My teeth are falling out I smoke and I am seeing a periodontist

Q. I have had periodontal disease for several years now and despite seeing a periodontist for treatment, nothing has really improved. I have lost several teeth and know I will lose more as several are now very loose. I have been looking for info and options on the net and REALLY DO NOT WANT DENTURES! I’m thinking of implants but realise the bone density is an issue but also learnt about bone grafts.If my teeth are removed and I need grafts how long would it be between treatments and before I could possibly have the implants. I’m sorry I smoke – would this prevent this treatment? What treatment could you recommend? I can’t eat properly and certainly don’t smile and I’m finding this situation very depressing. Many thanks for your reply.

 

A. Unfortunately smoking ha a lot of unpleasant side effects. In rehabilitating your mouth , for it to have a likely chance of success , you really need to stop smoking. This is probably the reason for your periodontal treatment failing. Smoking severely effects healing whether its healing of your gums, graft site or post surgical implant placement. Until you give up smoking your only option is likely to be dentures. I know this is not want you want to hear and I’m sure your periodontitist said a similar thing. Unfortunately your smoking habit is really reducing your options.

Once you are in a position to have implants it is usual to wait 6 months following grafting to allow complete healing before the site is ready for implants.

Kindest regards

Dr Julian Caplan – Director on the board of the BACD View My Profile Dr Caplan

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