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Scaling and root planing. Scaling involves the removal of the plaque and calculus deposits on the tooth surfaces, while root planing is the smoothing of the root surfaces in order to promote reattachment of the gum tissue to the tooth.

Osseous therapy allows the periodontist to gain access to the root of the tooth for removal of plaque, calculus, and diseased tissue. The gum is then carefully sutured back into place. Flap therapy may sometimes be accompanied by minor osseous (bone) shaping or removal in order to ease tissue positioning, facilitate home care, and simplify your maintenance appointments.

Guided tissue regeneration (GTR) involves the use of a biocompatible membrane material, often in combination with a bone graft, that promotes the growth of lost tissue and bone around your tooth. Not every case is suitable for grafting so ask your dentist if this procedure can benefit you.
