In case when very deep periodontal pockets are present, so called open curettage procedure needs to be applied - it is a surgical procedure, carried out with local anesthesia. The procedure assumes that the gum is cut, the periodontal pocket is opened, and then the pocket itself is being cleaned, under the doctor’s control.
Depending on the degree of damage of the bone that surrounds the teeth, the procedure may also involve application of an osteogenic biomaterial into the created empty space. This substance would support the process of bone reconstruction. Next, stitches are being inserted. They are removed after the opening is healed, which happens 7 to 10 days after the procedure is carried out.