Periodontics (Gum Surgery)

gum-surgery 92101 dentist downtown san diego

At A Street Dental, we care about more than just your teeth – we want to make sure your gums are healthy as well. Learn more about periodontics at our clinic here!


The stages of gum disease are described as early, moderate or advanced periodontitis. Gum disease can be local, involving one or a few teeth, or it can be general, involving all teeth.  We offer many non-surgical and surgical options to get your gums back to optimal health.


Scaling and Root Planing: We manually remove the plaque and tartar from the root surfaces of your teeth below the gum line.

Antibiotics: Because of the role of bacteria in gum disease, antibiotics or antimicrobial agents may be recommended. Antimicrobial mouth rinses may also be advised.

Bite correction: An imbalanced bite may accelerate bone destruction. Your teeth may be adjusted for proper and better function. A Bite-guard (removable retainer fitting over teeth) may be required to protect tooth surfaces and relax tense muscles.

Splinting: This technique attaches weak teeth together, combining them into a stronger single unit, making them more stable and offering a more comfortable chewing surface.


In more advanced cases of infection, bone damage, or gum recession, cosmetic surgery may be required.

Gingivectomy: This procedure is performed when excess amounts of gum growth around the teeth have occurred resulting in false pocket formation and the inability to keep the tooth and gums clean.

Osseous (bone surgery): This procedure is done to smooth shallow craters and defects in the bone due to mild or moderate bone loss.

Guided Tissue Regeneration: This procedure is done in combination with a surgical flap operation where gum growth is barriered off to allow slower growing bone, cementum, and ligament cells to populate a bony defect.

Bone Grafts: Tiny fragments of the patient’s bone, synthetic bone or bone obtained from a bone bank are used to fill a bony defect around the teeth. These grafts act as a scaffold on which the patient’s own bone is induced to grow.

Soft Tissue Graft: In cases of gum recession a graft is usually taken from the palate and transplanted onto the receding area to reinforce the thin gum and to inhibit further gum recession.

Although there is no complete cure for periodontitis, the purpose of all periodontal therapy is to stop or slow down the progression of gum disease. The success of the therapy is for the most part determined by the patient’s oral hygiene and professional maintenance.  We are committed to helping you find the best solution for your needs!