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. Naturally it is first essential to remove the disease-causing bacteria. If you notice any of the warning signs of periodontal infection, please contact your general dentist and ask for a periodontal evaluation. The goal of periodontal therapy is to regain good periodontal health.