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Philadelphia Office: Philadelphia PA Periodontics Office Phone Number215-985-4337 | 1520 Locust Street, Suite 600
Philadelphia , PA 19102 |
Philadelphia Office: Philadelphia PA Periodontics Office Phone Number215-985-4337| 1520 Locust Street, Suite 600
Philadelphia , PA 19102 |
Osseous Surgery Philadelphia
Goals of Osseous Surgery
Osseous surgery is recommended to reduce or eliminate the periodontal pockets that cause periodontal disease. Despite the word “surgery” the procedure is reported to feel more like a thorough cleaning.
The specific goals of surgery include:
- Reducing Bacterial Spread:
Bacteria from the mouth can spread throughout the body and cause other life-threatening conditions such as heart disease and respiratory disease. Removing deep tartar and thereby bacteria can help reduce the risk of bacteria spreading. - Preventing Bone Loss:
The immune system’s inflammatory response prompted by periodontal bacteria can lead to bone loss in the jaw region, and cause teeth to fall out. Osseous surgery seeks to stop periodontal disease before it progresses to this level. - Enhancing the Smile:
Mouths plagued with periodontal disease are often unsightly. Brown gums, rotting teeth, and ridge indentations can leave a person feeling depressed and too self-conscious to smile. Fortunately, osseous surgery can help reduce bacteria and disease and thereby restore your mouth to its former radiance, while restoring confidence at the same time. - Facilitating Home Care:
As the gum pocket deepens, it can become nearly impossible to brush and floss adequately. Osseous surgery reduces pocket size, making it easier to brush and floss, and thereby prevent further periodontal disease.
Benefits of Osseous Surgery for Gum Health
Osseous surgery can offer hope and healing when other treatments haven’t quite done the job. This effective and innovative procedure restores both the health and function of your gums and the bone structures that support your teeth, giving you the foundation for a healthy, comfortable smile and the following benefits:
Stopping Bone Loss and Infection
When gum disease advances to periodontitis, harmful bacteria settle into deep pockets between your gums and teeth, creating ongoing infection and gradually destroying the bone that keeps your teeth secure. Through osseous surgery, we can gently remove the diseased tissue and carefully reshape the bone, eliminating troublesome bacteria and protecting the structures that support your teeth.
Easier Oral Care
Before treatment, those deep periodontal pockets make it practically impossible to clean bacteria and plaque away from your teeth, no matter how dedicated you are to brushing and flossing. According to the American Dental Association, chronic periodontitis affects 47.2% of adults over 30 in the United States and can lead to tissue and bone loss that becomes more severe over time. Fortunately, osseous surgery significantly reduces these pocket depths, making it much easier for you to maintain clean and healthy teeth and gums.
Long-Term Stability and Enhanced Treatment Success
Osseous surgery creates lasting stability for your teeth by building a healthy foundation where your gums can properly reattach. This improved attachment helps prevent that uncomfortable tooth mobility and can actually save teeth that might otherwise be lost to advanced gum disease.
Preparing for Other Treatments
The procedure also sets you up for success with any future dental treatments you might need. When your gums and bone are healthy and strong, treatments like dental implants, crowns, or bridges have much better success rates and tend to last longer.
Improved Daily Comfort
Beyond all the clinical benefits, osseous surgery often brings significant improvements to your daily comfort and quality of life, including less gum bleeding, reduced sensitivity, and noticeably fresher breath after your gums have healed. Additionally, eliminating that chronic infection means saying goodbye to the persistent discomfort and inflammation that often accompany advanced gum disease.
When Is Osseous Surgery Recommended?
We typically recommend osseous surgery when gentler, non-surgical periodontal treatments have been unable to fully control advanced gum disease. If you have deep periodontal pockets that haven’t responded as well as we’d hoped to scaling and root planing (deep cleaning treatment) combined with improved home care, we look for the following signs that indicate the need for osseous surgery:
Clinical Indicators for Surgery
Before proceeding with osseous surgery, we carefully evaluate your oral health during a comprehensive periodontal examination. When pocket depths of 5 millimeters or greater persist after initial therapy, it often indicates that surgical intervention will yield the best results. At these depths, bacteria continue to flourish in areas that regular cleaning can’t reach, which means ongoing infection and bone loss.
We also look for specific signs that help us know when osseous surgery will provide the best outcome for your oral health. If you’re still experiencing persistent bleeding and inflammation after initial treatment, the infection may still be active in those deep pockets. X-rays that show continued bone loss or irregular bone contours around your teeth also indicate the need for surgical intervention to stop disease progression in its tracks.
Patient Response and Health Factors
Another key consideration is how well you’ve responded to initial periodontal therapy. If your gums remain inflamed and pockets stay deep after giving non-surgical treatment plenty of time to work, osseous surgery can provide the more thorough cleaning and reshaping needed for proper healing.
Your individual health status and personal goals also help determine if osseous surgery is right for you. Medical conditions like diabetes and autoimmune diseases, your oral hygiene habits, age, and commitment to long-term maintenance all contribute to your personalized treatment plan.
Timing and Treatment Areas
The timing of osseous surgery can significantly impact your results. We prefer to perform the procedure when your gums have stabilized after initial treatment but before you experience significant additional bone loss. This timing helps us preserve as much healthy tissue as possible while still achieving the thorough cleaning and reshaping you need for long-term success.
Additionally, we often recommend osseous surgery for specific areas of your mouth where disease is most active or where bone loss has created irregular contours that tend to harbor bacteria. Common areas include spots between teeth where cleaning is naturally more challenging, or regions where teeth have unusual shapes or positions that make plaque removal difficult.
What does the procedure entail?
A local anesthetic will be used to numb the area prior to surgery. First, Dr. Laudenbach will retract the gum tissue to allow access to the supporting bone and roots of the teeth. After the roots have been thoroughly cleaned through scaling, specialized instruments will be used to reshape the bone around the teeth. Bone is recontoured in some areas to restore the normal rise and fall of the bone. Sometimes bone or other regenerative materials are beneficial to fill in bone defects to optimize your healing response.
Next, the gum tissue is moved back into place and stabilized with sutures. The site may also be covered with a protective packing material or surgical glue to protect the area. Medications to minimize discomfort and swelling will be prescribed. We will also recommend a mouth rinse containing chlorhexidine among other treatments following the surgery.
A small amount of bleeding and swelling may occur after the surgery and may be controlled easily by placing an ice pack on the outside of the affected area. In rare cases where the bleeding and swelling seems more excessive, it is advised that you call to notify our office. Several follow up visits may be necessary and you must fulfill a meticulous maintenance program especially during the initial phases of healing to optimize your healing result.
Take the First Step Toward Better Oral Health Today
Don’t let periodontal disease compromise your health, confidence, and quality of life any longer. With Dr. Laudenbach’s advanced Fotona Lightwalker Laser system offering minimally invasive osseous surgery, you can effectively eliminate dangerous bacteria, prevent bone loss, and restore your smile’s natural beauty. All with reduced discomfort and faster healing compared to traditional methods. The risks of allowing periodontal disease to progress extend far beyond your mouth, potentially leading to serious health complications including heart and respiratory disease. Take control of your oral and overall health today by calling our Philadelphia office to schedule your consultation and discover how this life-changing procedure can help you regain your confidence and protect your long-term wellbeing.
Transform Your Oral Health with Periodontics in Philadelphia
Experience exceptional periodontal care at Laudenbach Periodontics & Dental Implants in Philadelphia. Take proactive steps to treat gum disease, preserve your teeth’s supporting structures, and maintain a healthy smile.
Dental Implants
Dental Implants
Laser Therapy

Dental Implants
“All in One” Same
Day Tooth Replacement
Dental Implants “All in One” Same Day Tooth Replacement

Cosmetic Periodontal Procedures
Cosmetic Periodontal Procedures
Gum Tissue
Grafting
Gum Tissue Grafting
Our Mission
Our mission is to help patients live healthier lives. We provide a caring, nurturing environment where your comfort and health is of primary importance.
1520 Locust Street, Suite 600
Philadelphia, PA 19102
215-985-4337
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