49 doctors weighed in:
What are the options in cosmetic dentistry for patients with periodontal disease?
49 doctors weighed in

Dr. Gary Lederman
Dentistry
11 doctors agree
In brief: Same
People with gum disease can have beautiful smiles.
There are unique challenges, such as looseness and length of teeth. The gum specialist should advise about long term survival of the dentition, and questionable teeth be removed. Implant tooth replacements can be beautifully restored. It is critical that bite problems are resolved, so this type of patient may tend to have full mouth care.

In brief: Same
People with gum disease can have beautiful smiles.
There are unique challenges, such as looseness and length of teeth. The gum specialist should advise about long term survival of the dentition, and questionable teeth be removed. Implant tooth replacements can be beautifully restored. It is critical that bite problems are resolved, so this type of patient may tend to have full mouth care.
Dr. Gary Lederman
Dr. Gary Lederman
Thank
3 comments
Dr. Teresa Davis
The most important aspect of periodontal disease is taking it from an Active State of Disease to an inactive or stable state. Once your dentist has determined that your perio. disease is stabilized there are many options to obtain a beautiful smile from invisalign treatment to correct your bite, to crowns/veneers to implants. There is always hope to attain a beautiful smile.
Dr. Gary Lederman
I could not agree more. Thank you for that thoughtful perspective.
Dr. David Duguid
Dentistry
5 doctors agree
In brief: Collaboration
There are many options for you.
What is extremely important is that your cosmetic dentist collaborates with your periodontist (gum specialist). You need to understand your options and risks of each option. Do not start any cosmetic procedure without a periodontist's evaluation of the short, mid and long term prognosis for your teeth and what the periodontist recommends.

In brief: Collaboration
There are many options for you.
What is extremely important is that your cosmetic dentist collaborates with your periodontist (gum specialist). You need to understand your options and risks of each option. Do not start any cosmetic procedure without a periodontist's evaluation of the short, mid and long term prognosis for your teeth and what the periodontist recommends.
Dr. David Duguid
Dr. David Duguid
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Dr. Mark Venincasa
Dentistry - Cosmetic
3 doctors agree
In brief: Quite a few...
Naturally the most important thing is to get the periodontal disease treated and managed.
Following this multiple options can be considered for cosmetic dentistry. The options available for cosmetic dentistry are dependent upon each individual. I assure you that options do exist for most every patient with periodontal disease.

In brief: Quite a few...
Naturally the most important thing is to get the periodontal disease treated and managed.
Following this multiple options can be considered for cosmetic dentistry. The options available for cosmetic dentistry are dependent upon each individual. I assure you that options do exist for most every patient with periodontal disease.
Dr. Mark Venincasa
Dr. Mark Venincasa
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Dr. Ronald Achong
Surgery - Oral & Maxillofacial
3 doctors agree
In brief: See a gum specialist
The periodontal disease is one of the issues that should be addressed.
This is the foundation of the teeth. If the gums and jaw bones are not healthy then the teeth will eventually become loose. See a periodontist and a dentist.

In brief: See a gum specialist
The periodontal disease is one of the issues that should be addressed.
This is the foundation of the teeth. If the gums and jaw bones are not healthy then the teeth will eventually become loose. See a periodontist and a dentist.
Dr. Ronald Achong
Dr. Ronald Achong
Thank
Dr. Matt Fulmer
Dentistry
3 doctors agree
In brief: Cosmetic Dentistry
The options for cosmetic dentistry are often limited for patients with periodontal disease.
If the perio condition is of mild to moderate severity then options aren't as limited. The key is understanding that periodontal disease can compromise the long-term survival of any cosmetic procedures performed. Discuss your perio condition fully with your dentist. Healthy gums and bone are top priority.

In brief: Cosmetic Dentistry
The options for cosmetic dentistry are often limited for patients with periodontal disease.
If the perio condition is of mild to moderate severity then options aren't as limited. The key is understanding that periodontal disease can compromise the long-term survival of any cosmetic procedures performed. Discuss your perio condition fully with your dentist. Healthy gums and bone are top priority.
Dr. Matt Fulmer
Dr. Matt Fulmer
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Dr. Thomas Davis
Dentistry
2 doctors agree
In brief: Periodontitis
It is best to take care of periodontal disease before proceeding to other proceedures such as crowns and bridges.
The gums and bone are the foundation to build on. Transitional appliances can be fabricated that the patient can enjoy while the periodontal therapy is in progress.

In brief: Periodontitis
It is best to take care of periodontal disease before proceeding to other proceedures such as crowns and bridges.
The gums and bone are the foundation to build on. Transitional appliances can be fabricated that the patient can enjoy while the periodontal therapy is in progress.
Dr. Thomas Davis
Dr. Thomas Davis
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2 doctors agree
In brief: There are many
It depends on the severity of the attacment loss of the teeth.
Bonding, porcelain veneers or crowns, and fixed or removable dentures are options to improve your smile. You may need gum surgery as well. Dentistry has made great progress in recent years and just because a person has periodontal disease doesn't mean they can't have a beautiful smile if they want one.

In brief: There are many
It depends on the severity of the attacment loss of the teeth.
Bonding, porcelain veneers or crowns, and fixed or removable dentures are options to improve your smile. You may need gum surgery as well. Dentistry has made great progress in recent years and just because a person has periodontal disease doesn't mean they can't have a beautiful smile if they want one.
Dr. Charles Kattuah
Dr. Charles Kattuah
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Dr. Joel Doyon
Dentistry - Cosmetic
1 doctor agrees
In brief: See your dentist
The first thing you need to do is get your periodontal disease under control.
After that, you should discuss with your dentist what can be done cosmetically for you. The types of treatments that can be done is based on the condition of your gingiva (gums) and how much bone you have supporting your teeth. Ask your dentist to discuss your options with you.

In brief: See your dentist
The first thing you need to do is get your periodontal disease under control.
After that, you should discuss with your dentist what can be done cosmetically for you. The types of treatments that can be done is based on the condition of your gingiva (gums) and how much bone you have supporting your teeth. Ask your dentist to discuss your options with you.
Dr. Joel Doyon
Dr. Joel Doyon
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Dr. George Ayoub
Dentistry - Cosmetic
1 doctor agrees
In brief: No option
No option unless get periodontal disease under control.

In brief: No option
No option unless get periodontal disease under control.
Dr. George Ayoub
Dr. George Ayoub
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Dr. Kenneth Grossman
Dentistry - Endodontics
1 doctor agrees
In brief: Eliminate disease
Before any esthetic procedure is done.
, all gum disease needs to be eliminated. You don't put a building up over a weak foundation.

In brief: Eliminate disease
Before any esthetic procedure is done.
, all gum disease needs to be eliminated. You don't put a building up over a weak foundation.
Dr. Kenneth Grossman
Dr. Kenneth Grossman
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Dr. Robert Tupac
Dentistry - Prosthodontics
1 doctor agrees
In brief: All
If periodontal disease is under control, patients are candidates for orthodontics, veneers, crowns and/or bonding procedures.

In brief: All
If periodontal disease is under control, patients are candidates for orthodontics, veneers, crowns and/or bonding procedures.
Dr. Robert Tupac
Dr. Robert Tupac
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Dr. Ahmad Eslami
Dentistry - Periodontics
1 doctor agrees
In brief: Gum disease
When teeth have gum disease, the first and foremost concern is to address the disease, prevent further damage to the foundation of the teeth and increase life expectancy of the teeth.
Cosmetic dentistry should take the 2nd seat. With healthy foundation one can look into the cosmetic aspect. There are many options that can be explored. For that one needs an "experienced" and savvy cosmetic dentist.

In brief: Gum disease
When teeth have gum disease, the first and foremost concern is to address the disease, prevent further damage to the foundation of the teeth and increase life expectancy of the teeth.
Cosmetic dentistry should take the 2nd seat. With healthy foundation one can look into the cosmetic aspect. There are many options that can be explored. For that one needs an "experienced" and savvy cosmetic dentist.
Dr. Ahmad Eslami
Dr. Ahmad Eslami
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Dr. Richard Stiles
Dentistry
1 doctor agrees
In brief: Limited.
First and foremost, periodontal disease must be under control for any dentistry to be successful.
Even the best dental work can be for nothing if it does not have a healthy foundation.

In brief: Limited.
First and foremost, periodontal disease must be under control for any dentistry to be successful.
Even the best dental work can be for nothing if it does not have a healthy foundation.
Dr. Richard Stiles
Dr. Richard Stiles
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Dr. Martin Hertzel
Dentistry
1 doctor agrees
In brief: Depends
Before any cosmetic procedures are done, the periodontal disease needs to be treated and brought under control first.
Without healthy bone and gums under the teeth, there is no sense in putting the money into cosmetics. It would be like building a brand new house on an unstable foundation.

In brief: Depends
Before any cosmetic procedures are done, the periodontal disease needs to be treated and brought under control first.
Without healthy bone and gums under the teeth, there is no sense in putting the money into cosmetics. It would be like building a brand new house on an unstable foundation.
Dr. Martin Hertzel
Dr. Martin Hertzel
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Dr. James Wright
Dentistry
1 doctor agrees
In brief: Many
Depending on the type and severity of the disease many options are available.
Once you have periodontal disease you will have it for the rest of your life. You will be either active or inactive. If you are inactive and have enough bone support then all types of cosmetic dentistry can be performed like lumineers, veneers or crown and bridge. Your bone level helps to determine what is best for you.

In brief: Many
Depending on the type and severity of the disease many options are available.
Once you have periodontal disease you will have it for the rest of your life. You will be either active or inactive. If you are inactive and have enough bone support then all types of cosmetic dentistry can be performed like lumineers, veneers or crown and bridge. Your bone level helps to determine what is best for you.
Dr. James Wright
Dr. James Wright
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Dr. Anna Guarna
Dentistry
1 doctor agrees
In brief: Depends
Consult with your dentist about the severity of your periodontal condition and options.
Also depends on the look/esthetics you're trying to achieve. In severe cases of periodontal disease, you may be a candidate for implants.

In brief: Depends
Consult with your dentist about the severity of your periodontal condition and options.
Also depends on the look/esthetics you're trying to achieve. In severe cases of periodontal disease, you may be a candidate for implants.
Dr. Anna Guarna
Dr. Anna Guarna
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Dr. Matthew Church
Dentistry - Cosmetic
In brief: Gum diseaseTreatment
Patients with periodontal disease benefit immensely from care that restores the healthy color and texture to irritated gum tissue.
It may not sound very rewarding in terms of appearance, but gum disease treatment paves the way for all other cosmetic improvement, from teeth whitening to porcelain veneers to bonding.

In brief: Gum diseaseTreatment
Patients with periodontal disease benefit immensely from care that restores the healthy color and texture to irritated gum tissue.
It may not sound very rewarding in terms of appearance, but gum disease treatment paves the way for all other cosmetic improvement, from teeth whitening to porcelain veneers to bonding.
Dr. Matthew Church
Dr. Matthew Church
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Dr. April Ziegele
Dentistry - Cosmetic
In brief: 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!

In brief: 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!
Dr. April Ziegele
Dr. April Ziegele
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Dr. John Thaler
Dentistry - Prosthodontics
In brief: Complete perio first
Team up with your periodontist and prosthodontist to work out best plan for you.
You want to become periodontally stable before any definitive restorations are completed. Important to work with the specialists who are trained in this type of combined and complex treatment.

In brief: Complete perio first
Team up with your periodontist and prosthodontist to work out best plan for you.
You want to become periodontally stable before any definitive restorations are completed. Important to work with the specialists who are trained in this type of combined and complex treatment.
Dr. John Thaler
Dr. John Thaler
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Dr. Ronald Achong
Surgery - Oral & Maxillofacial
In brief: Gum treatment
Have the periodontal disease treated first.
Once this is under control and the tooth is solid, then there are various treatments to give you that smile that you want. If the teeth are not solid or stable enough, then dental implants may be another option.

In brief: Gum treatment
Have the periodontal disease treated first.
Once this is under control and the tooth is solid, then there are various treatments to give you that smile that you want. If the teeth are not solid or stable enough, then dental implants may be another option.
Dr. Ronald Achong
Dr. Ronald Achong
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Dr. Gabriel Malouf
Dentistry - Cosmetic
In brief: Foundation first.
Periodontal disease means the foundation (upon which you need to build most cosmetic work) is compromised.
Your options are different & potentially more complex. You do still have options (and the possibility of an excellent result). Control the disease, then determine what you can build on: either teeth or implants. Consult with your dentist to determine the best course.

In brief: Foundation first.
Periodontal disease means the foundation (upon which you need to build most cosmetic work) is compromised.
Your options are different & potentially more complex. You do still have options (and the possibility of an excellent result). Control the disease, then determine what you can build on: either teeth or implants. Consult with your dentist to determine the best course.
Dr. Gabriel Malouf
Dr. Gabriel Malouf
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In brief: Very limited
Gums and bones are the foundation for your teeth.
If you invest heavily on the looks of teeth and your gum disease is not held in check, then you will regret it. Get to the root cause of your gum disease and take care of that. Then get the smile of your dreams.

In brief: Very limited
Gums and bones are the foundation for your teeth.
If you invest heavily on the looks of teeth and your gum disease is not held in check, then you will regret it. Get to the root cause of your gum disease and take care of that. Then get the smile of your dreams.
Dr. Marvin Pantangco
Dr. Marvin Pantangco
Thank
Dr. K Bigelow
Dentistry
In brief: Healthy gums first
Once your periodontal disease is under control, and your gums are healthy, then cosmetic dentistry will be more successful.
Periodontal follow up visits at the dental office to help maintain healthy gums will be very important. Get the gum tissues healthy first then talk to a qualified cosmetic dentist about what you would like to achieve cosmetically with your teeth.

In brief: Healthy gums first
Once your periodontal disease is under control, and your gums are healthy, then cosmetic dentistry will be more successful.
Periodontal follow up visits at the dental office to help maintain healthy gums will be very important. Get the gum tissues healthy first then talk to a qualified cosmetic dentist about what you would like to achieve cosmetically with your teeth.
Dr. K Bigelow
Dr. K Bigelow
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Dr. Ronald Achong
Surgery - Oral & Maxillofacial
In brief: Some options
A good cleaning, antibiotic therapy and sometimes laser treatment.

In brief: Some options
A good cleaning, antibiotic therapy and sometimes laser treatment.
Dr. Ronald Achong
Dr. Ronald Achong
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Dr. Riad Tadros
Dentistry
In brief: Dr. Tadros
The perio condition must be treated first after that , depending on the amount of gum and bone loss and on the condition of the teeth your options range from simple teeth whitening to invisalign to straighten the teeth or veneers and crowns .
Every case is different and you should see a dentist who has a lot of training and experience in cosmetic dentistry to create a custom treatment plan for you.

In brief: Dr. Tadros
The perio condition must be treated first after that , depending on the amount of gum and bone loss and on the condition of the teeth your options range from simple teeth whitening to invisalign to straighten the teeth or veneers and crowns .
Every case is different and you should see a dentist who has a lot of training and experience in cosmetic dentistry to create a custom treatment plan for you.
Dr. Riad Tadros
Dr. Riad Tadros
Thank
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