A member asked:

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

12 doctors weighed in across 11 answers

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.

Answered 12/11/2012

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Dr. David May answered

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.

Answered 4/11/2017

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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.

Answered 11/10/2015

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Dr. I. Jay Freedman answered

Specializes in Dentistry

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.

Answered 3/29/2014

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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.

Answered 12/29/2016

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Dr. John Thaler answered

Specializes in Prosthodontics

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.

Answered 1/28/2013

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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!

Answered 12/9/2013

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Dr. Mark Venincasa answered

Specializes in Dentistry - Cosmetic

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

Answered 3/1/2013

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Dr. April Ziegele answered

Specializes in Cosmetic Dentistry

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!

Answered 12/9/2013

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Dr. Tony Kim answered

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.

Answered 2/28/2015

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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!

Answered 6/11/2017

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