Doctor insights on:
Bone Loss In Gums
Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more
No such thing: You either have a cow bone (allograft) or synthetic bone. Cow bone usually is harder, and actually are very good bone graft material (they are more expensive than human cadaver bone and synthetic bone). Their bone structure is similar, but more dense than our bone. Upon resorption, they would be replaced by much denser bone fill. All grafting material resorp and replaced by our real bone. ...Read more
Teeth gum problems my teeth all are just messed up. I have bone loss and bad gums. Iam 42 and just want to cap them all. Can that be done. And if so what's the expense
Yes if Teeth Stable: Regardless of the amount of bone loss, if the gum disease is stabilized and your teeth are not too loose, crowns can be done. If some teeth are hopeless, either implants or bridges may be a choice after having them taken out. Start by seeing a general dentist who can guide you and develop a full treatment plan. Crowns alone range from around $900-1300 each in Tucson, AZ, without insurance help. ...Read more
I've got Periodontitis with some bone loss and receding gums. Will a Sonicare toothbrush worsen it? Can it make teeth with some looseness looser?
No and No: ... to your questions. But a sonicare toothbrush is not therapy for periodontitis. If you are truly 29 and have periodontitis, you need to be evaluated and treated by a periodontist IMMEDIATELY. Bone loss and recession at your age is a recipe for disaster. By the time you are 50, you could potentially be toothless. Seek treatment and take care... ...Read more
How much will it cost? How much could a periodontist evaluation can cost? My dentist sent me to a periodontist to evaluate me because of bone loss on my lower gum and I don't have any insurance I'm paying my braces cash so I was wondering how much can it
Average: Average range of periodontal evaluation is between $80 - $300 which consists of oral and periodontal exam and x-rays. Some new or expanding periodontal offices also give discount prices for consultation. Dental schools are another source of economical alternative. ...Read more
One way street..: In general, bone that is lost through periodontal disease, bruxism, and aging cannot be reversed. It is gone forever. If you have certain periodontal defects, or need grafting for implant placement, there are procedures to help you. Speak to a local periodontist if you have bone loss to discuss your options. ...Read more
My upper left tooth (#15) is loose due to bone&gum loss. My dentist wants to remove it. I want to save it by using the LANAP laser regen. Surgery. Doable?
Possibly: See a periodontist experienced in the LANAP procedure for a consultation. ...Read more
Some degree of gum recession can happen as people age. Can this also be the situation with bone loss without the presence of periodontal disease?
Bone loss: Bone loss is associated with gum loss, they go hand in hand. Most perio is due to bacteria (better hygiene) but can be increased by trauma, smoking, systemic disease, nastier bacteria, meds, etc. The biggest reason we get more loss with age (besides disease and inability to clean) is we have more time to be exposed to the above bad habits. I have seen 80 year olds with all their teeth. See a dds. ...Read more
Dull gum pain between #29 - 30. Xrays show no decay, minimal pocket, no bone loss. No bleeding or swelling. Contact is good but feels like food stuck?
Not uncommon: I often see patients with similar problems. Some patients are extremely aware of even the slightest changes in their mouth, & can pinpoint with amazing accuracy the slightest swelling of gums or variation of tooth or filling roughness. Once they have a cleaning, fillings polished & adhere to better oral hygiene the pain is gone. No need to search for unusual or uncommon neuropathic\other causes. ...Read more
X-ray (tooth #35) (includes a stick to the left): goo. Gl/2s3wbb what could be the causes of the deep gum pocket and bone loss? How should I treat it? My other gums are healthy.
Evaluation: The periodontal pocket needs to be evaluated as to the cause. Endodontic in origin, or strictly a periodontal issue? Location? Number of walls? Mobility? Ease of cleaning area? Carious lesions? So many unanswered questions... See a local periodontist for advice. ...Read more
I have gum recession especially bottom teeth. Even though my gums may be healthy, I definitely have bone loss surrounding each tooth, right?
Possibly/like;y: Depending on the amount of recession, there may or may not be bone involved. Gum diseases (periodontitis) is possible. Bone loss and recession often occur bio-mechanically; produced by force applied to teeth. Bruxing, clenching and grinding the teeth is a common cause, get it checked out by a dentist asap. ...Read more
1month ago, dentist told that ihad 3mm pockets but bone loss was not much to worry about. Inoticed today that 1of top teeth gum seems farther back
Recession?: What you describe sounds like gum recession which often results from brushing too hard. Most of the bone loss I see is tied to 6mm pockets or more; 3mm is "normal." Your specific case could be an exception, and your question can be best answered in person, and would only take a minute at your next exam. ...Read more
My gums do not bleed upon flossing, brushing, using a sulcabrush but I have horizontal bone loss. I do not understand why this is. Probable causes?
History: Although it sounds as if your oral hygeine habits are quite good presently, the fact remains that at some point of your past, periodontal bone loss occured. Localized juvenile periodontitis may begin in adolescence. Once it starts, it is difficult to manage. Even the greatest of care won't undue the damage in later years. But take heart, it sounds as if you are doing everything correctly- now. ...Read more
If I have moderate-to-severe dental gum recession (bottom front teeth) I probably have moderate bone loss, as well?
Yes that is true.: Yes, moderate-severe gum recession is the result of moderate-severe bone loss in the area. The gum tissue can not exist with out the underlying support of the bone. If you did not also have the bone loss, then the bone with be exposed where the gum has receded. You need to see a periodontist every 2-4 months for continued follow up care. ...Read more
I think one of my teeth has moved. Can no longer get floss between it, like before. Slightly receding gums. Has bone loss occurred? Should I worry?
Lots of questions: Hard to answer any of them without examining your teeth. Together with radiographs, your local dentist can diagnose any problems you may have and advise you of the proper treatment. ...Read more
Two of my bottom front teeth are in a different position than when I was 15. I do have slightly receding gums. Would bone loss be the likely cause?
Possibly: Bone loss can allow teeth to shift. Shifting teeth can cause bone loss, especially if teeth move off of their bone support. If you notice a little shifting now, you will probably see a lot of shifting as time goes by. Please see an Orthodontic Specialist to evaluate the positions of your teeth and possible stabilization treatment options. Consultation with a Periodontist may also be indicated. ...Read more
Multiple periodontists do not know what is causing my gum recession. I'm 35, and I've had bone loss. Should I see a prosthodontist or an endodontist?
Prosthodontist: And have a complete medical workup with your physician to rule out any underlying conditions. Taking a team approach is the best way to tackle this problem. ...Read more
My front bottom teeth have changed position over past three years. (I've had bleeding gums since I was 12. My gums have receded a little.) Bone loss?
If I have a tooth infection or gum infection, how long could it take to spread to jaw and cause bone loss? I have appointment saturday
Would you visibly be able to see bone loss in teeth? Bottom incisors have shifted and I'm worried that could be a cause. (I do have bleeding gums)
Seek exam: You can't see bone loss with the naked eye, the bone is completely covered with gum tissue. If you are seeing gum recession, the underlying bone is receding. Bleeding is indication of gum disease (infection). Shifting is indication of bone loss. Please see your Dentist and ask if referral to a Periodontist is in order. You're too young to have all of these problems. ...Read more
I'm worried I could have bone loss in my teeth? I do have bleeding gums and small pockets (around 4mm) but all my dentist tells me is to floss more.
See a Periodontist:
I would recommend that you see a Periodontist
to get another expert opinion on how well you are actually practicing good home care, whether or not there are other contributing factors, and how to eliminate the bleeding gums. It may take just a little more effort on your part to floss better. Perhaps your dentist is right and that's all that is necessary. Perhaps not---> see a Periodontist. ...Read more
I have to choose between a cemented implant crown or a screw retained one. Cement under gum = boils and bone loss. Screw type is more money. How much?
Screw if possible: Even if you have a cemented crown, there will be no cement under the gumline... it will all be removed at the time of cementation. Can't imagine why a screw retained crown is more expensive, unless the restorative dentist is using a prefabricated post and the lab is charging him/her for a routine crown. Since I have everything custom made on implants, I charge the same. ...Read more
Varies: Bone loss features can vary. People may be asymptomatic to painful if associated with bone fractures. Bone mineral density (bmd) testing looks at bone quantitative amount. It does not determine bone quality. The quantity and quality of bone determine strength. Bone loss may be prevented/treated by bisphosphonates, denosumab, impact exercise, calcium, vitamin d. ...Read more
Many options: First, find out the cause of the bone loss so you are not just treating the symptom instead of the cause. If you have osteopenia, make sure you maintain proper nutrition, keep active, do weight bearing exercises daily, take adequate calcium + vit d supplement (1200-1500 mg, 2000 iu vit d). If you have osteoporosis, do all above and a fda approved osteoporosis after discussion with your md/do. ...Read more
So many reason: First of all, how old is your child? For someone less than 21 years old, having dental bone loss is very serious and must be treated immediately. He or she may have neutrophil defect, or lack of the body first line of defense against infection. Host factor may be compromised. For someone older, he or she may have occlusal problem, or may have poor oral hygiene technique needed to be address. ...Read more