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
David Golke
David Golke3 months ago
★★★★★

I've been with crystal river for about a year now and they have been nothing but great! I'd recommend them to anyone in the…

Mary Lindenmeyer
Mary Lindenmeyer2 weeks ago
★★★★★

You really care about your clients!!! More than the one I had after40 plus years in Waupaca !!! Thank you for caring Mary Lindenmeyer

Mark wheaton
Mark wheaton4 months ago
★★★★★

Great attention to detail.

Dorene Knolle
Dorene Knolle1 month ago
★★★★★

Every was nice and helpful.

Gwynn Schroeder
Gwynn Schroeder3 weeks ago
★★★★★

The appointment was right on time. My cleaning was great without discomfort. Dr. did a check that all was done.

bonnie banaszak
bonnie banaszak1 month ago
★★★★★

Thank you for getting me in today you made my day.

Michael Messing
Michael Messing2 weeks ago
★★★★★

The new dentist was very friendly and good and the hygienist was great.

Darrell Bartel (Flatlineyourbird)
Darrell Bartel (Flatlineyourbird)2 months ago
★★★★★

Amazing from when you first walk in the door until you leave. Everyone treats you special and such great care. Explains everything every step…

Sherry Werner
Sherry Werner2 months ago
★★★★★

She was awesome. She was concerned and listened to me

Christine Galyardt
Christine Galyardt3 months ago
★★★★★

Love the dentist! They are very caring and efficient.

Tami French
Tami French4 months ago
★★★★★

First experience went awesome & I look forward to my future visits! I broke my tooth and they got me in asap and will…

Tonette Decker
Tonette Decker4 months ago
★★★★★

I like Dr. Nyugen my dentist here at Dental Crystal River – Waupaca very professional , smiles and explained procedures he performs. He gave…

Marilyn Lange
Marilyn Lange5 months ago
★★★★★

Dr. Nguyen and staff are great. I'm very happy with the excellent care and the efficiency of Crystal River Dental.

Deb Ostrander
Deb Ostrander4 months ago
★★★★★

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

Darrell Bartel
Darrell Bartel2 months ago
★★★★★

Amazing Dental Care. From the Receptionist, throughout the whole process, Everyone makes you feel special. Explains everything and great listeners. Thanks for all you…

Steve and Linda
Steve and Linda4 months ago
★★★★★

They have always done a great job with my regular teeth cleaning. got same day service for removal of two infected wisdom teeth. Entire…

Tracy Karabelas
Tracy Karabelas1 month ago
★★★★★

Love this place & the Dentist! They are efficient, friendly and realistic! They work with you for the best outcomes! Awesome place!

Marcia Lieske
Marcia Lieske3 months ago
★★★★★

Great experience! Very thorough, friendly & gentle. They provide detailed explanations of procedures and upfront pricing, which I appreciate. I'm confident that I made…

Cliff
Cliff4 months ago
★★★★★

Glad to be here: good listeners, good attention to detail, and hospitable. All make you feel comfortable.

Judith Gudex
Judith Gudex4 months ago
★★★★★

Great experience at Crystal River Dental. My Hygienist, Angela did an outstanding job and I really appreciated meeting Dr. Nguyen. Very professional staff and…

Beth Ann Zellmer
Beth Ann Zellmer1 month ago
★★★★★

Today, I had a cleaning of my teeth at Crystal Dental. The service I received was excellent. The new dentist was thorough completely, as…

Kay Konen
Kay Konen1 month ago
★★★★★

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

Mary Robinson
Mary Robinson4 months ago
★★★★★

Great dentist and coworkers!

Debra Olsen
Debra Olsen1 month ago
★★★★★

For the first time in my life I am not afraid to go to the dentist. Awesome doc and staff. So thorough and gentle….

Patrick Kelly
Patrick Kelly4 months ago
★★★★★

They are very friendly an efficient

Sharrey Kalbus
Sharrey Kalbus2 months ago
★★★★★

Very professional and friendly.

All-Time Greatest Music
All-Time Greatest Music2 months ago
★★★★★

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

Kathy Baker
Kathy Baker5 months ago
★★★★★

Hygienist, Angela, very thorough, does an excellent job explaining teeth and toothbrush issues. Reminding me to change the electric toothbrush head more often, perhaps…

Cara Frias
Cara Frias5 months ago
★★★★★

Friendly, professional, took the time to answer my questions.

Emilie Eppensteiner
Emilie Eppensteiner1 month ago
★★★★

I chatted with hygienist and dentist. Both were nice and knowledgeable. I had a filling done. Went good.

Jim Tomasko
Jim Tomasko4 months ago
★★★★★

Everyone is very polite and helpful. I had to make a last minute appointment because of a broken tooth. They got me in fast…..worked…

dirk williams
dirk williams3 weeks ago
★★★★★

I had my first visit. I had to miss my first appointment….The staff was very accommodating in rescheduling and meeting my schedule!

Dale Hazard
Dale Hazard5 months ago
★★★★★

Even being late everyone was pleasant

doc finn
doc finn1 month ago
★★★★★

I'm very pleased with the service and the professionalism at Crystal River dental. I felt well informed and very comfortable with the staff and…

Chad
Chad4 months ago
★★★★★

It was a great experience, they were very unstanding and very kind.

Jeanine Kes Bode
Jeanine Kes Bode5 months ago
★★★★★

Always on time. Always very friendly.

Kathy Wagner
Kathy Wagner3 months ago
★★★★★

Everything they did was pain free. Thank you

Heather Krueger
Heather Krueger3 months ago
★★★★★

They were very nice and took care of me right from the start

desiree lucena
desiree lucena1 month ago
★★★★★

A perfect place with super-professional people who provide excellent service. I was extremely satisfied with their work.

Lisa Kasner
Lisa Kasner5 months ago
★★★★★

Crystal River Dental is a very professional and caring establishment. The atmosphere is relaxing. I have personally had great, informative and quality service everytime….

Jesus isLord
Jesus isLord2 months ago
★★★★★

The dentist is very cordial and respectful. I appreciate the care she gives.

Barbara
Barbara4 months ago
★★★★★

I always feel very cared about. 😊 I am cared about as a person compassionately and professionally! 😊

Cindy Cate
Cindy Cate1 month ago
★★★★★

I thought she is very kind and gentle! Gave me good advice for future care!

Ruth Hanson
Ruth Hanson1 month ago
★★★★★

Very thorough exam and nice people!

Stacy
Stacy2 months ago
★★★★★

All employees are very nice and listen to ymy issues and explain what needs to be done Angela cleaned my teeth gently and took…

Ben Schroeder
Ben Schroeder5 months ago
★★★★★

Great customer service and friendly staff! Outstanding dentist!

Edward McCardell
Edward McCardell5 months ago
★★★★★

Crystal River Dental does a fantastic job. Hygienist Angela is very thorough and takes the time to explain everything. Very pleased.

Brenda Sedlar
Brenda Sedlar3 months ago
★★★★★

Everyone there is friendly. The office is spotless and the hygenists are very thorough. Office staff is informative and welcoming.

Avilomah Ridge
Avilomah Ridge5 months ago
★★★★★

I had dental phobia, but everyone here is so kind, patient and understanding. Dentist does top notch work. They've turned me into a loyal…

Heather Meyer
Heather Meyer3 months ago
★★★★★

This dentist made me feel BEYOND comfortable! I have never had a dentist so forward, open, and understanding. I left feeling so happy and…

Dennis Marten
Dennis Marten3 weeks ago
★★★★★

Very nice, I was totally comfortable. Thanks.

Dave N
Dave N3 months ago
★★★★★

Very friendly and great service

Alyssa Schauer
Alyssa Schauer3 months ago
★★★★

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

Karen Galske
Karen Galske4 months ago
★★★★★

Dr. Lap Nguyen was the dentist I saw today, and I was very impressed. I recently moved to Waupaca and needed to find new…

Russell Delgado
Russell Delgado5 months ago
★★★★★

A very good dentist and very nice and friendly

Cindy Buenning
Cindy Buenning4 months ago
★★★★★

As a first time patient, I was very happy with the hygienist and the dentist.

Anthony Brzozowski
Anthony Brzozowski1 month ago
★★★★★

Had a crown done today, always professional and painless work done by the dentist here at Crystal River Dental ! The staff is always…

Linda Kubczak
Linda Kubczak2 months ago
★★★★★

Very sad to see Doctor Lap Nguyen had left sure enjoyed going to have him as a dentist. Have a fill in now till…

Paul Hanneman
Paul Hanneman2 weeks ago
★★★★★

I appreciate their honest work and explanation of what is going on when I get X-rays and progress reports on if anything is changing.

John Charleston
John Charleston4 months ago
★★★★★

Professional and sensitive to patients needs.

Debby Dear
Debby Dear2 months ago
★★★★★

I couldn’t be happier with Crystal River Dental. Everyone from the front desk to the dentist and dental staff are warm, friendly, profession and…

Linda Hughes
Linda Hughes5 months ago
★★★★★

The receptionists, the hygienist, Nicole and Dr. Nguyen were all very communicative, professional, efficient and friendly. A dental plan was put in place for…

Del Volpel
Del Volpel5 months ago
★★★★★

Outstanding care. Professional and compassionate.

Jan Niemuth
Jan Niemuth2 weeks ago
★★★★★

Routine 6 mo cleaning and exam today. Punctuality is appreciated. Comfortable, painless procedures done in time alloted with next appointment already scheduled. A real…

Cindy Roberts
Cindy Roberts4 months ago
★★★★★

All of the staff are so very friendly. They always get to me on time. They make going to the dentist a nice experience….

Nate Kahler
Nate Kahler1 month ago
★★★★★

First visit to Crystal River Dental. The staff was very accommodating and helpful.

martine mancini
martine mancini3 months ago
★★★★★

Service was on time and very friendly.

LRSchuelke
LRSchuelke4 weeks ago
★★★★★

Dentist, associates, & all office staff are absolutely awesome. They don’t treat their patients as a number. They all take time to listen &…

Linda Mueller
Linda Mueller5 months ago
★★★★★

Every time I’m here the entire staff is friendly, helpful, kind and on top of any and all issues. I’ve had Invisalign here 1…

Janet Kitzrow
Janet Kitzrow4 months ago
★★★★★

I had an exam with Dr Nguyen, that was very thorough. I appreciate his comprehensive oral cancer screening and advice

Julie Johannes
Julie Johannes3 months ago
★★★★★

Met Hygienist Angela today for the first time. She was extremely thoughtful, thorough and educational. The interim Dentist was equally warm and friendly as…

Josh Jahnke
Josh Jahnke5 months ago
★★★★★

Doc was great. Got one tooth pulled didn't feel a thing. Doc was very informative about what I needed to do after. Definitely will…

Patricia steinbarth
Patricia steinbarth2 months ago
★★★★★

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

Aaron Mueller
Aaron Mueller1 month ago
★★★★★

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

MJB
MJB1 month ago
★★★★★

Good experience! Dr.Saad, assistant Lisa, and hygienist Angela have all been very professional and helpful. Receptionist and billing make appointments friendly and easy.

Vicki Sommers
Vicki Sommers4 months ago
★★★★★

Very friendly and efficient, best dentist I've ever had. Due to exposed roots teeth are very sensitive, but they are so careful.

Pauline Suhs
Pauline Suhs4 months ago
★★★★★

Very kind and efficient. Friendly staff.

Stephen L Manske
Stephen L Manske3 months ago
★★★★★

I've been really impressed with the service and the quality of work. This visit provides the extra effort I've done has been beneficial.

Rodney Frankovis
Rodney Frankovis3 months ago
★★★★★

Very good. On time and thorough.

Timothy Lemerand
Timothy Lemerand4 months ago
★★★★★

CRD stands behind its work and products Rarely do you see a company that has such integrity.

Christopher Gudex
Christopher Gudex1 month ago
★★★★★

Very professional and thorough.

Mark Forseth
Mark Forseth5 months ago
★★★★★

Excellent care in a friendly and professional manner.

Karin Nieubuurt
Karin Nieubuurt5 months ago
★★★★★

Staff is always upbeat and friendly.

Denny Schroeder
Denny Schroeder4 months ago
★★★★★

Always a pleasant experience Thank you

Joyce Greenholdt
Joyce Greenholdt4 months ago
★★★★★

Dr. Nguyen and all the staff have been friendly, helpful, very skilled, and very good at explaining options and performing procedures w/a minimum of…

Lois Richter
Lois Richter3 weeks ago
★★★★★

The staff at Crystal River Dental is very professional, friendly & efficient. I am so happy that I found them.

Nancy Anderson
Nancy Anderson3 months ago
★★★★★

I had a wonderful experience. The dental hygienist was very nice and was also encouraging to me and my home care. The dentist was…

Bpontzloff Bigboyss
Bpontzloff Bigboyss2 months ago
★★★★★

Very friendly and professional staff.They are honest and do a great job.

b c (BC)
b c (BC)4 weeks ago
★★★★★

Very through and honest dentist. Sugested but did not try 2 push expensive improvements.

Bonita Erdmann
Bonita Erdmann3 months ago
★★★★★

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

Chuck Wieland
Chuck Wieland4 weeks ago
★★★★★

Tina was excellent in what she was doing with my teeth. Was able to get me in a little earlier the schedule. Never a…

Anna Gallegos-Hunt
Anna Gallegos-Hunt2 months ago
★★★★★

Dr Nguyen is a very knowledgeable and caring person..he explains options and the why of it all I really like Alicia at the front…

Randy Thern
Randy Thern4 weeks ago
★★★★★

The cleaning was done in a relatively painless way. The exam was thorough and I was given a reasonable long-term plan for treatment.

Gator G
Gator G3 months ago
★★★★★

Great and helpful always listens to my concerns

Christal Berg
Christal Berg5 months ago
★★★★★

I feel very comfortable there

Kevin Killeen
Kevin Killeen5 months ago
★★★★★

Great care, friendly staff. Hard to find a dentist this good and caring but this place is the one to go to.

Gary Prochnow
Gary Prochnow2 months ago
★★★★★

I had work done in both Waupaca and Wausau locations over the past year. Doctors and staff were excellent. Worked with me financially to…

Nancy Anderson
Nancy Anderson5 months ago
★★★★★

Very happy with the crown Color was perfect and so was the fit.Thank you!

Debbie Altenburg
Debbie Altenburg4 months ago
★★★★★

Friendly Staff and the dentist is the best dentist I’ve ever been to 😊

Lynn Eberly
Lynn Eberly4 months ago
★★★★★

I had my bottom teeth removed. I had no bruising, swelling or any pain, just some discomfort at times. I would recommend Crystal River…

Lynn Anderson
Lynn Anderson5 months ago
★★★★★

I highly recommend Crystal River Dental. Everyone there is professional and kind. I have been treated with care and concern for all my issues….

Timothy Hein
Timothy Hein2 weeks ago
★★★★★

Crystal River Dental is a top notch practice from top to bottom. Highly competent and professional. I'm very happy to be their patient.

Sherry Nushart
Sherry Nushart5 months ago
★★★★★

My Hygienist, Angela, was very friendly and thorough. She has nice conversation and lets me answer. You know how hard it is to answer…

Joel Altenburg
Joel Altenburg5 months ago
★★★★★

I found a diamond of a dentist office in Waupaca, WI . From the reception desk to the dental assistant and more it was…

Brittany Durrant
Brittany Durrant2 months ago
★★★★★

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

Becca Lewis-Clifton
Becca Lewis-Clifton4 weeks ago
★★★★★

After starting in 2022, at CRD, I was happy the practice finally settled down with you Dr Jon as the permanent dentist! WELCOME I…

Marlene Germundson
Marlene Germundson4 months ago
★★★★★

The assistants and the doctor are very nice and explains things very well.

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.