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Medical Forum / General / Dentistry / June 2004

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Q: Gingivitis and Taking Responsibility

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Royler - 30 Jun 2004 03:36 GMT
Wanted to get some thoughts from the group here...

I'm 25 and have largely neglected tooth care for the past 10 years or
so. Dentist at adolesence was a sadist and it turned me off for a long
time. Had a cleaning done in 2000 and needed two fillings and a
crown...never got it done. Recent years, I've been chronically ill and
have neglected dental care.

Flash forward to '04. Had a check-up in February and was told I had
gingivitis and still needed the work previously mentioned. Also needed
a cleaning.

Long story short, didn't get the cleaning done until today, and now
I'm worried I waited too long...hygenist was non-committal as to if my
gingivitis had progressed to bone loss and kept giving conflicting
answers. "I don't really see any/much...have to talk to doctor...don't
need deep scaling...should return to normal..."

My gums do not bleed, but are red and a bit inflamed. Past two weeks
I've also noticed some dryness, iron taste, and bad breath, which
prompted me to finally make a cleaning appointment. Tech used a
Cavitron and it was painless. I feel the foul odor is gone now, at the
least.

I'm waiting to obtain insurance before going in for the fillings and a
root canal.

Just curious...what would be indicative of periodontal disease? I'd
like to start from scratch and devote a lot more attention to my teeth
after this scare, but it would be a bummer to have waited so long I'm
in the claws of something irreversible.

Tech prescribed ACT, and I'll use it, but I find it odd that I'm using
something with red dye and flavor after brushing. Isn't that
counter-productive?

Thanks for any help.
Joel M. Eichen, D.D.S. - 30 Jun 2004 12:46 GMT
>Wanted to get some thoughts from the group here...
>
[quoted text clipped - 7 lines]
>gingivitis and still needed the work previously mentioned. Also needed
>a cleaning.

K.

I won't argue with that.

>Long story short, didn't get the cleaning done until today, and now
>I'm worried I waited too long...hygenist was non-committal as to if my
>gingivitis had progressed to bone loss and kept giving conflicting
>answers.

Do not ask the hygienist about diagnosis or prognosis. She is not
educated nor qualified for that. Speak with the Doc.

JOEL

> "I don't really see any/much...have to talk to doctor...don't
>need deep scaling...should return to normal..."

Wait a minute, she sounds okay .......

>My gums do not bleed, but are red and a bit inflamed. Past two weeks
>I've also noticed some dryness, iron taste, and bad breath, which
>prompted me to finally make a cleaning appointment. Tech used a
>Cavitron and it was painless. I feel the foul odor is gone now, at the
>least.

Improve HOME CARE!

The ticket for good dental health.

>I'm waiting to obtain insurance before going in for the fillings and a
>root canal.

K.

I had one patient who had a slightly swollen upper cheek for around
six months while he waited it out ...... I was amazed that he could
tolerate that.

>Just curious...what would be indicative of periodontal disease?

X-rays ......... the only diagnostic tool of value over the internet!

> I'd
>like to start from scratch and devote a lot more attention to my teeth
>after this scare, but it would be a bummer to have waited so long I'm
>in the claws of something irreversible.

How old are you?

>Tech prescribed ACT, and I'll use it, but I find it odd that I'm using
>something with red dye and flavor after brushing. Isn't that
>counter-productive?

For me yes. I hate the stuff.

JE

>Thanks for any help.
W_B - 30 Jun 2004 19:18 GMT
>hygenist was non-committal as to if my
>gingivitis had progressed to bone loss and kept giving conflicting
>answers.

Hygienists cannot diagnose, by law.
--

W_B

Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Joel M. Eichen, D.D.S. - 30 Jun 2004 20:32 GMT
>>hygenist was non-committal as to if my
>>gingivitis had progressed to bone loss and kept giving conflicting
>>answers.
>
>Hygienists cannot diagnose, by law.

or by training!
 
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