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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
Linda Hughes
Linda Hughes6 months ago
★★★★★

The receptionists, the hygienist, Nicole and Dr. Nguyen were all very communicative, professional, efficient and…

Joel Altenburg
Joel Altenburg6 months ago
★★★★★

I found a diamond of a dentist office in Waupaca, WI . From the reception…

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…

Marcia Lieske
Marcia Lieske4 months ago
★★★★★

Great experience! Very thorough, friendly & gentle. They provide detailed explanations of procedures and upfront…

LRSchuelke
LRSchuelke1 month ago
★★★★★

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

Marlene Germundson
Marlene Germundson5 months ago
★★★★★

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

Joyce Greenholdt
Joyce Greenholdt5 months ago
★★★★★

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

Denny Schroeder
Denny Schroeder5 months ago
★★★★★

Always a pleasant experience Thank you

Vicki Sommers
Vicki Sommers5 months ago
★★★★★

Very friendly and efficient, best dentist I've ever had. Due to exposed roots teeth are…

Chad
Chad5 months ago
★★★★★

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

dirk williams
dirk williams4 weeks ago
★★★★★

I had my first visit. I had to miss my first appointment….The staff was very…

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martine mancini4 months ago
★★★★★

Service was on time and very friendly.

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Jim Tomasko5 months ago
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Lynn Anderson6 months ago
★★★★★

I highly recommend Crystal River Dental. Everyone there is professional and kind. I have been…

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bonnie banaszak2 months ago
★★★★★

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

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Nate Kahler2 months ago
★★★★★

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

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Christal Berg6 months ago
★★★★★

I feel very comfortable there

Dale Hazard
Dale Hazard6 months ago
★★★★★

Even being late everyone was pleasant

Darrell Bartel
Darrell Bartel3 months ago
★★★★★

Amazing Dental Care. From the Receptionist, throughout the whole process, Everyone makes you feel special….

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Stacy3 months ago
★★★★★

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

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Great and helpful always listens to my concerns

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Del Volpel6 months ago
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Bonita Erdmann4 months ago
★★★★★

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

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Christine Galyardt4 months ago
★★★★★

Love the dentist! They are very caring and efficient.

Barbara
Barbara5 months ago
★★★★★

I always feel very cared about. 😊 I am cared about as a person compassionately…

Kay Konen
Kay Konen2 months ago
★★★★★

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

Mary Robinson
Mary Robinson5 months ago
★★★★★

Great dentist and coworkers!

Timothy Lemerand
Timothy Lemerand5 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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★★★★★

They have always done a great job with my regular teeth cleaning. got same day…

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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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Stephen L Manske4 months ago
★★★★★

I've been really impressed with the service and the quality of work. This visit provides…

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Debbie Altenburg5 months ago
★★★★★

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

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Lisa Kasner6 months ago
★★★★★

Crystal River Dental is a very professional and caring establishment. The atmosphere is relaxing. I…

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Edward McCardell6 months ago
★★★★★

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Kevin Killeen6 months ago
★★★★★

Great care, friendly staff. Hard to find a dentist this good and caring but this…

Karen Galske
Karen Galske5 months ago
★★★★★

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

Marilyn Lange
Marilyn Lange6 months ago
★★★★★

Dr. Nguyen and staff are great. I'm very happy with the excellent care and the…

Christopher Gudex
Christopher Gudex2 months ago
★★★★★

Very professional and thorough.

Cindy Buenning
Cindy Buenning5 months ago
★★★★★

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

Gary Prochnow
Gary Prochnow3 months ago
★★★★★

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

Janet Kitzrow
Janet Kitzrow5 months ago
★★★★★

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

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Brenda Sedlar4 months ago
★★★★★

Everyone there is friendly. The office is spotless and the hygenists are very thorough. Office…

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Karin Nieubuurt6 months ago
★★★★★

Staff is always upbeat and friendly.

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Anthony Brzozowski2 months ago
★★★★★

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

Sherry Nushart
Sherry Nushart6 months ago
★★★★★

My Hygienist, Angela, was very friendly and thorough. She has nice conversation and lets me…

Darrell Bartel (Flatlineyourbird)
Darrell Bartel (Flatlineyourbird)3 months ago
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Amazing from when you first walk in the door until you leave. Everyone treats you…

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desiree lucena2 months ago
★★★★★

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

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Pauline Suhs5 months ago
★★★★★

Very kind and efficient. Friendly staff.

Nancy Anderson
Nancy Anderson6 months ago
★★★★★

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

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

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

Rodney Frankovis
Rodney Frankovis4 months ago
★★★★★

Very good. On time and thorough.

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Emilie Eppensteiner2 months ago
★★★★

I chatted with hygienist and dentist. Both were nice and knowledgeable. I had a filling…

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Dorene Knolle2 months ago
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Every was nice and helpful.

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Judith Gudex5 months ago
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Chuck Wieland1 month ago
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Tina was excellent in what she was doing with my teeth. Was able to get…

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Cara Frias6 months ago
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Friendly, professional, took the time to answer my questions.

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Heather Krueger4 months ago
★★★★★

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

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★★★★★

Very thorough exam and nice people!

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Great attention to detail.

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★★★★

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

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

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First experience went awesome & I look forward to my future visits! I broke my…

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Gwynn Schroeder4 weeks ago
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Julie Johannes4 months ago
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Met Hygienist Angela today for the first time. She was extremely thoughtful, thorough and educational….

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Kathy Wagner4 months ago
★★★★★

Everything they did was pain free. Thank you

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Sherry Werner3 months ago
★★★★★

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Becca Lewis-Clifton1 month ago
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Mark Forseth6 months ago
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Linda Mueller6 months ago
★★★★★

Every time I’m here the entire staff is friendly, helpful, kind and on top of…

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Cindy Cate2 months ago
★★★★★

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

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John Charleston5 months ago
★★★★★

Professional and sensitive to patients needs.

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Paul Hanneman4 weeks ago
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Lynn Eberly5 months ago
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Mary Lindenmeyer4 weeks ago
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Avilomah Ridge6 months ago
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★★★★★

Routine 6 mo cleaning and exam today. Punctuality is appreciated. Comfortable, painless procedures done in…

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b c (BC)1 month ago
★★★★★

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Jeanine Kes Bode6 months ago
★★★★★

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Dennis Marten4 weeks ago
★★★★★

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Deb Ostrander5 months ago
★★★★★

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

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Ben Schroeder6 months ago
★★★★★

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Jesus isLord3 months ago
★★★★★

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Michael Messing4 weeks ago
★★★★★

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Patrick Kelly5 months ago
★★★★★

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Tracy Karabelas1 month ago
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Love this place & the Dentist! They are efficient, friendly and realistic! They work with…

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Tonette Decker5 months ago
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I like Dr. Nyugen my dentist here at Dental Crystal River – Waupaca very professional…

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Josh Jahnke6 months ago
★★★★★

Doc was great. Got one tooth pulled didn't feel a thing. Doc was very informative…

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Nancy Anderson4 months ago
★★★★★

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Kathy Baker6 months ago
★★★★★

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Cindy Roberts5 months ago
★★★★★

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Aaron Mueller2 months ago
★★★★★

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Linda Kubczak3 months ago
★★★★★

Very sad to see Doctor Lap Nguyen had left sure enjoyed going to have him…

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Bpontzloff Bigboyss3 months ago
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Very friendly and professional staff.They are honest and do a great job.

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Russell Delgado6 months ago
★★★★★

A very good dentist and very nice and friendly

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.