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A 33-year-old member asked:

What are the options in cosmetic dentistry for patients with periodontal disease?

35 doctor answers58 doctors weighed in
Dr. Anna Guarna
Dentistry 35 years experience
Depends: Consult with your dentist about the severity of your periodontal condition and options. Also depends on the look/esthetics you're trying to achieve. In severe cases of periodontal disease, you may be a candidate for implants.
Dr. Charles Kattuah
Dentistry 23 years experience
There are many: It depends on the severity of the attacment loss of the teeth. Bonding, porcelain veneers or crowns, and fixed or removable dentures are options to improve your smile. You may need gum surgery as well. Dentistry has made great progress in recent years and just because a person has periodontal disease doesn't mean they can't have a beautiful smile if they want one.
Dr. David Duguid
Dentistry 29 years experience
Collaboration: There are many options for you. What is extremely important is that your cosmetic dentist collaborates with your periodontist (gum specialist). You need to understand your options and risks of each option. Do not start any cosmetic procedure without a periodontist's evaluation of the short, mid and long term prognosis for your teeth and what the periodontist recommends.
Dr. Matt Fulmer
Dentistry 15 years experience
Cosmetic Dentistry: The options for cosmetic dentistry are often limited for patients with periodontal disease. If the perio condition is of mild to moderate severity then options aren't as limited. The key is understanding that periodontal disease can compromise the long-term survival of any cosmetic procedures performed. Discuss your perio condition fully with your dentist. Healthy gums and bone are top priority.
Dr. James Wright
Dentistry 33 years experience
Many: Depending on the type and severity of the disease many options are available. Once you have periodontal disease you will have it for the rest of your life. You will be either active or inactive. If you are inactive and have enough bone support then all types of cosmetic dentistry can be performed like lumineers, veneers or crown and bridge. Your bone level helps to determine what is best for you.
Dr. Gary Lederman
Dentistry 40 years experience
Same: People with gum disease can have beautiful smiles. There are unique challenges, such as looseness and length of teeth. The gum specialist should advise about long term survival of the dentition, and questionable teeth be removed. Implant tooth replacements can be beautifully restored. It is critical that bite problems are resolved, so this type of patient may tend to have full mouth care.
Dr. Teresa Davis
Dentistry 21 years experience
The most important aspect of periodontal disease is taking it from an Active State of Disease to an inactive or stable state. Once your dentist has determined that your perio. disease is stabilized there are many options to obtain a beautiful smile from invisalign treatment to correct your bite, to crowns/veneers to implants. There is always hope to attain a beautiful smile.
Jul 30, 2012
Dr. Gary Lederman
Dentistry 40 years experience
Provided original answer
I could not agree more. Thank you for that thoughtful perspective.
Jul 30, 2012
Dr. BARRY ETON
Dr. BARRY ETON commented
General Practice 55 years experience
After removing all diseased tissue and replacing what is necessary with dental implants simply bleaching the remaining natural dentition can have fabulous results.
Jul 31, 2012
Dr. Riad Tadros
Dentistry 45 years experience
Dr. Tadros: The perio condition must be treated first after that , depending on the amount of gum and bone loss and on the condition of the teeth your options range from simple teeth whitening to invisalign to straighten the teeth or veneers and crowns .Every case is different and you should see a dentist who has a lot of training and experience in cosmetic dentistry to create a custom treatment plan for you.
Dr. Martin Hertzel
Dentistry 16 years experience
Depends: Before any cosmetic procedures are done, the periodontal disease needs to be treated and brought under control first. Without healthy bone and gums under the teeth, there is no sense in putting the money into cosmetics. It would be like building a brand new house on an unstable foundation.
Dr. Thomas Davis
Dentistry 36 years experience
Periodontitis: It is best to take care of periodontal disease before proceeding to other proceedures such as crowns and bridges. The gums and bone are the foundation to build on. Transitional appliances can be fabricated that the patient can enjoy while the periodontal therapy is in progress.
Dr. Richard Stiles
Dentistry 16 years experience
Limited. : First and foremost, periodontal disease must be under control for any dentistry to be successful. Even the best dental work can be for nothing if it does not have a healthy foundation.
Dr. Ronald Achong
Oral and Maxillofacial Surgery 18 years experience
Some options: A good cleaning, antibiotic therapy and sometimes laser treatment.
Dr. K Bigelow
Dentistry 36 years experience
Healthy gums first: Once your periodontal disease is under control, and your gums are healthy, then cosmetic dentistry will be more successful. Periodontal follow up visits at the dental office to help maintain healthy gums will be very important. Get the gum tissues healthy first then talk to a qualified cosmetic dentist about what you would like to achieve cosmetically with your teeth.
Dr. Marvin Pantangco
Dentistry 21 years experience
Very limited : Gums and bones are the foundation for your teeth. If you invest heavily on the looks of teeth and your gum disease is not held in check, then you will regret it. Get to the root cause of your gum disease and take care of that. Then get the smile of your dreams.
Dr. Ahmad Eslami
Periodontics 44 years experience
Gum disease: When teeth have gum disease, the first and foremost concern is to address the disease, prevent further damage to the foundation of the teeth and increase life expectancy of the teeth. Cosmetic dentistry should take the 2nd seat. With healthy foundation one can look into the cosmetic aspect. There are many options that can be explored. For that one needs an "experienced" and savvy cosmetic dentist.
Dr. Gabriel Malouf
Specializes in Dentistry
Foundation first.: Periodontal disease means the foundation (upon which you need to build most cosmetic work) is compromised. Your options are different & potentially more complex. You do still have options (and the possibility of an excellent result). Control the disease, then determine what you can build on: either teeth or implants. Consult with your dentist to determine the best course.
Dr. Ronald Achong
Oral and Maxillofacial Surgery 18 years experience
Gum treatment: Have the periodontal disease treated first. Once this is under control and the tooth is solid, then there are various treatments to give you that smile that you want. If the teeth are not solid or stable enough, then dental implants may be another option.
Dr. Robert Tupac
Specializes in Prosthodontics
All: If periodontal disease is under control, patients are candidates for orthodontics, veneers, crowns and/or bonding procedures.
Dr. John Thaler
Prosthodontics 41 years experience
Complete perio first: Team up with your periodontist and prosthodontist to work out best plan for you. You want to become periodontally stable before any definitive restorations are completed. Important to work with the specialists who are trained in this type of combined and complex treatment.
Dr. Ronald Achong
Oral and Maxillofacial Surgery 18 years experience
See a gum specialist: The periodontal disease is one of the issues that should be addressed. This is the foundation of the teeth. If the gums and jaw bones are not healthy then the teeth will eventually become loose. See a periodontist and a dentist.
Dr. April Ziegele
Cosmetic Dentistry 24 years experience
Variable: The options will vary depending upon how advanced or aggressive your periodontal disease is. Ask your dentist for your options. There are always options!
Dr. George Ayoub
Cosmetic Dentistry 18 years experience
No option: No option unless get periodontal disease under control.
Dr. Mark Venincasa
Cosmetic Dentistry 35 years experience
Quite a few...: Naturally the most important thing is to get the periodontal disease treated and managed. Following this multiple options can be considered for cosmetic dentistry. The options available for cosmetic dentistry are dependent upon each individual. I assure you that options do exist for most every patient with periodontal disease.
Dr. Matthew Church
Cosmetic Dentistry 23 years experience
Gum diseaseTreatment: Patients with periodontal disease benefit immensely from care that restores the healthy color and texture to irritated gum tissue. It may not sound very rewarding in terms of appearance, but gum disease treatment paves the way for all other cosmetic improvement, from teeth whitening to porcelain veneers to bonding.
Dr. Joel Doyon
Cosmetic Dentistry 36 years experience
See your dentist: The first thing you need to do is get your periodontal disease under control. After that, you should discuss with your dentist what can be done cosmetically for you. The types of treatments that can be done is based on the condition of your gingiva (gums) and how much bone you have supporting your teeth. Ask your dentist to discuss your options with you.
Dr. Ajay Dhankhar
A Verified Doctoranswered
A US doctor answeredLearn more
Bone loss dictates: Bone loss due to periodontal disease dictates what option you qualify for under the scope of cosmetic dentistry. If the disease had advanced a lot you can still have a nice smile by replacing teeth with implant supported hybrid prosthesis. Seek help from your local dentist/prosthodontist.
Dr. David May
Dentistry 30 years experience
Might be limited: Depending o nthe severity of the disease state in your mouth your options might be limited. A periodontist can give you a prognosis for the long term viability of your teeth. Then you know if they are worth saving or if removing them and starting over is a better idea.
Dr. Max Arocha
Dentistry 18 years experience
Control gum disease: Keep in mind periodontal procedure(s) may be indicated to lay the ground work for restorative and cosmetic dentistry, and/or to improve the esthetics of your gums. Cosmetic dentistry options depends whether the diagnosis is slight, moderate or severe periodontitis. And whether is localized or generalized.
Dr. I. Jay Freedman
Dentistry 43 years experience
Depends on severity: The first key to the answer of this question is the severity of the periodontal disease. The less involved, the more traditional solutions are possible. A serious level of disease which has compromised one or more teeth, limits treatment options. The second key is that the patient will need to commit to a higher level of home care and more frequent professional visits to insure the longevity.
Dr. Candy Sebold
General Practice 41 years experience
Manage perio: Manage the periodontal issues first. Once hopeless teeth are removed, pocket depths are acceptable and tissue is healthy, you can explore restorative options with your periodontist and general dentist. They will range from dentures, implants, implants with dentures, fixed bridges, or maybe some splinting of the teeth.
Dr. John Thaler
Prosthodontics 41 years experience
Control disease 1st: Control and stabilize the periodontal disease first. Then you will be ready to see what options are available for long term success. See a prosthodontist for consultation as they are specially trained in this type of complex treatment. You may be a candidate for splinted crowns to consolidate support for those teeth weakened by bone loss and heavy grinding.Good luck.
Dr. Stephen Gordon
Dentistry 43 years experience
Depends.: How severe is your periodontal disease? If it is mild to moderate you may be a candidate for perioprotect (pp)(non-surgical periodontal treatment). See your dentist or visit: http://perioprotect.Com to see who does pp near you. My perioprotect compliant patients have had excellent results. The "side-effect" that all of my perioprotect patients have had is whiter teeth!
Dr. Mark Venincasa
Cosmetic Dentistry 35 years experience
See your dentist: By seeing a dentist your particular situation can be evaluated and discussed. There certainly are options.
Dr. April Ziegele
Cosmetic Dentistry 24 years experience
Variable: The options will vary depending upon how advanced or aggressive your periodontal disease is. Ask your dentist for your options. There are always options!
Dr. Tony Kim
Dr. Tony Kimanswered
Specializes in Cosmetic Dentistry
Compromised Esthetic: If you have severe or even moderate periodontal problems then you may very well have less than ideal cosmetic options. Whether saving your natural teeth or better cosmetic results are your priority, it could affect the treatment plan for you. Look at the LANAP procedure, the Periolase may help you treat your disease with less of a cosmetic impact. Look up Millennium Dental on google.
Dr. Daniel Wolter
Dentistry 30 years experience
Wrong Order: Cosmetic dentistry is absolutely NOT an option if you have active, on-going, untreated periodontal disease. You're approaching this in the wrong order. Once your gums and underlying jawbones are stable (and, hopefully, healthy), THEN you can explore your cosmetic options. No ethical dentist would build a beautiful smile on an unhealthy foundation. Health first, esthetics second...no exceptions!

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A 40-year-old member asked:

Might there be any options in cosmetic dentistry for patients with periodontal disease?

13 doctor answers21 doctors weighed in
Dr. John Thaler
Prosthodontics 41 years experience
Yes: See your periodontist and your prosthodontist. These specialists can work together to offer you the best options. Their combined training is just what you need.

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Last updated Apr 1, 2019

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