If not treated, this condition can lead to gum and bone destruction. Typically this breakdown occurs after a few things happen: Bacteria (that causes periodontal disease) releases toxic substances, triggering the breakdown of gum and bone. The gum separates from the teeth, forming gaps, called periodontal pockets. Bacteria settles in the pockets because they can’t be removed by regular oral hygiene. The bacteria continue to accumulate and reproduce. Without treatment, bacteria continues to propagate, resulting in further gum and bone destruction.

Pocket Reduction Surgery Pocket depth reduction is done in our office with local anesthesia. After lifting the gum back, the bacterial plaque and tartar are removed from the root surfaces. Infected bone and gum tissue are removed and areas where bacteria can hide are cleaned and smoothed out. This allows gums to effectively reattach to healthy bone and eliminate gum pockets. Dissolvable stitches are placed to aid in healing. Follow-up appointments are scheduled as necessary to evaluate healing and plaque control.

Eliminating Deep PocketsDeep pocket (bacteria)Healthy reattachment
Pocket Reduction Surgery in San Jose, CA procedure illustration

What the Therapy Involves

1. Comprehensive Evaluation
Precise pocket measurements, 3D imaging if needed, and assessment of bone and gum health to create a customized plan.
2. Targeted Treatment
Gentle removal of plaque, tartar and diseased tissue using advanced tools or LANAP™ laser for minimal discomfort and faster healing.
3. Smoothing & Regeneration
Root surfaces are smoothed and any necessary recontouring or regenerative materials applied to promote reattachment.
4. Maintenance & Healing
Follow-up visits and personalized home care instructions to ensure long-term stability and prevent recurrence.

Procedure Details

Benefits

  • Expert care by board-certified periodontists
  • Minimally invasive options
  • Long-lasting results

Let's Take the Next Step Together

Whether you're noticing symptoms or just want peace of mind, we're here to listen and help. Our team will explain everything clearly and make sure you feel comfortable every step of the way.

Schedule Your Visit

Most appointments can be scheduled within a few days.

Performed by: Dr. Rana Baroudi and Dr. Trung Nguyen, board-certified periodontists.