Osseous Surgery NE Philadelphia & Warminster PA

Osseous surgery, sometimes referred to as pocket reduction surgery or gingivectomy, refers to a number of different surgeries aimed at gaining access to the tooth roots to remove tartar and disease-causing bacteria.


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Goals of Osseous Surgery

Osseous surgery is used to reshape deformities and remove pockets in the alveolar bone surrounding the teeth. It is a common necessity in effective treatment of more advanced periodontal diseases. The ultimate goal of osseous surgery is 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 osseous 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.

What does osseous surgery entail?

A local anesthetic will be used to numb the area prior to surgery. First, Dr. Friedman or Dr. Wang will cut around each tooth of the affected area to release the gum tissue from the bone. This allows access to the bone and roots of the teeth. After the roots have been thoroughly cleaned through scaling, a drill and hand tools will be used to reshape the bone around the teeth. Bone is removed in some areas to restore the normal rise and fall of the bone, but at a lower level. Bone grafting may also be necessary to fill in large defects.

Next, the gums will be placed back over the remaining bone and suture them in place. The site will also be covered with a bandage (periodontal pack) or dressing. Pain medicine and mouth rinses containing chlorhexidine are generally prescribed following the surgery.

Do not be alarmed if bleeding and swelling occur after the surgery. This can be controlled easily by placing an ice pack on the outside of the affected area. In cases where the bleeding and swelling is in excess, 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 avoid post-operative infection.

Superior Periodontal Care in Philadelphia & Warminster, PA.

To schedule a consult with top periodontists Dr. Friedman, Dr. Wang or Dr. Freedman, choose an option:

Periodontal Services, Ltd.

5 out of 5 stars based on 22 Osseous Surgery reviews

Patient Review from Josephine A

If you're looking for periodontal care, you have found it. The office staff is warm, and reliable. When they tell you that they're going to do something they do it. Your appointment is your appointment. There's no sitting in an office lobby waiting with people and hoping you'll be called in next. They care about your needs, and they communicate effectively. I see Dr. Jonathan. He is gentle, a wonderful communicator, and I know that he puts me and my needs first. He has done great work in maintaining my gum healthy and saving my teeth. I'm very grateful that I've been in his/their care for over 6 years now.

- Josephine A

5 out of 5 stars on

Patient Review from Mark M

Dr. Friedman does superb and meticulous work; everyone in the office is friendly, helpful, and on top of their game. I had a dental implant done by Dr. Friedman and it couldn't have gone any better. He provided clear explanations each step of the way, his staff always followed up to check on how I was doing after each procedure, they were knowledgeable about costs and insurance, and their communication was excellent. Dr. Friedman takes a lot of pride in his work and makes sure that everything is done right, a true professional, as well as very personable.

- Mark M

5 out of 5 stars on

Patient Review from Selma R

Dr. Friedman is a pro and a helpful periodontist. I have been a patient of Dr. Friedman's for many years, He knows how to improve a "gummy" situation and turns it into a relatively pleasant ordeal. He is courteous and pleasant to interact with at visits. I highly recommend Dr. Jonathan Friedman as a skilled periodontist.

- Selma R

5 out of 5 stars on

Patient Review from Laura M

I have been going to this office for years....Dr Arnold Freedman was my first appointment ...what a kind and patient man with a great sense of humor! I was nervous at first but he put me completely at ease. I have also seen Dr Jonathan Freidnan who is also excellent and explains things thoroughly. I cannot say enough about Peggy - she is by far the best person to do your periodontal maintenance - she goes out of her way to make sure you are comfortable and have no pain and she takes her time and has a great personality to boot. Office is staff is terrific and very accommodating.

- Laura M

5 out of 5 stars on

Patient Review from Sharon S

Personality Plus Environment

- Sharon S

5 out of 5 stars on

Patient Review from Debbie N

Dr. O'Campo performed my crown lenghthening procedure in July. She explained the procedure step by step and although I was nervous she was very gentle and the procedure was great. Her post procedure care explanations were thorough and her general demeanor and professionalism were very comforting. I referred my father for post oral cancer reconstruction work and would recommend anyone who needed the services of a periodontist.

- Debbie N

5 out of 5 stars on

Patient Review from Marsela D

Doctor Friedman is amazing. He is very kind and patient. He and his team were extremely professional and took time to explain every step of the procedure and recovery process. The implant was quick and painless. I am typically a very bad patient and had been recommended to him from my husband who is a general dentist. I would like to thank you for the great experience. If I could give a 10 ⭐ that is what I would have picked. I definitely recommend this practice.

- Marsela D

5 out of 5 stars on

Patient Review from Richard L

Would highly recommend this dental office and staff

- Richard L

5 out of 5 stars on

Patient Review from ron k

Staff and Dr have followed up with me post procedure several times. I'm very appreciative of the great dental work and thorough approach to dentistry.

- ron k

5 out of 5 stars on

Patient Review from Susan P

Dr Friedman is the BEST. I had my first appointment for 2 dental implants. I wasn't sure what to expect but was sure i would be in pain. I'm happy to say i had NO PAIN. The staff is so patient and helpful. I work for the Usps so my schedule has been hectic. I had to reschedule my appointment and the staff was very helpful. I will definitely recommend this office to everyone.

- Susan P

5 out of 5 stars on

Patient Review from Nadeen S

Had a wonderful experience with Dr.Friedman. I went in very nervous about my procedure and he was extremely comforting and patient. He went above and beyond to explain to me exactly what he was doing so that I felt comfortable and at ease. You can tell he really cares about his patients. All of the staff was extremely nice and accommodating. I would highly recommend this office and Dr. Friedman.

- Nadeen S

5 out of 5 stars on

Patient Review from Hanna K

Dr. Friedman is a master of his craft, one who deeply cares about his patients. I am very fortunate and honored to have him as my Dentist. He is a GREAT guy too:) Thank you Dr. Friedman - you are the best. Very friendly staff, very professional and helpful. Overall a 5-star experience:)

- Hanna K

5 out of 5 stars on

Patient Review from colleen c

been a patient since 2016. Crown lengthening - just had the 3rd. highly recommend this practice. Staff is friendly, procedures go smoothly with no side effects. Can easily get appointments around my work schedule. Can't say enough good things!

- colleen c

5 out of 5 stars on

Patient Review from Anthony d

- Anthony d

5 out of 5 stars on

Patient Review from Nancy P

Who would ever say they love their periodontist? Me! Dr. Friedman is wonderful. He is kind and empathetic and does great work.

- Nancy P

5 out of 5 stars on

Patient Review from Joe A

This morning was my third implant procedure at Periodontal Services. I cannot recommend anyone more highly that the folks here. The doctors and staff are always pleasant, professional and attentive. From the initial appointment, through extraction, bone grafting and insertion of the implant, everything has always gone smoothly. I hope I never need another implant, but if I do, I will be sure to return to Periodontal Services.

- Joe A

5 out of 5 stars on

Patient Review from linda m

staff made me very comfortable and felt no pain, I was dreading coming here and all turned out well. would highly recommend.

- linda m

5 out of 5 stars on

Patient Review from Debra C

I was extremely fortunate to go to PERIODONTAL SERVICES, LTD. for a consultation. After going to two other periodontis for consults, Dr. Friedman was my final consult I had scheduled. Within minutes of speaking to him regarding an extremely complex situation I had been dealing with for quite sometime, I knew he was the one to trust to do my extraction, bone grafting and implant. Dr. Friedman is very personable and he was empathetic to all of my concerns. Dr. Jonathan Friedman is very knowledgeable and communicated every detail of my procedures to me in a way that I clearly understood without the need a medical dictionary. I highly recommend Dr. Jonathan Friedman

- Debra C

5 out of 5 stars on

Patient Review from Andre A

Highly recommended. Please do yourself a favor and go to these people.

- Andre A

5 out of 5 stars on

Patient Review from Brenda J

Every part of my procedure was effortless. The office staff helps you to feel comfortable and at ease over the phone and in person. Dr. J Friedman is an such a caring, friendly individual and is an expert in every sense of the word. The procedure was quick, painless and the healing has been quick. I really love this office, I am so grateful that I found them and for my experience.

- Brenda J

5 out of 5 stars on