I’ve been diagnosed with severe periodontal disease
Q. Hello Doctor. I have this problem. I’ve been diagnosed with severe periodontal disease 2 years ago. I did periodontal surgery 1 month ago and they pulled me out 12 teeth because they were damaged from the disease. I’m 27 years old. According to the doctors I’ve lost too much bone from the disease, maybe 40-50% in the lower jaw. Am I still a good candidate for implants?!Will the bone grafting be needed for my jawbone in order to get the implants done?! In case I decide to put implants after 3-4 years, will I be still a candidate for them? Thanks Also, I’m trying to decide which kind of partial dentures should I use, The flex partial, or the traditional metallic. Please help me make a decision: P.S. I have also a set of panoramic X-ray but i can’t post in this message for technical reasons. If you offer me your email address I will happily post it there. Thanks.
A. Some important information can be seen on panoramic films. My email is [email protected]
To give specific advice you would still need a clinical exam.
People who suffer from aggressive early onset periodontal diseases can sometimes stabilise in later life. However some continue to suffer from Rapidly Progressing Periodontal Disease and the outlook for the remaining teeth is bleak. It is important to find out which category the patient falls into. Succesful Dental implants require a stable periodontal condition.
However implants also require bone volume which is lost as the jaw remodels (2-12 months) following extractions. Early placement of implants into healing jawbone makes sense if the extractions and periodontal therapy has stabilised the active disease.
If you can visit our central birmingham practice I will provide a free initial assesment that answers most questions. A detailed written treatment plan cost between £50-100 when Xrays & study casts are needed
I hope this is useful.
To give specific advice you would still need a clinical exam.
People who suffer from aggressive early onset periodontal diseases can sometimes stabilise in later life. However some continue to suffer from Rapidly Progressing Periodontal Disease and the outlook for the remaining teeth is bleak. It is important to find out which category the patient falls into. Succesful Dental implants require a stable periodontal condition.
However implants also require bone volume which is lost as the jaw remodels (2-12 months) following extractions. Early placement of implants into healing jawbone makes sense if the extractions and periodontal therapy has stabilised the active disease.
If you can visit our central birmingham practice I will provide a free initial assesment that answers most questions. A detailed written treatment plan cost between £50-100 when Xrays & study casts are needed
I hope this is useful.
The lower jaw does resorb a lot after teeth are removed but you may still have enough bone for implants. If you need a bone graft, the bone is usually taken from the hip and placed in the jaw. You would then have to wait for a few months before the implans are placed.
The flexible valplast acrylic is very good. It makes a comfortable thin denture but the denture will probably need to be replaced after 5 years. The metal denture is also good. It lasts for much longer than the acrylic one. It is more expensive to have made. It relies on the teeth for support much more than the acrylic one. If your teeth are already weak and you have lost bone then it would probably be better for to have an acrylic one.
If you are not ready to have implants now you can always have them in the future.
I am soon to have dental implants and I am a tad nervous about it all. I was just wondering are there any tips you can give me for before and after surgery to ensure that my implants take and remain healthy? I would really hate to have them fail when i have so much money invested and so much hope! Are there any warning signs of when the implants haven’t taken? thanks for any advice you can give, it is greatly appreciated
my advice would be to maintain good oral hygiene and see a hygienist every 3 months.
I have recently had to have all my teeth out due to gum disease but i really don;t want dentures as my dentist has suggested. Is there a way to my teeth replaced with dental implants? How much is that likely to take and how long from the start of the treatmetn until I have a full set of teeth? also how long should i wait due to my gum disease treatment for dentla implant treatment? thank you doctor
It is possible but you will need a CT scan to measure the bone first. the bone is often lost completely with gum problems and may need rebuilding prior to implants being placed. If the teeth are out already i would wait for 3-4 months before scanning the jaws.
what is the likelihood that i ca ever have dental implants after i have suffered with severe gum disease? Due to the gum disease i have lost my teeth, but because of the gum disease there doesn’t seem to be many options for any other tooth replacement other than dentures, which just doesn’t appeal to me at all. Could you suggest an alternative and a price? I don’t have gum disease anymore thank you
you will still be able to have implants get a second opinion
I have been reading about LANAP to treat periodontal problems and I’d like to know where in London can I have this treatment. Although I have not been diagnosed with gum disase, my dentist in Spain has told me that I can develop this disease and I need to treat it, that’s why I’m looking for a periodontist that uses laser or LANAP. If you could let me know where in London or recommend me a clinic that would be great.
I would start by finding dentists who are registered with the General Dental Council ( GDC) as specialist periodontists. Hope this Helps
Hi,im just browsing for info at the mo.I have badly receding gums,mainly down to smoking.I have just recently quit smoking (a month so far).I was wondering how much roughly does gum grafting/replacemnt treatment cost,I probably need 6 teeth worked on??Also is it a big mistake to use an electric toothbrush when I am used to using a soft bristle brush,as I swear an electric brush is causing more damage than previous??Thanks
Hi Prices will dependable on level of difficulty of case. Good quality electric brushes are ok to use, if used correctly.
I’m a 50 year old female. I had implant surgery and bone grafting about 3 weeks ago. It was 4 implants on the top. Two on the right top and two on the left top.My healing cap came off the one on the right top after 3 weeks of dental implants, and I can not get my dentist at the office this is a holiday weekend. Can I eat? What should I do? How serious is this? Will this affect my final results. Will I get an infection because of this?
Rinse and clean the area carefully it shouldn’t affect the long-term result
hi is it ever too late to get heathy teeth back im worryed i have gun desise and poor oral hygine but really want to put it all back on a limited budget
The simple answer is that it can be too late if the gum disease is at such an advanced stage that the teeth are about to fall out. For most, the sooner you start improving your cleaning, the sooner you will start to recover your gum health. Expect some bleeding when you start cleaning properly but this will reduce with time.
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