Periodontics & Gums
Surgical periodontal therapy
Gum surgery to clean deep areas and repair damage from gum disease.
For
Deep pockets
Anaesthetic
Local
May add
Grafts
After
Non-surgical care
Overview
Surgical periodontal therapy is used when gum disease has created deep pockets that cleaning alone cannot reach. The gum is gently lifted so the roots and bone can be thoroughly cleaned and reshaped.
In some cases, grafts are used to help rebuild lost bone or gum. It is done under local anaesthetic and is usually considered only after non-surgical treatment has been tried.
What to know
- For deep pockets that cleaning cannot reach
- Gum is lifted to clean roots and bone
- May include bone or gum grafting
- Done under local anaesthetic
- Usually follows non-surgical treatment
Common questions
Why is surgery needed?
When pockets around the teeth are too deep to clean fully, surgery lets your dentist reach and clean the roots and reshape the area.
Is it done under anaesthetic?
Yes, the area is numbed with local anaesthetic so you are comfortable during the procedure.
What is recovery like?
Mild swelling and tenderness for a few days are common and settle with simple pain relief and gentle care of the area.
Will my gums look different?
Gums may sit a little lower after deep pockets are treated, which can make teeth look slightly longer.
Does this cure gum disease?
It helps control the disease, but ongoing cleaning at home and regular maintenance visits are essential to keep it stable.
Related topics
Non-surgical periodontal therapy
A deep clean below the gumline to treat gum disease without surgery.
Gum disease (periodontitis)
A bacterial infection of the gums and bone that support your teeth.
Gum grafting
Adding gum tissue to cover exposed roots or strengthen thin gums.
Crown lengthening
A small procedure to expose more tooth, for health or appearance.
Dr Rick Iskandar · Reviewed June 2026