The treatments are
Flap surgery/pocket reduction surgery: gums are lifted to remove tartar, followed by scaling (removal of plaque and tartar that is hardened plaque above and below the gumline, making sure to clean all the way down to the bottom) and root planing(smoothing out the teeth roots to help gums to reattach to the teeth)to deter bacteria build-up
Soft tissue grafts: gum tissue is taken from the roof of the patient’s mouth, is grafted into thin gum areas to reinforce or cover the exposed root.
Guided tissue regeneration: Periodontal disease may destroy the bone supporting the teeth, a small piece of mesh-like fabric is placed between it and gum tissue, to prevent the gum tissue from growing into that area.
Bone grafts: fragments of patient’s bone, synthetic bone or donated bone are harvested to replace bone lost due to gum disease which serves as support.
Bone surgery: shallow craters in the bone due to bone loss are smoothed out after flap surgery to eliminate areas where bacteria can continue to collect.