Periodontitis – 90% bone loss – dental health forum – ehealthforum definition of type 1 diabetes

Hi, I am 36 yrs old. I recently discovered some loose teeth in my mouth, which had me running to the dentist. After full mouth x-rays it was discovered that I have extremely advanced periodontitis with 90% bone loss. Ugh. On visiting a periodontist he measured pocket depths of 7-8 mm all throughout my mouth. Ugh again. He recommended scaling root planing. When I asked him what the likelihood of this procedure was to stop the progression of the bone loss, he said: slim to none. We went onto discuss flap surgery.

This perio wanted to do the SRP right then and there, and wanted me to pay up front for it, incase insurance doesn’t cover it. Yeah so tomorrow I am seeking a second opinion. I happen to know already that my dental insurance will not cover me for anything, because when I joined the plan I was what they call a Late Entrant, and so my coverage is delayed for 2 years.


The good part of this is that the company I work for may pay for part of my treatment because it is their fault I was signed up late. I am also looking into financing for the whole deal. I hear it’s ridiculously expensive!!

I am willing to do anything to save my teeth. There are several very loose ones in there and I only hope they don’t fall out during surgery. I have started brushing, flossing, stimudenting and rinsing with Listerine after every meal (3 times a day). At first the prospect of surgery scared me too much, but now the prospect of having no teeth scares me more.

My main question for the periodontist tomorrow is going to be whether we can just skip the scaling root planing and go straight for the flap surgery. With pocket depths of 7-8mm I really don’t think this infection is going to slow down unless arrested right at the bone.

I am glad I found this board, no one in my life wants to hear me drone on about my teeth. Both dr’s I have seen so far say that this has to be genetic in my case; though I wouldn’t know because I am adopted. They said I am really young to have it this bad and if I don’t do something fast, I won’t have any teeth left, or any bone for a denture to hold onto.

I have been a smoker for the past 23 yrs also, so I imagine that cannot have helped any. I am willing to quit smoking after the surgery. I am willing to go to absolutely any lengths to save my teeth. I like chewing and talking. Thanks for reading this if you made it this far!

I saw another dentist today who told me he does not recommend the flap surgery because my bone loss is so advanced and flap surgery would cause more bone loss. He said that not every area in my mouth has as severe bone loss as many others. My 2 rear molars are pretty well rooted in bone, while everything forward of them is not.

At what point will I have waited too long to act and there is now no longer any bone for a denture to hold onto? The first periodontist I saw made this point. Only now is it just sinking in. Dentures hold onto the bone in your mouth, right? Well my jaw bone is melting away, most especially in my lower front. The guy today said he thinks plaque tartar must be the only things holding my front lower teeth in. You can clearly see on the x-ray the lack of any BONE around the bottoms of those teeth.

I also have an appointment with yet another periodontist on February 25th. I realize I am not going to find a dr. to tell me my teeth won’t fall out: because they will. I just want to take the most effective action I can to ensure my ability to eat and talk well into my old age. I don’t have a spare $3000 laying around, and if I spend the money I want it to be money well spent, not on a losing battle that obviates more spending.

for us ,dentist, in this modern times with all new technique in bone replacement theraphy it is very difficult to find a dentist that extract teeth without reasons , teeth are very important for our speech , digestive process and taste and appeareance having a complete denture is not a pleasant experience firt of all you can not have the same perception of taste, hot and cold because a lot part of your mouth will be covered by acrilic, second you can not eat hard things as you do with your natural teeth (its dificult for complete denture patients to bite an apple be) you have to learn how with your tounge and muscle maintain the dentures in place, you will have a feeling like is your mouth is entirely full with something hard and dont thing you will not loose bone ,you with loose more bone because if no teeth are present bone reabsorb faster. dentists study more than 6 years to cure disease and replace function of patients mouth if your dentist is telling you that you can preserve your teeth with ambulatory surgery do it , is the best you could do to preserve it and if periodontal disease is controlled bone loss stop

I saw my 3rd and final periodontist today. He says I definitely DO NOT need surgery. He focused on something that NONE of the other periodontist focused on. The fact that I clench my teeth when I sleep. I have what he called Occlusive Periodontitis. I told all the other doctors this but none of them addressed it in their treatment (banking) plan.

This Doctor says I need a course of deep gum treatment, including subgingival antibiotics, 4 quadrant root scaling planing and a bunch of other follow up care. He said I MAY possibly lose 4 teeth but even that is unlikely. He said it is not really as bad as the other idiots made it out to be. AND the best part is that this whole phase of the treatment will be about $2200 bucks. Not the eventual $8000 for flap surgery the other two steered me towards.

The sad fact is, that those other doctors are probably just not intelligent enough or motivated enough to keep up in their field. They tell people they need surgery, they use fear to sell unecessary medical treatment, and people jump for it. I wonder how many completely unecessary flap surgeries that other perio I saw does every year.

I had researched subgingival antibiotics and each dr I mentioned them to seemed alarmed that I knew about them. I flat out asked one of them if he never used subgingival antibiotics, or if they were just too cheap a solution for him to offer? The one guy answered that they don’t work. And that if I didn’t go with his idea, I’d be back in his office in a few years begging for implants.

The perio I went to today SPECIALIZES in implants – but never mentioned implants to me even once. He gave me hope, and a plan of action, and a reasonable price tag. Quite the opposite of what the others did, which was fill me with MORE fear.