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Medical Forum / General / Dentistry / October 2004Periodontist recommending surgery????
I am getting a 6 tooth crown replaced (originally injured in a motorcycle accident). The periodontist recommends that I get a deep cleaning. I have not been to the dentist in a long time so I am going along with that recommendation. He is also recommending oral surgery where he is to cut at the gum line to removed any infection I might have underneath. He says it is imperative that I get the surgery so that the crown has a good foundation. I have healthy gums do not have any signs/symptoms of periodontal disease and feel that surgery is an overkill procedure. Can someone explain the prerequisites for the surgery and if the deep cleaning of the supporting teeth is good enough for the crown. Thanks in advance. >I am getting a 6 tooth crown replaced (originally injured in a motorcycle >accident). The periodontist recommends that I get a deep cleaning. I have [quoted text clipped - 8 lines] >cleaning of the supporting teeth is good enough for the crown. Thanks in >advance. It's called a 'crown lengthening' procedure. It allows for a good margin on the crown. JME is the resident expert. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >>I am getting a 6 tooth crown replaced (originally injured in a >>motorcycle accident). The periodontist recommends that I get a deep [quoted text clipped - 20 lines] > Take out the G'RBAGE > wubbabubbazG@RBAGEyahoo.com Thanks.... He wants to do it to my entire mouth though, not just the affected (crowned) area. He described it as cutting at the gum line, flapping the gum over and cleaning/scraping underneath. Seems pretty drastic for someone with no symptoms of any disease/infection. >>>I am getting a 6 tooth crown replaced (originally injured in a >>>motorcycle accident). The periodontist recommends that I get a deep [quoted text clipped - 25 lines] >flapping the gum over and cleaning/scraping underneath. Seems pretty >drastic for someone with no symptoms of any disease/infection. How do you know you don't have any periodontal disease if you haven't been trained to diagnose it? Not saying that every doctor is perfectly honest and that there are none who would try to scam you, but it would seem that your periodontal is telling you that you DO have periodontal disease. Maybe post some pictures and the kind dentists of this forum (i.e. people who know what they are talking about instead of me) could give you a second opinion? Adenosine >>Thanks.... He wants to do it to my entire mouth though, not just the >>affected (crowned) area. He described it as cutting at the gum line, [quoted text clipped - 12 lines] > >Adenosine Good advice. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >>>>I am getting a 6 tooth crown replaced (originally injured in a >>>>motorcycle accident). The periodontist recommends that I get a deep [quoted text clipped - 37 lines] > > Adenosine Thanks for all the input. I have visited some sites on the net and have read the symptoms ie. swollen/bleeding gums, loose teeth, odor..... I have no symptoms at all and surgery (forgot to mention doing all my mouth will cost $1400) seems as a last resort for this condition and not as a treatment for prevention or as an initial treatment should I have the beginnings of the disease. Thanks again. Just go get a second opinion from another rperiodontist. what is so hard?  Signature~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > >>>>>I am getting a 6 tooth crown replaced (originally injured in a [quoted text clipped - 45 lines] > as a treatment for prevention or as an initial treatment should I have > the beginnings of the disease. Thanks again. >> Maybe post some pictures and the kind dentists of this forum (i.e. >> people who know what they are talking about instead of me) could give [quoted text clipped - 8 lines] >as a treatment for prevention or as an initial treatment should I have >the beginnings of the disease. Thanks again. I strongly recommend a second opinion as none of us here has examined you in person. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >>>I am getting a 6 tooth crown replaced (originally injured in a >>>motorcycle accident). The periodontist recommends that I get a deep [quoted text clipped - 25 lines] >flapping the gum over and cleaning/scraping underneath. Seems pretty >drastic for someone with no symptoms of any disease/infection. Then I suggest you seek a second opinion. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >Thanks.... He wants to do it to my entire mouth though, not just the >affected (crowned) area. He described it as cutting at the gum line, >flapping the gum over and cleaning/scraping underneath. Seems pretty >drastic for someone with no symptoms of any disease/infection. This is the dental hygienists' claim to fame ........ >>Thanks.... He wants to do it to my entire mouth though, not just the >>affected (crowned) area. He described it as cutting at the gum line, >>flapping the gum over and cleaning/scraping underneath. Seems pretty >>drastic for someone with no symptoms of any disease/infection. > > This is the dental hygienists' claim to fame ........ Thanks for all the input. I have visited some sites on the net and have read the symptoms ie. swollen/bleeding gums, loose teeth, odor..... I have no symptoms at all and surgery (forgot to mention doing all my mouth will cost $1400) seems as a last resort for this condition and not as a treatment for prevention or as an initial treatment should I have the beginnings of the disease. Thanks again. >>>Thanks.... He wants to do it to my entire mouth though, not just the >>>affected (crowned) area. He described it as cutting at the gum line, [quoted text clipped - 9 lines] >as a treatment for prevention or as an initial treatment should I have >the beginnings of the disease. Thanks again. Get a second or even third opinion !! -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >Thanks for all the input. I have visited some sites on the net and have >read the symptoms ie. swollen/bleeding gums, loose teeth, odor..... I >have no symptoms at all and surgery (forgot to mention doing all my >mouth will cost $1400) seems as a last resort for this condition and not >as a treatment for prevention or as an initial treatment should I have >the beginnings of the disease. Thanks again. Unless you are a dentist, you do not have the proper training to diagnose periodontal disease! The thing about some industries, is that one of the parties knows FAR more about the subject than the other party. Things like this happen to me in what I work at, as a computer programmer. Unless you get into the code, some very very 'minor' problems, or problems that are unseen are not visible. There is no possible way for a person without the proper training to know the full extent of the problem. So, like everybody else said GET A SECOND OPINION! You are not qualified to do your own second opinion, only those comming from a dentist count. Adenosine >>>Thanks.... He wants to do it to my entire mouth though, not just the >>>affected (crowned) area. He described it as cutting at the gum line, [quoted text clipped - 9 lines] >as a treatment for prevention or as an initial treatment should I have >the beginnings of the disease. Thanks again. X-rays are key. If you have a dentist who has digital x-rays why not borrow them and post so we can give you a better idea ..... Joel |
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