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Jennings, LA
A 36-year-old female asked:

hello. i have 5 teeth that are decaying near the gum line. i was wondering how this can be fixed without losing them?

17 doctor answers34 doctors weighed in
Dr. H Robert Silverstein
Specializes in Cardiology
Start: by seeing a dentist and then see 2 further specialists. HRS, MD, FACC. www.thepmc.org
Dr. Theodore Davantzis
Dentistry 40 years experience
See a dentist: It really depends on the extent of the decay, and you will need to be examined to determine that.
Dr. Paul Grin
Dr. Paul Grin answered
Pain Management 36 years experience
Gum line cavities: A common tooth problem with adults over the age of 35 is a gum line cavities. They are caused by teeth grinding and excessive brushing. The good news is that teeth can be restored and the fillings will often be hard to detect. See your dentist.
Dr. H Robert Silverstein
Specializes in Cardiology
This is insightful. HRS, MD, FACC
Apr 27, 2017
Dr. Arnold Malerman
Orthodontics 53 years experience
Go now: This isn't a DIY project. There's nothing you can buy in the drug store to fix this. you need professional help. Please see a Dentist ASAP to remove the decay and replace the diseased portion of the tooth with a restorative material. There are many options available, depending on your individual problem, but help is just a phone call away. Please call now.
Dr. H Robert Silverstein
Specializes in Cardiology
Complete. HRS, MD, FACC
Apr 27, 2017
Dr. Debra Rosenblatt
Dentistry 38 years experience
See DDS: Go to your dentist and have a complete assessment inclusive of radiographs. Once the treatment plan is finalized, you can treat the teeth in question.
Dr. H Robert Silverstein
Specializes in Cardiology
Correct. HRS, MD, FACC
Apr 27, 2017
Dr. Sandra Eleczko
Dentistry 36 years experience
Dental restorations: See a dentist for a comprehensive exam including X-rays. Decay near the gum line can be restored with cosmetic fillings if not too extensive. Other treatment may be crowns. The extent of the decay will determine what treatment option are available. See a dentist ASAP because the decay keeps on progressing or advancing until it is treated.
Dr. H Robert Silverstein
Specializes in Cardiology
This is correct. HRS, MD, FACC
Apr 27, 2017
Dr. Maryam Chiani
Dentistry 29 years experience
Gum line cavities: You need to go to a dentist and be evaluated for the extent of the caries and restoration of those dentition.
Dr. H Robert Silverstein
Specializes in Cardiology
Simple, correct, and clear. HRS, MD, FACC
Apr 27, 2017
Dr. Theodore Siegel
Cosmetic Dentistry 37 years experience
Bonding: The way that your dentist repairs your teeth will depend on several factors. One of the methods that may be used to repair damage at the gum line is dental bonding. This procedure will follow the removal of decayed tooth material and can restore not only structural integrity to your teeth but also a lifelike appearance. Depending on the extent of damage, your dentist may recommend a crown
Dr. H Robert Silverstein
Specializes in Cardiology
Quite well thought out. HRS, MD, FACC
Apr 27, 2017
Dr. Victor Negrete
Specializes in Dentistry
FIll / Crown: There is quiet a range depending on the extent of the cavities. Small ones are easily repaired with flowable white fillings. Deeper ones have the potential to affect the nerve of the tooth and require root canal treatment and a crown. Some go beneath the gumline and take extra steps to treat. Best thing is to see a dentist and have it fully assessed.
Dr. John DeWolf
Dentistry 40 years experience
Fillings: If they aren't too deep, fillings should repair the damage. If the decay goes all the way to the dental pulp you still may be able to save them via a procedure called root canal therapy depending on a few variables. Most important is to remove the behavior that lead to these 5 teeth decaying so it isn't an on-going process! Good luck->
Dr. Keith Hollander
Dentistry 36 years experience
Arrest, remineralize: Decay at the gum line can be arrested, remineralized and restored with a material that will release fluoride and prevent new decay. Make sure the dentist has given you a game plan to help you prevent this from reoccuring.
Dr. H Robert Silverstein
Specializes in Cardiology
Smart. HRS, MD, FACC
Apr 27, 2017
Dr. Jerry Brown
Prosthodontics 53 years experience
Decay Treatment: Good day; Simply have the area's of decay removed and composites placed in these tooth services. Improve your home care and have more frequent oral examinations and cleanings.
Dr. H Robert Silverstein
Specializes in Cardiology
Agreed. HRS, MD, FACC
Apr 27, 2017
Dr. Robert Douglas
Orthodontics 51 years experience
Start with : a complete examination with x-rays. Your dentist will form a treatment plan to get your mouth healthy again. Gumline cavities are indicative of below normal oral health so your dentist will work with you to make it right.
Dr. Charles Kattuah
Dentistry 23 years experience
In addition to: All the other answers here, it is important to figure out why the gum-line decay is happening. Most common cause is dry mouth with a cavity causing diet. Avoid acidic and sugary foods/beverages. Some medications cause dry mouth so talk to your dentist about whether or not you have dry mouth and what can be done about it.
Dr. Jaspreet Dheri
Dentistry 4 years experience
See your dentist: See your dentist for evaluation. They would be able to determine how big the decay is and what type of treatment you need.
Dr. Gary Sandler
Dentistry 54 years experience
Cervical Caries: Depending upon the extent of decay, can be restored with composite fillings or if more extensive crowns. If decay into the nerve, the teeth would need root canal therapy. If decay too subgingival approaching the bone root lengthening might be necessary. If too decay & insufficient tooth structure, then yes extraction might be required. See a dentist to evaluate each tooth and make recommendations
Dr. Elton Behner
Dentistry 37 years experience
Consult: a dentist asap for proper diagnosis and treatment recommendations. Also consider diet, nutrition and life style changes to reduce the chance of continual damage to the teeth.

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Exactly... And also Dentures are the last stop on that journey. Well said Dr. Sandroff!
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Exactly... Dentures are the last stop on that journey! Well said Dr. Sandroff.
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Good start.: But if this irritation occurs frequently, you should get to the dentist to determine the cause and rule out the start of something more serious.
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A 58-year-old female asked:

Why are the gums around my teeth white?

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Dr. Jeffrey Bassman
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Unsure: Do you have pain with your gums and has this lasted awhile? Did you recently have your teeth bleached at the dental office or use a take home kit? Did you change toothpastes or have you taken some new meds or supplements? I know- a lot of questions, but you need to see a dentist and get to the source of the problem.

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Last updated Nov 27, 2017

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