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Gum Surgery in Rolla, MO

When gum disease has progressed beyond what a deep cleaning can resolve, periodontal surgery is often the most effective way to protect your teeth and stop the infection from causing further damage. At Rolla Periodontics and Implant Center, Dr. Daniel Bruin performs gum surgery for patients throughout Rolla, Missouri and the surrounding communities who need a more advanced level of periodontal care. As a board certified periodontist, he has the specialized surgical training to treat even the most advanced cases of gum disease.

When Does Gum Surgery Become Necessary?

Not every case of gum disease requires surgery. Many patients respond well to scaling and root planing, the deep cleaning treatment that addresses early to moderate periodontitis. Surgery becomes necessary when the pockets of infection around your teeth are too deep for a deep cleaning to fully reach, or when non-surgical treatment has not stopped the progression of the disease. Dr. Bruin will measure the depth of the gum pockets around each tooth during your evaluation and let you know honestly whether surgical treatment is the right next step for your specific case.

What Periodontal Surgery Involves

The goal of periodontal surgery is to reduce the depth of infected pockets around your teeth so that your gum tissue can reattach to a clean, healthy surface. In general terms, Dr. Bruin gently lifts back the gum tissue to access and thoroughly clean the tooth root and surrounding bone, removing bacteria and diseased tissue that cannot be reached any other way. In some cases, the shape of the underlying bone is also smoothed to reduce places where bacteria can hide in the future. Once the area is clean, the gum tissue is repositioned and secured so it can heal snugly against the tooth. We numb the area thoroughly with local anesthesia, and sedation options, including nitrous oxide, are available for patients who want extra help staying relaxed.

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What to Expect During Recovery

Recovery after gum surgery varies depending on how much treatment was needed, but most patients experience some swelling and tenderness for the first few days, similar to what you might expect after other minor oral surgery. Dr. Bruin will provide clear aftercare instructions, which typically include a soft food diet for a short period, a gentle oral hygiene routine around the treated area, and any recommended medication to manage discomfort or prevent infection. Most patients are able to return to normal activities within a few days, and full healing of the gum tissue continues over the following weeks.

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Benefits of Gum Surgery

Choosing periodontal surgery when it is truly needed offers real, lasting benefits for your oral health. Some of the key advantages include:

  • Reduced pocket depth around treated teeth, making future cleaning and maintenance easier
  • A stronger foundation of gum tissue and bone to support your natural teeth
  • A lower risk of continued bone loss from untreated periodontitis
  • Improved chances of keeping your natural teeth long term
  • A healthier looking gumline once tissue has fully healed
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A Specialist's Approach

Dr. Bruin's philosophy is to educate patients first, so before recommending surgery he takes the time to explain exactly why it is needed, what the procedure involves, and what results you can realistically expect. He sees himself as a partner in your treatment decisions rather than someone simply telling you what to do. That approach, paired with his specialized training through the American Board of Periodontology, means patients throughout Phelps County and beyond can trust that surgery is only recommended when it is genuinely the right path forward.

Frequently Asked Questions

How do I know if I need gum surgery instead of a deep cleaning?

Dr. Bruin will measure the depth of the pockets around your teeth and evaluate how your gums have responded to any prior treatment. If pockets remain too deep or infection persists after scaling and root planing, surgery is typically the next recommended step.

Is periodontal surgery painful?

The procedure itself is performed with local anesthesia so you should not feel pain during treatment, and sedation options are available for added comfort. Some soreness during recovery is normal and can usually be managed with over the counter or prescribed medication.

How long does recovery take?

Most patients feel back to normal within a few days, though the gum tissue continues to heal for several weeks afterward. Dr. Bruin will give you a recovery timeline specific to your procedure.

Will I need time off work or school?

Many patients only need to take it easy for a day or two after surgery. We will let you know what to expect based on the extent of your treatment so you can plan accordingly.

Does insurance cover gum surgery?

We accept Cigna, Careington, Delta Dental PPO, and OptumServe, and coverage for periodontal surgery varies by plan. Our team will review your benefits and walk you through your options before treatment begins.

Protect Your Smile With Expert Periodontal Surgery

If non-surgical treatment has not fully resolved your gum disease, it may be time to talk with a specialist. Contact Rolla Periodontics and Implant Center today to schedule your consultation with Dr. Bruin.