Surgical Periodontal Disease Therapy

Severe or advanced periodontal disease can damage the gums and the underlying bone to such a degree that a proper state of health cannot be maintained. For Dr. Karabin and Dr. Gottesman, the ultimate goal of periodontal therapy is to preserve and maintain your natural dentition whenever possible. When bone loss and receding gums have compromised the integrity of your natural teeth, surgical intervention is the best way to overcome the destruction that has been caused by periodontal disease.

What is Pocket Depth Reduction?

The space between the teeth and gums above the supporting bone (known as a periodontal pocket) provides a perfect breeding ground for bacteria. When the pocket is too deep to be cleaned properly, the result can be chronic or recurrent disease activity producing further attachment loss.

By surgically reducing the height of the gumline, removing diseased or excessive tissue, and recontouring the underlying bone, our proven techniques can help prevent the progression of the disease. In essence, pocket depth reduction is an effective way to reduce the number of places where bacteria can hide while increasing the number of places that you can access with your toothbrush and floss.

What is Guided Tissue Regeneration?

Although the conventional treatment for periodontal disease is an effective way to remove plaque bacteria and control recurrent infection, these methods do not help to establish support for the teeth. By utilizing specialized and sophisticated surgical techniques, Dr. Karabin and Dr. Gottesman can promote the growth of new gum and bone tissue.

Where periodontal disease has severely damaged the tissues that support the teeth, this form of regenerative therapy stimulates and guides the growth of the gums and underlying bone. Using specific proteins like enamel matrix protein (Straumann® Emdogain™) and biocompatible materials to “guide” the growth of the new tissues, it is possible to regenerate the structural integrity  of the tissues supporting  the tooth roots.

As specialists in the health, preservation, and restoration of your periodontal structures, it would be our pleasure to educate you about your surgical options for the treatment of periodontal disease. Why not call to schedule your consultation today?


I am a patient of this practice for over 20 years having started with Dr. Gottesman. Dr. Gottesman continues this excellent tradition of caring, concern, and outstanding care. I highly recommend this practice.


Dr. Gottesman did a great job for me. I came in after not seeeing a dentist for many years, and with much trepidation. Dr. Gottesman eased my fears. I’d reccommend him to anyone, especially those who haven’t seen a dentist in along time and need some hand holding!

Pocket Reduction Gallery

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