FAQ - Periodontal Attachment Loss
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How many millimeters is considered more than 50% periodontal bone loss?


I have periodontal disease. My insurance only covers treatments for pockets where there is greater than 50% bone loss. How many millimeters in depth are pockets where is there is greater than 50% bone loss?
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Over 4 millimeters is considered periodontal disease.  (+ info)

Can popcorn hulls that get stuck in gums cause attachment loss?


could it be permanent loss
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Absolutely...  (+ info)

Can bone loss be stopped after Periodontal disease has started.?


I read up on Periodontitis w/ Wikipedia. Once significant bone loss has already happened, can a dentist save a person teeth. I mean some bone loss over decades is normal right? If the person already lost a large amount due to disease, then is it not inevitable the teeth be lost after many yrs because not enough bone will be left to support the teeth?
I mean if some bone loss is natural over long periods of time, then somone who already has bone loss to begin w/ because of other factors destined to loose their teeth.
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Hi,
I have been in the dental field for about 18 years. 6 of those years I have been a periodontal surgical assistant/head assistant/back office manager. Yes, bone loss can be slowed down, almost to the point of stopping it. Of course with age, there is some bone loss. With modern medicine today, NO ONE HAS TO LOSE THEIR TEETH ANYMORE!!! If you were just told you had periodontal disease, you will need to have four quads of deep cleaning. (with shots) Then possibly put on oral medicine, then maybe surgery. The best way to try to save your teeth is to do everything your Periodontist tells you to do and have your teeth cleaned every 3-4 months and brush 2-3 times a day and floss every day!!!! Floss everyday!!!! Make sure whenever you go in for your cleanings....your hygienist does a full mouth, I mean a full mouth probing. (take gum readings on every tooth, six readings per tooth) l would also suggest to always have your cleanings in your periodontist office, no matter what anyone else says. I hope this helps you and good luck.
PS. SEARCH AND READ UP ON PERIODONTAL DISEASE AS MUCH AS YOU CAN. KNOWLEDGE IS POWER.
gumhelper  (+ info)

Are there any options in cosmetic dentistry for patients with periodontal disease?


I have spaces between my teeth and a significant amount of bone loss due to periodontal disease. I am being told i will lose some teeth within the next few years and dental implants are not an option because of the bone loss and perio issues. One dentist recommended bonding, but another was against it because the teeth will shift. What other options do I have in cosmetic dentistry to get a better smile?
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yes
better to visit dentist  (+ info)

How long does periodontitis take to result in tooth loss?


From the time that one develops periodontal disease, what is the length of time (on average) it takes for the disease (without receiving professional dental treatment) to result in the first tooth loss?
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It's a silent killer because periodontitis doesn't hurt. Usually I see it in patients in their fifties, but I've seen it in patients in their twenties. The chief complaint is that they can't chew with certain teeth b/c it moves around too much. Or they can't chew on a certain side b/c they have a massive infection around the teeth. Extractions is the usual treatment for severe periodontitis.

This is the most frustrating disease b/c it's 100% preventable and 100% manageable (periodontitis never goes away, you have to manage it if you get it, like diabetes). Regular dental visits 2 times a year even if nothing hurts. This disease won't hurt in the beginning. Brush and floss and if you don't know how to do it properly just google it.

I think many of my patients truly underestimate it because they don't want to pay for an office visit, check up x-rays, and a cleaning. Their mentality is, if it doesn't hurt, I don't have a problem. Once they get the disease, they're unhappy because I can't "fix it" for them, I can only tell them how to manage it.  (+ info)

What is a homeopathic way to stop the progression of periodontal disease?


I have an aggressive form of periodontitis. In some places, I have 50% bone loss. I have had scaling done, twice. My gums are not responding to these procedures as well as the dentists predicted. I use fluoride-free toothpaste (recommended by an herbalist). I am otherwise healthy. HELP!!
christoph - My oral hygiene is not the problem. I brush, proxybrush, floss, and use listerine 2x / day. And at night, use the prescription Fluoridex Rinse. I'm neglecting trips to my dentist? I go every 3 months, along with visiting my periodontis every 3 months. Marketing Scam? I went to an herbalist FREE of charge because I am willing to try anything at this point. I wish I could count the number of dentists who 'gave up' on me, saying they didn't know what could control the progression of my disease. I have researched this condition extensively. So, I DO have education, information, responsibility and great dental care, and it is NOT the answer. If you can't give me any homeopathic suggestions why did you answer my question?
And I take periostat 20 mg. 2x/day !
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Continue seeing your Dentist for treatment...but, do not stop being pro-active in your own healing. (brush and floss)
Think about what periodontitis is...it is an infectious disease...and your body has the ability to resist diseases through the immune system. Research how you can 'boost' your weakened immune system and apply what you learn. (dietary changes, supplementation, exercise etc.)
Taking drugs, drinking alcohol, excess sugar consumption and smoking, weaken the immune response greatly, so if you do any of these things...you'll need to stop.
A good 'natural' mouth wash you might have some success with is a combination of..lemon juice, apple cider vinegar, garlic oil (a few drops), tea tree oil (few drops) salt, in a little bit of alcohol (can be gin or vodka)...make it yourself at home and swoosh it around in your mouth a few times a day, and 'spit out'...Your breath might stink but, it does help draw out and kill impurities from the gums...
I wish you well...have a happy day...  (+ info)

Treating Bone Loss in Periodontal Disease?


I've recently seen a periodontist about, well, periodontal disease and was told that I should have an Alloderm (?) graft to restore some gum tissue around some bottom front teeth, but that it was not possible to restore the bone there because the (fairly extensive) bone loss was horizontal. I have some questions about this. Without restoring the bone structure under the gums, is restoring the gums much more than a cosmetic fix? Does it prevent further bone loss? Also, are there any effective treatments out there, which this one periodontist might not perform or be aware of but which I should investigate, that would somehow restore or replace the lost bone, even though that loss is horizontal, so that the supporting foundation of those teeth would be strong/solid again? Any advice from periodontists or dentists would be especially appreciated. Thanks.
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Not only are gum tissue grafts performed but in many cases bone grafts are also done. Restoring lost bone and gum tissue can be a rather long and sometime complicated treatment, but it's a possible treatment plan for many, you may be one who qualifies for the treatment. Your current DDS may not be up on all the latest procedures and techniques dealing with such treatments. Invest in some phone calls, say call your nearest Dental College and see if you can talk with or get an appointment with the professor who teaches Periodontal procedures. He or she may personally work with you or recommend a good DDS who can.  (+ info)

Anyone know anything about remedial work for periodontal disease (bad jaw bone loss around tooth sockets)?


I think it depends on the amount of actual bone loss that you have had. If the bone loss is too severe, the supported teeth cannot function and most likely will need extraction. Sometimes, teeth can function quite well even with bone loss, and only regular cleaning, or curettage, of the area may be needed. A third treatment is guided tissue regeneration, where a small sheet of surgical grade teflon is placed like a tent over the bony defect, but can guide new bone formation around the tooth. It is not for every case, and requires a great deal of skill on the patient's side to keep the area free of infection and contamination. The results are also a little variable. These jobs are best answered by a periodontist, or gum specialist, or a dental practitioner with a lot of experience in these treatments. Good luck.  (+ info)

If you have some type of bone loss from your teeth?


What can you do about it? Do you need surgery? Or what if this person has a little pain on their lower jaw? Is this normal for someone to have begginning periodontal disease, or can it be something else serious? Please help! I dont want anything to happen to this person. Im very concern.
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Has the person been to see a dentist? How do you know there has been bone loss? Is the tooth wobbly?

I had to go see my dentist before as part of my gum had swollen and was filled with pus - it would go away after a week or so but after it happened a few times I finally went to see my dentist and it turned out I have a pocket in my gums which tended to collect bacteria and get infected - even though I keep my teeth really clean. They said that the bacteria does eat away at the bone and in my case caused a bit of bone loss. All they could do was inject some mouthwash into the root of my tooth and hope for the best.

If your friend doesn't clean their teeth properly their condition may be a lot worse than mine and they can end up losing their teeth. Thankfully it hasn't happened again to me and last time I went to the dentist they said that the tooth was more stable so the seriousness really depends on your friend's oral hygiene.

The best thing you can do is to tell your friend to go see a dentist who can decide if he/she needs urgent treatment which will save the tooth.

Hope I've helped :)   (+ info)

Periodontal question- Bone loss after tooth extraction...?


I had 2 back teeth removed a number of years ago due to decay. Both of them had some damaged bone as a result of the decay so my dentist had to remove some of the bone along with the tooth. Due to uncontrolled circumstances at the time, I never got implants/bridgework for those missing teeth.
Now, a couple years later, those teeth have moved closer so there isnt room to put a bridge or implant so my dentist sent me to an Orthodontist to move my teeth apart. The orthodontist told me to consult with a Periodontist because she was worried about the bone loss in those 2 places. The Periodontist said I have significant bone loss in both places where the teeth were pulled (one spot being close to the sinus) and he proposed that I undergo the bone rebuilding procedure and then put an implant there
This procedure is expensive & takes a long time to heal... Would it still work out OK if i do NOT have the bone rebuilding done & just spread the teeth apart with braces & then get a bridge?
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Braces are very hard on adult teeth and usually resut in a little bone loss when teeth are moved around. So, if you already have bone loss this can be a bad combination. Adding a bridge to teeth that already have bone loss (the tooth that has moved and tilted already has bone loss) can be very hard on those teeth. This is going to be a tooth providing all the support for a very expensive piece of work. If this tooth has bone loss now and then gets more bone loss from braces, it is not going to be a sturdy tooth without some help from a periodontist. Sounds like the dentist should have sent you to the periodontist instead of ortho. Otherwise, you are going to have a bridge that doesn't last.  (+ info)

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