The signature of periodontal disease is loss of the bone that holds our teeth in place. Using a conservative surgical technique, it is possible to remove the bacteria that causes bone damage and allow the body to heal itself. When patients care for the surgical site properly, as our patient did in this case, the bone can re-grow even without the need for bone grafting. As you can see in the circled areas, the cleft in the bone around her bridge tooth filled in with bone. Unfortunately, the small shadow at the tip of the root hints that a root canal may be necessary. But she saved her tooth and her bridge.