What is the rationale for osseous resection in periodontal surgery?

The rationale for osseous resection in periodontal surgery is primarily aimed at reshaping the alveolar bone for improved hygiene. In periodontal disease, the supporting structures of the teeth, including the alveolar bone, can become irregular due to the effects of inflammation and infection. These irregularities create pockets where plaque and bacteria can accumulate, making it difficult for patients to maintain proper oral hygiene.

By performing osseous resection, periodontal surgeons can contour and smooth the alveolar bone's surface, reducing the depth of these pockets. This not only facilitates easier access for oral hygiene practices but also promotes the recovery of periodontal tissues and improves overall periodontal health. The reshaping of the bone contributes to a more stable environment for the teeth and enhances the likelihood of successful healing after surgery.

While improving aesthetics, reducing gum sensitivity, and cavity prevention are important considerations in periodontal treatment, they are not the primary goals of osseous resection. The main focus of this procedure is to create a more favorable condition for maintenance of hygiene and to support the health of the periodontal tissues.