(608) 686-6021 [email protected] 120 Greenway Cross Court Belleville, WI 53508
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Osseous surgery
in Waupaca
— advanced periodontal treatment to save teeth that need more than a deep cleaning
When advanced gum disease has created deep pockets and bone damage that scaling and root planing can’t fully resolve, osseous surgery gives us direct access to reshape bone, eliminate the deepest infection, and create an environment where your gums can heal and maintain health long-term.

In-office periodontal surgery — no off-site specialist referral needed

Whitening Menu

When Other Treatments Aren't Enough

“Scaling and root planing is the first-line treatment for periodontitis — and for many patients, it’s sufficient. But when pockets remain deep (typically 6mm or greater) after healing, bone defects are significant, or disease continues to progress, surgery is necessary to achieve what instruments working blind through the gum line simply cannot.”
Direct access

Gum tissue is gently reflected to give direct visibility and access to root surfaces and bone — far more thorough cleaning than instruments working from above the gum line can offer.

Bone reshaping

Irregular bone topography creates pockets where destructive bacteria can easily recolonize. Osseous surgery smooths and reshapes bone to eliminate these harboring spaces and create a maintainable architecture.

Pocket elimination

Deep pockets cannot be properly cleaned or maintained at home — they are simply too deep for a toothbrush or dental floss to clear. Surgery reduces pocket depths to a healthy range that patients and hygienists can easily manage long-term.

Tooth preservation

The core goal of osseous surgery is to save your natural teeth — not remove them. Addressing the damaged bone levels and optimizing the pocket environment gives compromised teeth their absolute best chance at long-term survival.

A precise surgical procedure — performed in-office, under local anesthesia

Osseous surgery is a specialized outpatient procedure performed entirely in-house for your convenience. After the area is thoroughly numbed using local anesthesia, a minor, precise incision is made along the gumline. This allows the soft tissue to be gently rolled back, giving our clinical team a direct line of sight to the infected root structures and underlying bone defects.

The roots are thoroughly cleared of embedded calculus under direct vision, and irregular bone topography is smoothed down as needed to reduce pocket heights. The gum tissue is then securely sutured back into place. Performed meticulously by quadrant, the procedure typically involves mild temporary swelling, and your sutures are removed at a brief follow-up visit 1 to 2 weeks later.

Surgical Facts Overview

Surgical Protocol: Performed comfortably by individual quadrant

Anesthesia Focus: Local anesthetic blocks (IV / oral conscious sedation available)
Procedure Duration: 1–2 hours total per quadrant block
Suture Management: Removed smoothly at your 1–2 week follow-up check
Expected Recovery: 3–7 days of nominal soreness and mild swelling
Post-Op Activity: Light activity resumes within 24–48 hours
Insurance Standard: Typically covered at 50%–80% as major periodontal surgery
Clinical Workflow
The Laser Treatment Process

01

Anesthesia

Local anesthesia administered. IV or oral conscious sedation options are readily available for anxious patients or extensive cases. You will feel no pain during care.


02

Tissue reflection

A small, highly precise incision is mapped along the gum line. The tissue is gently reflected back to provide full access to underlying root structures and damaged bone fields.


03

Cleaning & bone work

Root surfaces are meticulously cleaned under direct vision. The underlying bone is smoothed and reshaped to eliminate pockets and topographical defects.


04

Closure & recovery

Gum tissues are sutured back precisely into place. Detailed post-operative instructions are provided, and follow-up slots are arranged for suture removal.


Expert periodontal surgery — in-office, no referral, same trusted team

In-office surgical care

We perform complex osseous surgeries entirely in-house — avoiding the need to refer you to an unfamiliar regional periodontist. The exact same clinical team that has managed your case from day one performs your surgery.

Advanced sedation available

If oral surgery makes you feel anxious, we provide comfortable oral conscious or IV deep conscious sedation options. This allows you to remain deeply relaxed and stress-free throughout the procedure.

Our goal: save your teeth

We recommend osseous surgery only when we believe it provides the single best chance of retaining your natural teeth long-term. Extraction is never our first recommendation.

Real Patient Feedback

Google reviews

Trusted by local families

4.8 ★★★★★ Google
Dave N
Dave N4 months ago
★★★★★

Very friendly and great service

Mary Lindenmeyer
Mary Lindenmeyer2 months ago
★★★★★

You really care about your clients!!! More than the one I had after40 plus years…

Heather Meyer
Heather Meyer4 months ago
★★★★★

This dentist made me feel BEYOND comfortable! I have never had a dentist so forward,…

All-Time Greatest Music
All-Time Greatest Music3 months ago
★★★★★

The young lady that cleaned my teeth was very thorough and had a very pleasant…

Aaron Mueller
Aaron Mueller2 months ago
★★★★★

Very pleased! As an itinerant substitute dentist she did a fantastic and thorough job.

Anna Gallegos-Hunt
Anna Gallegos-Hunt3 months ago
★★★★★

Dr Nguyen is a very knowledgeable and caring person..he explains options and the why of…

Patrick Kelly
Patrick Kelly6 months ago
★★★★★

They are very friendly an efficient

Brittany Durrant
Brittany Durrant3 months ago
★★★★★

Great experience! Made me feel very comfortable and wanted to make sure I was okay…

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LRSchuelke2 months ago
★★★★★

Dentist, associates, & all office staff are absolutely awesome. They don’t treat their patients as…

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Stacy3 months ago
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All employees are very nice and listen to ymy issues and explain what needs to…

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Gary Prochnow3 months ago
★★★★★

I had work done in both Waupaca and Wausau locations over the past year. Doctors…

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Tracy Karabelas2 months ago
★★★★★

Love this place & the Dentist! They are efficient, friendly and realistic! They work with…

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Beth Ann Zellmer2 months ago
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Today, I had a cleaning of my teeth at Crystal Dental. The service I received…

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Heather Krueger4 months ago
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They were very nice and took care of me right from the start

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doc finn2 months ago
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I'm very pleased with the service and the professionalism at Crystal River dental. I felt…

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I've been with crystal river for about a year now and they have been nothing…

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Denny Schroeder6 months ago
★★★★★

Always a pleasant experience Thank you

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Karen Galske6 months ago
★★★★★

Dr. Lap Nguyen was the dentist I saw today, and I was very impressed. I…

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Patricia steinbarth3 months ago
★★★★★

Very competent and friendly people. Angela did a great job cleaning my teeth.

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Lois Richter2 months ago
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The staff at Crystal River Dental is very professional, friendly & efficient. I am so…

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Professional and sensitive to patients needs.

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I had an exam with Dr Nguyen, that was very thorough. I appreciate his comprehensive…

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Pauline Suhs6 months ago
★★★★★

Very kind and efficient. Friendly staff.

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Linda Kubczak3 months ago
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Very sad to see Doctor Lap Nguyen had left sure enjoyed going to have him…

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Deb Ostrander6 months ago
★★★★★

Jan, their dental hygienist did a fabulous job cleaning my teeth. Very knowledgeable and thorough.

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Lynn Eberly6 months ago
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I had my bottom teeth removed. I had no bruising, swelling or any pain, just…

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I was very pleased with the staff and Dr. Matte. Thank you.

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Dorene Knolle2 months ago
★★★★★

Every was nice and helpful.

Stephen L Manske
Stephen L Manske4 months ago
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I've been really impressed with the service and the quality of work. This visit provides…

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Anthony Brzozowski2 months ago
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Had a crown done today, always professional and painless work done by the dentist here…

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Paul Hanneman2 months ago
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I appreciate their honest work and explanation of what is going on when I get…

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Debra Olsen2 months ago
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For the first time in my life I am not afraid to go to the…

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Gator G4 months ago
★★★★★

Great and helpful always listens to my concerns

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Tami French6 months ago
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First experience went awesome & I look forward to my future visits! I broke my…

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Chuck Wieland2 months ago
★★★★★

Tina was excellent in what she was doing with my teeth. Was able to get…

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Sherry Werner3 months ago
★★★★★

She was awesome. She was concerned and listened to me

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Joyce Greenholdt6 months ago
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Dr. Nguyen and all the staff have been friendly, helpful, very skilled, and very good…

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Rodney Frankovis4 months ago
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bonnie banaszak2 months ago
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Service was on time and very friendly.

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Dennis Marten2 months ago
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Very nice, I was totally comfortable. Thanks.

Jesus isLord
Jesus isLord3 months ago
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The dentist is very cordial and respectful. I appreciate the care she gives.

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Great attention to detail.

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I couldn’t be happier with Crystal River Dental. Everyone from the front desk to the…

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Alyssa Schauer4 months ago
★★★★

Dr. B was thorough and I am glad that my son had his chipped tooth…

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Ruth Hanson2 months ago
★★★★★

Very thorough exam and nice people!

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Gwynn Schroeder2 months ago
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The appointment was right on time. My cleaning was great without discomfort. Dr. did a…

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Christine Galyardt4 months ago
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Kay Konen2 months ago
★★★★★

Hygienist was great,and Dr.'s explanation of teeth matters explained throughly.

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Met Hygienist Angela today for the first time. She was extremely thoughtful, thorough and educational….

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Darrell Bartel (Flatlineyourbird)3 months ago
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As a first time patient, I was very happy with the hygienist and the dentist.

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Cliff6 months ago
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CRD stands behind its work and products Rarely do you see a company that has…

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Kathy Wagner4 months ago
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b c (BC)2 months ago
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Steve and Linda6 months ago
★★★★★

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Marlene Germundson6 months ago
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Jan Niemuth1 month ago
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Routine 6 mo cleaning and exam today. Punctuality is appreciated. Comfortable, painless procedures done in…

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Randy Thern2 months ago
★★★★★

The cleaning was done in a relatively painless way. The exam was thorough and I…

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★★★★★

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Vicki Sommers6 months ago
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Debbie Altenburg6 months ago
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Frequently Asked Laser Questions
The surgery is performed entirely under local anesthesia, meaning you will experience zero pain during the procedure. Post-operative soreness and localized swelling for 3 to 7 days is completely normal and effectively managed with standard prescribed medication. Most patients are surprised by how manageable the recovery turns out to be.
 
Most individuals resume regular, light daily activities within 24 to 48 hours. Soreness and local tissue swelling typically peak at days 2–3 and resolve fully by days 5–7. Sutures are removed smoothly at a follow-up check 1–2 weeks after surgery, and soft-food dietary restrictions apply for about a week.
 

No. Osseous surgery is strictly performed by quadrant, meaning we only treat the specific localized fields where periodontal pockets remain dangerously deep following conservative scaling and root planing treatments. Most patients only require surgery in one or two quadrants, not across the entire mouth.

Yes, nearly all dental PPO benefits cover osseous surgery as a major surgical periodontal service, typically funding 50% to 80% of the procedural cost after your deductible is met. Our office manages all pre-authorizations, insurance billing, and supporting diagnostic data documentation on your behalf.

Transitioning to specialized supportive periodontal maintenance appointments every 3 to 4 months is an absolute requirement after surgery. These routine visits are what maintain the surgical outcome, keep pocket environments healthy, and prevent bacterial re-infection loops from re-emerging.

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Advanced gum disease is serious — but your teeth are worth fighting for. Schedule your periodontal surgery consultation at Crystal River Dental.

Protect your smile foundation and stop progressive bone loss. Connect with our dedicated local team today.