You may need surgery for severe gum disease (periodontitis) if it cannot be cured with antibiotics or root planing and scaling. Types of surgery include:
Gingivectomy. Gingivectomy removes and reshapes loose, diseased gum tissue to get rid of pockets between the teeth and gums. A gum specialist (periodontist) or oral surgeon often will do the procedure.
Open flap procedure. An open flap procedure cleans the roots of a tooth. A periodontist or an oral surgeon often performs this procedure