Are dentures my only option? Is it possible to utilize implants of any sort when bone loss and gum recession is a problem?

Q. Hi I am 53 and following a course of peridontal treatment, I’ve been advised that I have suffered considerable bone loss and loss of gum tissue through gum disease which has gradually worsened. The worst area where the gum recession is most noticable is around my top front 4 teeth, which are crowned. The recession has increased dramatically since the full mouth disinfection treatment (scaling & root planing with periochips). I’ve been advised that the bone loss I’ve suffered means that it would not be possible to resolve the problem with dental implants. Furthermore, it would also be difficult to get a successful outcome via either replacement crowns – or bone regeneration techniques. Fortunately, the problem is not evident when I am generally speaking. Unfortunately, I have a ‘gummy smile’, so the problem is immediately evident when I laugh. This is now making me very self-conscious, so I tend to smile when my mouth closed. Not easy for someone who relishes a good sense of humour….!! So my questions are: Do I need to be considering the ‘D’ word already? Are dentures my only option? Is it possible to utilize implants of any sort when bone loss and gum recession is a problem? Can you offer any advice as to my best way forward? Thanks in advance! 

A. Hi

It is always possible to use implants if your general health is good. I would  seek advice from a dentist experienced in implantology and bone grafting techniques using block grafts to rebuild the bone

Dr Andrew Moore Advance Dental Clinic 104 Moulsham Street, Chelmsford, Essex, CM2 0JG Web: www.advancedentalclinic.com Tel: 08443 87 87 88 View My Profile Dr Moore
April 27th, 2011 at 08:47 PM
Aamina Says :

i was told i have gum disease and have had the scaling and root planning done this week they said i have a 4mm periodontal pocket and may need surgery, do u think scaling and root planning is enough or do i need surgery?

May 25th, 2011 at 08:47 PM
Britney Says :

my husband has had an 6 month check up to be told he has the onset of periodontal gum disease. He has been advised to see a specialist. I wanted to know what it would cost to have the consultation/treatment. Our dentist saidit is at early stsges but would be best to have it looked at now. thank youfor your help

May 25th, 2011 at 08:47 PM
Dylon Says :

I have periodontal disease, conventional treatment not very successful butvery painful. Would like to see if i would like to know if I would be a suitable patient for the new LANAP technology. Cannot find info on any dentistoffering this as alternative to convemtional.. British Periodontal societycould not help either!

May 25th, 2011 at 08:47 PM
Marcelo Says :

I’m currently experiencing pain in my gums and teeth on the left side of my mouth. My teeth are not in a healthy state overall though. I had most ofmy top teeth and bottom teeth at the sides of my mouth removed a few yearsago and I didn’t get any follow up work done because I have a phobia of the dentist. I’m in such discomfort right now though and i’m impressed withwhat i’ve read about your practice and what I saw in your video that I feel comfortable enough to pay you a visit to see if there’s anything you can do for me.

May 31st, 2011 at 08:47 PM
Arielle Says :

Hi, I was interested in having the Lanap procuedure. Is this available at your practice? I am 25 prone to juvenile peridontis gum diease. Please can you let me know if this is available at your practice. Thanks

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