Avoiding periodontal surgery depends on how far your periodontal disease has progressed, treatment can vary widely. If the disease is caught early, simple procedures can be done that will remove the plaque and calculus from below the gum line and eliminate the infection-causing bacteria. If the disease has advanced to the point where the periodontal pockets are deep and the supporting bone is lost, surgery might be necessary. When periodontal disease has destroyed the bone supporting your teeth this damage can be reversed by regenerating lost bone and tissue. Periodontal surgery is used to treat gum disease. This results mainly from bacteria in the plaque on your teeth. There is a series of treatments we can use to combat periodontal disease depending on how far it has progressed. Your bone and gum tissue should fit snugly around your teeth like a turtleneck around your neck.