A member asked:

I have been told that my two front teeth are must be removed due to periodontitis. are there other options?

10 doctors weighed in across 8 answers

Maybe: It really depends on the amount of bone loss you have around these teeth. Sometimes, they can be saved with bone grafting.

Answered 10/4/2016

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Possibly none: If the periodontal disease is severe (more than 50% bone loss) then you should have teeth removed. In milder cases, there are several treatments.

Answered 7/21/2012

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Yes: Splinting can be an alternative treatment... I recommend that you seek a second more conservative opinion. I do many implants, but extracting teeth is something to be done as the last alternative. Always it is a good idea to retain your own teeth if there is a possible alternative solution.

Answered 10/17/2013

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Depends: Depends on the amount of bone and attachment loss. Your periodontist is best qualified to answer this question.

Answered 6/7/2013

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Yes: Replacement of the two front teeth with 2 dental implants, replacement with a bridge which will extend from canine to canine (eyeteeth), a maryland splint or a partial denture. This is a list from most ideal treatment to least ideal.The solution you select may also be based on the condition and health of the descent teeth and what your specific esthetic goals are.

Answered 2/6/2013

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Dr. Steven Hart answered

Specializes in Cosmetic Dentistry

Ask your dentist: Advanced periodontal disease on the two front teeth can caused increasing looseness of these teeth as well as positional changes (most commonly space between). Short term (if your dentist advices) the teeth can be splinted to the stronger adjacent teeth on both sides by bonding a wire behind the teeth. However, this does not address the continued bone loss and potential infection locally.

Answered 10/4/2016

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Absolutely: This is an important question. Are these upper or lower front teeth? At your age, having enough bone loss to have this recommendation means you may have been diagnosed with aggressive periodontitis. I'm not sure who told you this, it may be wise to seek a second opinion. There may be other treatment's available and you should be fully informed of the options. Sorry i can't be of more help. Drc.

Answered 4/11/2013

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Dr. Andres Carbunaru answered

Specializes in Dentistry - Prosthodontics

Go to a periodontist: With periodontitist you are loosing the bone around the teeth and they become mobile. If you do not have enough bone already it is better to have them remove and do a bone grafting and implant placement than wait until the area get worse.Either a impalnt or bridges are good options.

Answered 8/24/2013

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