If you’ve been told you need osseous surgery, you might have questions. At Main Line Endodontic & Periodontic Associates in Bryn Mawr, PA, we’re here to help you understand the treatment and how it can improve your gum health.
Osseous surgery, also known as pocket reduction surgery, is a common procedure used to treat advanced gum disease (periodontitis). This procedure helps stop the disease from getting worse and protects your teeth from damage.
Our experienced periodontist is committed to your patient experience. We will inform you on all aspects of treatment and coordinate with your general dentist as needed.

Why Do I Need Osseous Surgery?
Gum disease happens when plaque and bacteria build up on your teeth and under the gum line. Over time, this can cause your gums to pull away from your teeth, forming deep pockets. These pockets collect more bacteria, making the problem worse. If gum disease goes untreated, it can lead to:
- Bone loss around the teeth
- Loose teeth
- Tooth loss
- Ongoing bad breath or taste in the mouth
- Gums that bleed easily or feel swollen
Osseous surgery is needed when deep pockets cannot be cleaned with regular brushing, flossing, or even deep cleanings like scaling and root planing. This surgery reduces the depth of the pockets and smooths the bone, making it easier to keep the area clean and healthy.
The Osseous Surgery Process
At Main Line Endodontic & Periodontic Associates, our periodontist performs osseous surgery with great care and precision. We believe that understanding how the procedure works can alleviate anxiety and fear.
A local anesthesia is commonly used to numb the area, so you feel comfortable and pain-free. Once you are comfortable, your periodontist gently folds back the gum tissue to see the roots of the teeth and the bone. Any plaque, tartar, or bacteria hiding deep below the gum line is carefully removed.
The bone around the tooth may need to be reshaped to remove rough or uneven spots. This helps the gums reattach more easily. The gum tissue is then placed back and gently stitched into place.
Osseous surgery usually takes about 1 to 2 hours, depending on how many teeth are being treated.
What to Expect After Osseous Surgery
After surgery, healing begins right away. While recovery is usually smooth, it’s important to follow your periodontist’s instructions for the best results.
Common Parts of the Recovery Process:
- Mild swelling or discomfort: This usually lasts a few days. Your doctor may suggest over-the-counter pain relievers or prescribe medication.
- Gum sensitivity: Your gums may feel tender, but this is normal and will improve as they heal.
- Diet changes: You may need to eat soft foods for a few days. Avoid spicy, crunchy, or very hot foods while your mouth heals.
- Oral hygiene: You’ll be shown how to gently clean your teeth and gums to avoid disturbing the healing area.
Tips for a Healthy Recovery
To recover quickly and protect your results, it’s important to follow good post-surgery care. Be sure to follow all instructions from your periodontist closely. Using a soft-bristled toothbrush and rinsing with warm salt water or prescribed mouthwash will help reduce bacteria and keep the area clean without causing irritation. Eating soft, nutritious foods can support healing and keep you comfortable. Don’t forget to attend all scheduled follow-up appointments so your periodontist can monitor your progress.
There are also some things you should avoid. Do not smoke or use tobacco products during healing, as these can slow recovery and increase the risk of infection. It’s also important to avoid drinking alcohol for at least 24 hours after surgery and to stay away from using straws, which can disturb the healing site. Never skip medications prescribed to you, and be sure to call your periodontist if you notice signs of infection like fever, pus, or unusual pain.
Why Choose Main Line Endodontic & Periodontic Associates?
Located in the heart of Bryn Mawr, PA, Main Line Endodontic & Periodontic Associates offers expert gum care in a warm, welcoming environment. Our team of experienced dental specialists uses the latest techniques and technology to ensure the best outcomes for every patient. We focus on gentle care and patient education so you feel confident every step of the way.
Whether you’ve been referred by your dentist or you’re looking for answers about gum disease, we’re here to help. Osseous surgery can be the turning point in stopping gum disease and saving your natural teeth.
Schedule Your Consultation Today
If you’ve been told you need osseous surgery or are worried about your gum health, don’t wait. Contact Main Line Endodontic & Periodontic Associates in Bryn Mawr, PA today to schedule your personalized consultation.