A member asked:

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

58 doctors weighed in across 35 answers
Dr. Anna Guarna answered

Specializes in Dentistry

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.

Answered Oct 3, 2016

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Dr. Charles Kattuah answered

Specializes in Dentistry

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.

Answered Jul 30, 2012

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Dr. David Duguid answered

Specializes in Dentistry

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.

Answered Oct 24, 2012

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Dr. Matt Fulmer answered

Specializes in 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.

Answered Sep 28, 2016

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Dr. James Wright answered

Specializes in Dentistry

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.

Answered Jul 30, 2012

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Dr. Gary Lederman answered

Specializes in Dentistry

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.

Answered Feb 7, 2017

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Dr. Riad Tadros answered

Specializes in Dentistry

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.

Answered Dec 9, 2013

5.7k views

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Dr. Martin Hertzel answered

Specializes in Dentistry

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.

Answered Aug 11, 2012

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Dr. Thomas Davis answered

Specializes in Dentistry

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.

Answered Sep 28, 2016

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Dr. Richard Stiles answered

Specializes in

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.

Answered Dec 29, 2016

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Dr. Ronald Achong answered

Specializes in Oral &Maxillofacial Surgery

A good cleaning, antibiotic therapy and sometimes laser treatment.

Answered Apr 1, 2019

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Dr. K Bigelow answered

Specializes in

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.

Answered Sep 28, 2016

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Dr. Marvin Pantangco answered

Specializes in

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.

Answered Aug 28, 2013

5.5k views

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Dr. Ahmad Eslami answered

Specializes in Periodontics

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.

Answered Nov 24, 2014

5.4k views

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Dr. Gabriel Malouf answered

Specializes in Dentistry

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.

Answered Nov 24, 2013

5.4k views

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Dr. Ronald Achong answered

Specializes in Oral &Maxillofacial Surgery

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.

Answered Dec 9, 2012

5.4k views

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Dr. Robert Tupac answered

Specializes in Prosthodontics

If periodontal disease is under control, patients are candidates for orthodontics, veneers, crowns and/or bonding procedures.

Answered Dec 19, 2012

5.4k views

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Dr. John Thaler answered

Specializes in Prosthodontics

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.

Answered Feb 25, 2013

5.3k views

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Dr. Ronald Achong answered

Specializes in Oral &Maxillofacial Surgery

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.

Answered Mar 7, 2013

5.3k views

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Dr. April Ziegele answered

Specializes in Cosmetic Dentistry

The options will vary depending upon how advanced or aggressive your periodontal disease is. Ask your dentist for your options. There are always options!

Answered Mar 10, 2013

5.3k views

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Dr. George Ayoub answered

Specializes in Cosmetic Dentistry

No option unless get periodontal disease under control.

Answered Apr 29, 2014

4.1k views

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Dr. Mark Venincasa answered

Specializes in Dentistry - Cosmetic

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.

Answered May 31, 2017

3.5k views

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Dr. Matthew Church answered

Specializes in Cosmetic Dentistry

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.

Answered Jun 22, 2015

2.7k views

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Dr. Joel Doyon answered

Specializes in Dentistry - Cosmetic

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.

Answered Jul 8, 2015

2.6k views

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Dr. Ajay Dhankhar answered

Specializes in

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.

Answered Dec 11, 2012

5.4k views

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Dr. David May answered

Specializes in Dentistry

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.

Answered Apr 11, 2017

5.4k views

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Dr. Max Arocha answered

Specializes in Dentistry

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.

Answered Nov 10, 2015

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Dr. I. Jay Freedman answered

Specializes in Dentistry

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.

Answered Mar 29, 2014

5.4k views

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Dr. Candy Sebold answered

Specializes in General Practice

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.

Answered Dec 29, 2016

5.4k views

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Dr. John Thaler answered

Specializes in Prosthodontics

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.

Answered Jan 28, 2013

5.4k views

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Dr. Stephen Gordon answered

Specializes in

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!

Answered Dec 9, 2013

5.3k views

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Dr. Mark Venincasa answered

Specializes in Dentistry - Cosmetic

By seeing a dentist your particular situation can be evaluated and discussed. There certainly are options.

Answered Mar 1, 2013

5.3k views

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Dr. April Ziegele answered

Specializes in Cosmetic Dentistry

The options will vary depending upon how advanced or aggressive your periodontal disease is. Ask your dentist for your options. There are always options!

Answered Dec 9, 2013

5.3k views

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Dr. Tony Kim answered

Specializes in Cosmetic Dentistry

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.

Answered Feb 28, 2015

3.2k views

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Dr. Daniel Wolter answered

Specializes in Dentistry

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!

Answered Jun 11, 2017

662 views

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