01 Periodontal Treatment
✓ Medically reviewed by Dr. Neel Bhatavadekar, Periodontist & Implantologist
Periodontal treatment covers the surgical and regenerative procedures used when non-surgical gum care hasn't fully resolved deep pockets or bone loss, including flap surgery, guided tissue regeneration, and crown lengthening.
At Clarus Dental Specialities in Koregaon Park, periodontal surgery is planned and performed directly by Dr. Neel Bhatavadekar, Pune's only US Board Certified Periodontist and Implantologist.
Patients usually reach this stage after: deep pockets remaining after cleaning visible bone loss on X-ray a tooth becoming loose gum recession affecting comfort
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Quick answer: Periodontal treatment refers to the surgical and regenerative procedures used for gum disease that hasn't fully responded to non-surgical care, including flap surgery to access and clean deep pockets, guided bone or tissue regeneration, and crown lengthening. In Koregaon Park, Pune, this surgical-level care is performed directly by Dr. Neel Bhatavadekar, a US Board Certified Periodontist and Implantologist.
Before You Book
But if you want treatment backed by science and done by a US Board Certified Specialist, you're in the right chair.
02 Overview
Most gum disease responds to non-surgical care, our Gum Disease Treatment page covers that general spectrum. Periodontal treatment, in the specialist sense, refers specifically to the surgical and regenerative procedures used when deep pockets or bone loss remain after non-surgical therapy has been tried and reassessed.
This includes lifting the gum tissue in a flap procedure to directly access and clean root surfaces and bone that can't be reached with instruments alone, placing regenerative material to encourage bone or tissue regrowth, or lengthening a crown to expose more sound tooth structure before restorative work.
Because these are surgical procedures, they're recommended only for sites that genuinely need them, not as a default escalation from non-surgical care.
03 Candidacy
Periodontal surgery is considered for specific sites, based on how they responded to non-surgical care, not for the mouth as a whole by default.
04 Background
Non-surgical scaling and root planing resolves the majority of gum disease cases, which is why it's always tried and reassessed first. Periodontal surgery is reserved for pockets and bone loss that remain after that reassessment, sites where instruments alone genuinely can't reach the problem.
This staged approach isn't about delaying care, it's about operating only where surgery will actually change the outcome, rather than treating every case the same way regardless of severity.
05 Options
The right procedure depends on what a site specifically needs, access to the root, bone regrowth, or more exposed tooth structure.
Gum tissue is gently lifted to directly access and clean root surfaces and reshape bone contours, then repositioned for a healthier fit.
Grafting material and, where appropriate, a barrier membrane are placed to encourage regrowth of lost bone or gum tissue.
Gum and, if needed, bone tissue are reshaped to expose more sound tooth structure before a crown or other restoration is placed.
06 Procedure
Pocket depths are re-measured to confirm which specific sites still need surgical treatment.
The right procedure, flap surgery, regeneration, or crown lengthening, is planned for each site based on what it needs.
Gum tissue is gently lifted under local anaesthesia to access the root and bone directly.
Bone graft material or a membrane is placed where regeneration is the goal for that site.
The gum tissue is sutured back into position, with a follow-up visit to check healing and remove sutures.
07 Cost Factors
Cost depends on how many sites need surgery and which procedures are involved. It's discussed only after reassessment, once the following are known:
A specific estimate is only meaningful after reassessment and site-specific planning. This section is informational and is not a quotation.
If surgery has already been recommended elsewhere, Dr. Neel is available to review your case and share an independent periodontal assessment before you decide.
08 Aftercare
Some swelling and discomfort is normal and is managed with prescribed medication.
A soft diet and gentle care around the surgical site supports healing while sutures remain in place.
Sutures are removed and the site is checked to confirm healing is on track.
Tissue continues to mature over several months before any planned restorative work proceeds.
09 Limits
Being clear about realistic outcomes matters, especially with surgical procedures:
10 Your Visit
If you're being seen specifically for periodontal treatment, the visit typically starts with a review of prior non-surgical treatment and current pocket depths, followed by a clear, site-by-site plan for what surgical care, if any, is actually recommended.
11 Why This Clinic
BDS (Nair Hospital Dental College, Mumbai) · Postgraduate periodontology training, University of North Carolina at Chapel Hill, USA · Diplomate, American Board of Periodontology (2008) · ITI Fellow, International Team for Implantology (2009)
Periodontal surgery is performed directly by Dr. Neel rather than referred out, a reflection of his standing as Pune's only US Board Certified Periodontist and Implantologist, and one of only two in India.
Periodontal surgery performed directly by a board-certified periodontist, not referred elsewhere.
Decisions based on reassessed pocket depths per site, not a mouth-wide default.
Regenerative results and when a tooth may not be saveable are discussed openly.
The only dental clinic in Pune listed by the US Consulate Mumbai.
Patients can also read independent reviews on Google and Practo.
12 Visit Us
This dentist and dental clinic in Koregaon Park also treats patients from nearby areas of Pune. See the full Koregaon Park clinic page →
13 International Patients
Clarus Dental Specialities is the only dental clinic in Pune listed by the US Consulate Mumbai, and Dr. Neel holds a dual US-India dental license, giving NRI and overseas patients confidence in the surgical periodontal care available here.
Because periodontal surgery involves a healing and suture-removal window, and in some cases a longer maturation period before restorative work, treatment timing is discussed honestly against your travel plans at the first consultation.
14 FAQ
A regular cleaning is preventive and above the gumline. Periodontal treatment addresses disease that has already caused deep pockets or bone loss, using non-surgical deep cleaning first and surgery for sites that don't fully respond.
The procedure itself is performed under local anaesthesia, so it isn't painful. Some swelling and discomfort afterward is normal and is managed with prescribed medication.
Initial healing and suture removal typically happens within one to two weeks, though full tissue maturation can take several months, particularly where regenerative material was used.
Some procedures, particularly flap surgery and crown lengthening, can result in more visible tooth structure. This is discussed as part of treatment planning so there are no surprises.
It's a procedure using graft material, and sometimes a barrier membrane, placed at a site with bone loss to encourage the body to regrow lost bone or tissue.
Often, if there's enough remaining bone support to work with. Where support has been lost too extensively, extraction and replacement may be the more realistic option, discussed openly at consultation.
Not automatically. Pocket depths are reassessed several weeks after non-surgical treatment, and surgery is recommended only for the specific sites that still show deep pockets or bone loss.
1. Clinical literature on periodontal surgical and regenerative procedures, indexed on PubMed Central. ncbi.nlm.nih.gov/pmc
2. Dr. Neel Bhatavadekar's peer-reviewed publications, indexed on PubMed. pubmed.ncbi.nlm.nih.gov
Call or WhatsApp the clinic directly to ask questions or set up a periodontal consultation with Dr. Neel Bhatavadekar.
This page provides general dental information and does not constitute a diagnosis, treatment plan, or medical advice. Outcomes vary by individual case. No specific results, costs, or timelines are guaranteed. Please consult Dr. Neel Bhatavadekar or a qualified specialist for advice specific to your condition.
