Osseous resective surgery is the most predictable surgical treatment modality for achieving stable pocket reduction1. Gingival surgery alone is ineffective in reducing periodontal pockets with an intraosseous component. The surface topography of alveolar bone is not indicative of the surface form of the overlying gingiva. Osseous resective surgery comprises a series of carefully orchestrated steps for appropriate re-contouring of alveolar bone and management of the overlying soft tissues. Osseous resective surgery can be defined as a procedure to modify osseous support either by reshaping the alveolar bone to achieve physiologic form without the removal of supporting bone (osteoplasty) and/or by the removal of some alveolar bone (ostectomy), thus changing the position of the crestal bone relative to the tooth root

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