Surgical Periodontal Therapy

Surgical Treatment for Advanced Periodontal Disease

If peri­odon­titis cannot be contained with non-surgical treatment, a surgical approach may become necessary. The aim of surgical peri­odontal therapy is to stabilize the gums and the peri­odontal supporting tissues, control inflamm­a­tion, and ensure the long-term preser­va­tion of the affected teeth. A classic procedure is open curettage: after the gum is lifted, deep peri­odontal pockets and inflamed tissue are thoroughly cleaned under direct vision. This allows bacterial deposits and calculus to be removed in a targeted manner, even in hard-to-reach areas. This can help promote the natural, healthy reat­tach­ment of tissue to the tooth root.

Preserve the Jawbone – Promote Regeneration

In cases of prono­unced bone defects, rege­ne­ra­tive therapy (GTR) can be performed. The aim is to rebuild lost struc­tures of the peri­odontal supporting tissues—using barrier membranes that enable controlled tissue healing. In addition, the defect can be filled with bone substi­tute material to improve the tooth’s stability.

Peri­odontal surgery at our practice in Berlin-Friedenau is based on careful planning, modern tech­no­logy, and gentle surgical proce­dures using ultra­sound or laser—for tooth preser­va­tion even in advanced peri­odon­titis.