Traditionally osseous surgery was a procedure that eliminated gum pockets by trimming away the infected gum tissue and diseased bone. Although this is very affective, modern techniques have improved the procedure to minimize the negative side effects while maintaining the desire outcome. Today, the gum tissue is pushed back from the tooth, allowing access to the diseased root surface and supporting bone. Once the area has been cleaned and treated the gum is replaced to allow healing. Osseous surgery is the most affective and predictable way to treat gum disease. It creates a healthy environment that promotes long term maintenance and prevents recurrent disease.