Doctor insights on:
Medicine For Periodontal
Spontaneous onj w/ absence of osteo/steroid drugs &radiation, wouldnt cause tooth loss.Tooth loss would b periodontal disease/abscess instead. T or f ?
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: "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 moreSee 2 more doctor answers
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
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 moreSee 3 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers