Tooth pockets just lead to deeper pockets then extraction, in my case. perio cleanings quarterly for past 10 yrs. can a laser vs. flap surgery help?

Flap surgery: Treatment will depend on how deep your pockets are, your home care compliance, flossing, and your systemic factors, such as being a smoker or diabetic. Flap surgery is the most predictable way to eliminate pockets. Talk to your periodontist about your particular case.

Laser vs surgery: It depends on the surgeon and the severity of your case. Some periodontists use lasers and others don't. Go to one that has one so he can give you the choice and use his experience.

Advanced perio: If you've had 10 years of periodontal maintenance and you are still losing teeth with no stability, i would. Like to think something in the diagnosis is being missed. See a specialist an get their opinion. Lasers or surgery may be an option.

Yes: You possibly would need a consultation with a periodontist. Flap surgery , and pocket reductions may be needed in addition to perio cleanings . In some cases a bone graft may also help you save your teeth as well.