Q. I have suffered with gum disease since the age of 20 and had extensive periodontal treatment in my younger years. I have been told this is hereditory as my mother lost all her teeth in her late 20’s. I am now 52. I have recently had 2 back teeth one bottom and one immediately above removed due to excessive bone loss. This area shows when I smile. I currently have a bridge totalling 6 teeth fixed by 4 crowns running from both front teeth at the top – back to the area where one of the recent teeth was removed, the gum around the bridge work has receded. In addition my bottom four teeth at the front have extensive gum loss. I was a smoker for many years and have finally been able to break the habit as I am aware this has been a negative factor in the deterioration of my dental health. I am terrified of ending up with loose dentures and feel that further cost for bridges and crowns would be a waste of money due to the instability of surrounding teeth. I understand that bone implant can be carried out so that there would be an option for fixed denture or bridges. Is this procedure carried out in a hospital and how much is this likely to cost? Prior to implant surgery.,