Doctor insights on:
Medicine For Periodontal
Spontaneous onj w/ absence of osteo/steroid drugs &radiation, wouldn't cause tooth loss. Tooth loss would b periodontal disease/abscess instead. T or f?
Depends: Onj is bone sloughing and may be enough to loosen a tooth. Are you taking bisphosphonates? ...Read more
I had infective endocaditis in my mitral valve my cardologist said IV drug use affects the right side valves does peridontal affect the mitrlal valve?
Infective endocardit: Although IV drug users often develop endocarditis on the right side of the heart they may have any valve involved, particularly if there exists a right to left shunt, either from the pulmonary HTN induced by IV drug use emboli or anatomic variances (patent foramen ovale, etc.). Periodonitis with bacteremia most commonly produces aortic or mitral valve disease, but again any valve may be infected. ...Read more
Good oral hygiene: Good periodontal therapy started with good oral home care. Oral hygiene, i.e. Brush and floss are the utmost important part of treatment. Brush both your teeth and your gum. This will alleviate the gingival inflammation and bleeding. Your dentist can perform more thorough subgingival debridement. The outcome of therapy depends on the diagnosis, identified the cause, treatment, and follow up. ...Read more
Bone loss..: .. Is permanent. The level of the bone will not grow back, so that damage is permanent. The gum tissue, through treatment (surgical and non-surgical) can recontour, decreasing pocket depth. ...Read more
Bone loss: "real" pockets are due to bone loss and subsequent loss of the attachment complex on the root surface. Pseudopockets are caused by hyperinflammed gum tissue, the is swollen and bleeds but no bone loss is involved. Psuedopockets can be just a tender to clean as "real ones" and may require local anesthesia for a thorough cleaning. ...Read more
Get it treated:
You are correct periodontal disease will not correct itself
you should see a periodontist who will rebuild the lost bone after removing all the infection
your pockets will be eliminated and they will teach you how to properly take care of your gums so the problem doesn't recur. ...Read more
Periodontal disease is multi- factorial in cause. Genetics, home care, professional care, all are important in causation.
A good periodontist, not meds, is what you need! ...Read more
Next week, I have my periodontal cleaning and am very apprehensive about having any deep pockets. Any advice for this?
Good hygiene: Preventing deep pockets usually entails good and consistent oral hygiene care at home. Follow the advise given by your dentist and hygienist. It is important to keep your appointments with the dentist and hygienist. Once periodontal pockets have developed, deep scaling and surgery may be necessary. Maintaining and developing good hygiene habit is your best defense against developing deep pockets ...Read more
Yes but: If done without anesthetic, you will feel it. Everyone has a different pain tolerance. The same procedure done on ten different people will illicit ten different responses. Get numbed up and you shouldn't feel it. Rinse with warm salty water for three days afterwards. It's normal for teeth to be sensitive to cold for a few weeks as well. B ...Read more
Periodontal probing: Periodontal probing should be part of your routine dental exam and cleanings. If this is not being done at least once a year you can ask but you should not need to. It is standard care or should be in every dental office. ...Read more
Examination: A periodontal follow up visit is typically done after your get a deep cleaning or scaling and root planing as we call it. This is where we see how your gums have reacted to the deep cleaning. We will re-chart your periodontal pockets to see if there has been any improvement, and then decide what the next step would be, depending on if there was improvement or not. ...Read more
Related: When the attachment of the periodontal ligament is lost, it allows a pocket to develop. The attachment is the healthy protective barrier and the pocket is the destruction in the bone as a result of the disease process. Here is a good general resource for more information on Periodontal (gum) disease: http://www. Perio. Org/consumer/types-gum-disease. Html ...Read more
Treat Perio first!: Cosmetic dentistry as dependent on restorative crown/veneer design as it is in gum level / topology. The last thing you need is to invest $$$ and have your gum "design" be irregular. For me it is the easiest method to detect if someone has veneers! Get you gum tissue healthy then proceeed with your cosmetic care. ...Read more
Yes,: Antimicrobial rinses that contain Chlorhexidine have as a side effect staining of teeth. Your periodontist can advise you what he\she feels is the best regimen for you to maintain health gums and whether the benefits out way that disadvantage. The expert advice should come from someone who knows you, your medical and dental history and not by seeking help on the internet. ...Read more
My periodontal hygienist wears high powered lenses that she removes when finished. Others tell me their hygienists do not use them. Benefits?
Better vision: Magnification loupes allow your hygienist to see better--it's the difference between her looking at teeth at normal size vs baseball size. That means she can see more detail, which should allow her to provide a more detailed cleaning. Cleaning teeth is not just visual, though--a lot is done by feel, especially between the teeth. So the loupes can provide a benefit, just not on all areas of teeth. ...Read more
Can periodontal pockets deepen after deep cleaning. If not and pockets increased from bpe3 to bpe4 in one week does this indicate wrong damaging clean?
No: Scaling and root planing will not increase pocket depth. The initial 3mm reading could have occurred if the probe hit embedded calculus. Once the pocket was cleaned out, the true reading was obtained. ...Read more
Chronic infection: Gum disease is a chronic inflammatory disease initiated by bacteria on your teeth. As the bacteria spreads under your gums and into your bone the bodies inflammatory response eats away the collagen network that hold the gums and bone together. While the mechanism of destruction is immune mediated it is in response to the bacterial infection. ...Read more
There are multiple: There are multiple treatment options depending on the severity of the disease and the local anatomy. Periodontal disease is a disease where the bone supporting the teeth is lost. So for example it can be lost with accompanying gum recession-no pockets no surgical intervention or without gum recession and pocket-therefore surgical intervention. See a periodontist. Dhschneid@gmail. Com 4 a referral. ...Read more
Poor OH and others..: Risk factors in periodontal disease: 1)poor oral hygiene, 2)poor immunity or disease which may compromise immunity (diabetes) 3)open mouth breather, 4)dry mouth, 5)malocclusion, 6)conditions that cause food impaction areas: open contacts, faulty/broken restoration, open crown margin, 7)smokers, 8)disease compromise the host reaction to bacteria and bacterial products. ...Read more
Medication: There are many different medications on the market that are placed directly into the pockets. These small chips deliver medication directly to the site. The diligence you mentioned is a team effort. You do your part at home and allow your dental team to guide and treat you through what is a treatable yet incurable disease. ...Read more
Increased risk: We know that severe periodontal disease increases risk for certain conditions - like a heart attack or a stroke, however, these are multifactorial conditions. It will not cause a heart attack just increases risk along with other risk factors. The bacteria that cause periodontal disease can get into the blood stream and thus affect other parts of the body. ...Read more
There is no cure for periodontal disease
there is elimination of periodontal disease
the periodontist can eliminate the disease thru treatment and you can eliminate its return by good oral hygiene and regular professional cleanings
but you can't sterilize the mouth, plaque will still form and your bacteria will still give off its acid waste products to attack your gums. Good oral hygiene please! ...Read more