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Medical Forum / General / Dentistry / March 2006question regarding periodontal treatment
Hi, I am a 30 year old male and was diagnosed with moderate to severe periodontitis with probing depth from 6 to 8 mm at some places, I have performed flap surgery with bone graft and emdogain treatment for upper jaw, and are about to undergo the same thing for the lower jaw, the upper jaw seems to recover pretty well and the pocket depth have all been reduced to < 4 mm. I am undergoing a strict regime of three month professional cleaning and uses interdental and electric brush after every meal. Question is, is periodontitis something that can be stopped all together with no further bone loss, or is teeth loss an inevitability leading to the need of dental implants down the road ? Thanks for answering my question in advance. Always treatable, never CURABLE! The pocket depth reduction .... I gotta see that to believe it! Joel > Hi, > [quoted text clipped - 12 lines] > > Thanks for answering my question in advance. >Hi, > [quoted text clipped - 9 lines] > Question is, is periodontitis something that can be stopped all >together with no further bone loss, Most times, yes. > or is teeth loss an inevitability >leading to the need of dental implants down the road ? Not necessarily. Though there is something called 'refractory' periodontitis, that just means the patient doesn't respond to treatment. Rather rare IME, but it does happen. > Thanks for answering my question in advance. Best wishes, Thanks, knowing that it is still something I can control and prevent from deteriorating even at this advanced stage is a motivation to keep my teeth clean. Please explain explicitly if possible, what is flap surgery with bone graft and what is endogain treatment. How does this differ from deep cleaning and scaling. What is the cost for such treatment. Gail > Hi, > [quoted text clipped - 12 lines] > > Thanks for answering my question in advance. My periodontist maintains a pretty good website that explains all these questions http://www.periodoctors.com/index2.htm Here is how I understand it: flap surgery, bone graft, rooting and scaling and emdogain treatment are typically all done during one surgical procedure, all are done to reduce gum pocket size, clean your teeth in areas typically not reachable by you, treat the teeth to reduce the possibility of more bacteria built up, and try to regenerate some of the lost bone and supporting tissue. I think it costs about 1500 dollars for one quadrant of your teeth. Done properly it will reduce your pocket size to a manageable depth for easier cleaning and raise your bone level up to 2mm ? depending the type of your bone defect. Thank you for taking the time for a very good explanation of the procedure. Does that mean $6,000 for the entire mouth. I guess with teeth, first its knowledge, then its money. Then its persistence, persistence, and persistence and good diet with the foods that are less likely to cause tartar. I think packaged white bread is one of the worst, except for toast. That kinda includes the French bread. This is only speculation, though. Gail > My periodontist maintains a pretty good website that explains all these > questions [quoted text clipped - 11 lines] > raise your bone level up to 2mm ? depending the type of your bone > defect. Gail wrote: . Then its persistence, persistence, and persistence and good diet with the foods that are less likely to cause tartar. I think packaged white bread is one of the worst, except for toast. That kinda includes the French bread. This is only speculation, though. Gail ____________________- I agree that it is pure speculation. - dentaldoc That is correct, except if the French bread comes from the northern part of Alsace, then its okay. . [image: http://www.map-of-france.co.uk/maps/Alsace.gif] . Bill Wrote: > Gail wrote: > [quoted text clipped - 10 lines] > I agree that it is pure speculation. > - dentaldo -- Joel34 |
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