When a patient is diagnosed with periodontal disease, the first recommendation would be to do deep cleaning to reduce the pocketing of the gums. In cases where pocketing is deeper than 5-6 mm, doing periodontal surgery is already the recommendation. One option is to open up the gum tissue like an envelope to thoroughly clean the root surfaces and stitching it back up to wait for the healing process to occur. Another option is to do laser surgery to remove infected tissue which is a more definitive treatment with faster healing results. Periodontal surgery such as periodontal grafting can also be done to regenerate healthy tissue attachment to the root surface. When a crown procedure is recommended, especially on the molars, periodontal surgery to lengthen the crown area can also be done to increase the retention of the crown prosthetic.