Objective To explore the clinical value of periodontal reduction surgery in oral restoration treatment. Methods A total of 86 patients with this condition admitted to Jinjiang Hospital from October 2022 to October 2024 were random number table method divided into two groups, 43 cases in each group. The control group received traditional oral restoration, while the observation group received periodontal reduction treatment. The efficacy was compared. Results The effective rate of the observation group was obvious higher. After surgery, the appearance score and functional score of the observation group were higher. The gingival recession rate of the observation group was lower , while the treatment satisfaction was more higher (P<0.05). Conclusions Periodontal reconstruction surgery applied in oral restoration treatment can significantly improve efficacy, reduce gingival recession rate, promote rapid gingival formation, restore natural and beautiful gums, and improve patient satisfaction. It has important clinical value.