Adjunctive Procedures

Osseous Surgery in Northern Virginia

Surgical reshaping of the bone supporting the teeth to eliminate pockets caused by gum disease. Treatment is planned by the periodontal team led by Dr. Jean-Claude Kharmouche at Nova Implant & Perio Specialists, serving Sterling, Leesburg, Aldie, and Winchester.

Sterling | Leesburg | Aldie | Winchester

Osseous Surgery in Northern Virginia
34+
Years
4
Locations
Board Certified
All periodontists

About Osseous Surgery Treatment in Northern Virginia

Osseous surgery (pocket reduction surgery) is performed when non-surgical treatments cannot adequately control advanced gum disease. The procedure involves folding back the gum tissue to remove harmful bacteria and reshape irregular bone surfaces, reducing pocket depths so that patients can more effectively maintain their oral health.

Who Is a Candidate for Osseous Surgery?

Patients with advanced gum disease who have not responded sufficiently to non-surgical treatment, presenting with pocket depths of 5mm or more, bone loss, and persistent infection.

Key Benefits of Osseous Surgery

  • Eliminates deep periodontal pockets
  • Removes bacteria from root surfaces
  • Reshapes bone to prevent reinfection
  • Reduces risk of tooth loss
  • Allows better home care access

Next Step

Schedule a Osseous Surgery Consultation in Northern Virginia

Meet with a Nova Implant & Perio specialist to review your diagnosis, options, timeline, and treatment sequence.

Osseous Surgery Available at All 4 Locations

Dr. Jean-Claude Kharmouche performing specialty periodontal care

Dr. Jean-Claude Kharmouche

Periodontist and founder of Nova Implant & Perio Specialists

Osseous Surgery Procedure: Step by Step

1

Pre-Surgical Preparation

Scaling and root planing is typically completed first. Surgery is scheduled if pockets remain too deep after non-surgical treatment.

2

Anesthesia

Local anesthesia is administered. IV sedation is available for patients who prefer a more relaxed experience.

3

Flap Reflection

Gum tissue is folded back to fully expose the root surfaces and underlying bone for thorough access.

4

Debridement & Bone Reshaping

All bacterial deposits are removed from root surfaces, and irregular or damaged bone is reshaped to create a contour that prevents reinfection.

5

Suturing & Healing

The gum tissue is repositioned and sutured. Healing takes approximately 2–4 weeks with follow-up care at our office.

Why Choose Nova Implant & Perio for Osseous Surgery?

Our board-certified periodontists bring extensive specialized training to every procedure. We use the most advanced diagnostic and surgical technology available — including CBCT 3D imaging, computer-guided surgery, and soft tissue lasers — and take the time to fully understand each patient's unique situation before recommending any treatment.

34+ Years
Combined experience
4 Locations
Across Northern Virginia
Board Certified
All periodontists

Northern Virginia Specialty Care

Osseous Surgery at Nova Implant & Perio Specialists

Osseous Surgery is part of the specialized adjunctive procedures care provided by Nova Implant & Perio Specialists. Patients throughout Sterling, Leesburg, Aldie, and Winchester, VA choose the practice because treatment is planned by board-certified periodontists who focus on gum tissue, supporting bone, dental implant foundations, function, esthetics, and long-term stability.

When it helps

Why patients consider Osseous Surgery

Osseous Surgery may be recommended when the health, function, or appearance of the teeth and supporting tissues would benefit from specialty care. The concern is often connected to gum health, bone support, esthetics, bite forces, and the future restorative plan.

  • Missing teeth, gum recession, bone loss, or periodontal breakdown
  • A need to protect surrounding teeth, gums, and implant support
  • A treatment plan that requires coordination with a restorative dentist

Diagnosis first

How Osseous Surgery Treatment Is Planned

Planning begins with a comprehensive periodontal and implant-focused exam. This process helps determine whether osseous surgery is the best next step, whether additional therapy is needed first, and how to sequence care predictably.

  • Periodontal measurements and oral health risk review
  • Dental X-rays, CBCT 3D imaging, or digital scans when needed
  • Medical history, medications, previous dental work, and patient goals

Precision tools

Osseous Surgery Technology and Comfort

Nova Implant & Perio Specialists uses modern diagnostic and surgical tools to improve precision and communication. Comfort is addressed before treatment begins, including local anesthesia and sedation options when appropriate.

  • Digital imaging for bone, tooth position, and periodontal defects
  • Clear recovery instructions before the appointment
  • Follow-up and maintenance planning after treatment

Sterling, Leesburg, Aldie, Winchester

Osseous Surgery Care Across Four Offices

Because the practice has offices in Sterling, Leesburg, Aldie, and Winchester, patients can receive specialty periodontal and dental implant care without traveling far from home.

  • Convenient consultations and follow-up visits
  • Consistent clinical standards across the practice
  • Support for treatment, healing checks, and long-term maintenance

What Affects Long-Term Osseous Surgery Results?

A strong outcome depends on more than the procedure itself. The health of the surrounding gums, bone quantity, oral hygiene habits, bite stability, medical conditions, and follow-up care all influence success. If you are comparing options for osseous surgery in Northern Virginia, a specialist consultation with the periodontal team led by Dr. Jean-Claude Kharmouche is the most useful next step.

Gum and bone health

Bite stability and restorative plan

Home care and periodontal maintenance

Coordination with your general dentist

Osseous Surgery FAQs

Common questions from patients considering specialty periodontal and implant care.

How is osseous surgery different from scaling and root planing?

Scaling and root planing is non-surgical and treats pockets from outside. Osseous surgery opens the gum tissue to directly access deeper areas that can't be reached without surgery.

Will my teeth appear longer after?

Possibly — repositioning gum tissue may expose slightly more tooth. This stabilizes with healing and is far preferable to losing the tooth.

Is sedation available?

Yes — oral conscious sedation or IV sedation is available for patients who prefer a more comfortable, anxiety-free experience.

What is the recovery like?

Expect mild to moderate soreness and swelling for 3–7 days. A soft diet and prescribed mouth rinse are part of the recovery protocol.

Board-Certified Periodontists · 4 Northern Virginia Locations

Take the First Step Toward Osseous Surgery Care

Our specialists are ready to answer your questions and create a personalized treatment plan tailored to your needs.