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A 26-year-old member asked:

What is the appropriate management of periodontal disease where there is horizontal bone loss and vertical bone loss?

2 doctor answers6 doctors weighed in
Dr. Daniel Wolter
Dentistry 30 years experience
You NEED a Dentist: There is absolutely no way for you to take care of this condition yourself. You need professional dental care. Maybe even a periodontist (gum/bone specialist). Also, you need on-going care for the rest of your life, since there is no "cure" for this condition yet. It can be improved and maintained, but it requires immediate, assertive, and on-going professional care. Without that, bye bye teeth.
Dr. Alvaro Lazo
Dr. Alvaro Lazo commented
Dentistry 24 years experience
There are 2 different treatments for Periodontal disease, The first is non surgical and the second is surgical. In order To properly answer your question I would need to know How much bone have you lost and what kind of treatment have you received.
Oct 1, 2012
Dr. Ronald Achong
Oral and Maxillofacial Surgery 18 years experience
Depends: If the problem is mild then, dental cleanings, gum surgery/laser surgery can be performed. If it is more severe, bone grafting may be required. If the periodontal disease is very severe, then the tooth or teeth will need to be removed.

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Last updated Oct 3, 2016

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