Periodontal Disease and Tooth Loss: A Patient's Journey

Q: Periodontal Disease and Tooth Loss: A Patient's Journey

Dear Ms. <br>SS： Hello! Periodontal disease actually refers to the destruction of the bone and gums surrounding the teeth, collectively known as periodontal disease! In our country, over 90% of people suffer from periodontal disease. <br>It is better to treat periodontal disease

Periodontal disease root

Doctor, I have a question.
A year ago, I had an issue with malocclusion, and the fracture was located on the second-to-last tooth on the lower left side.
I consulted several dentists who suggested that I should grind down the teeth in front and behind the fractured tooth and then get a prosthetic tooth.
I hesitated to make a decision and first went to a clinic to have the fractured tooth extracted, leaving the root.
Later, I visited the first orthodontic center for a consultation, where they took X-rays but did not make a dental mold.
The dentist advised me to have a tooth extraction.
I took the referral card he provided and went to the recommended hospital for the extraction.
However, I ended up having the root of my fractured tooth extracted, and since I had previously discussed with that dentist about moving my last tooth forward, when I returned for a follow-up, he said I had extracted the wrong tooth! I told him I went based on his referral card! After that, I decided not to comment on that dentist and immediately went to the second orthodontic center, where they took X-rays and made a dental mold.
I also asked if the absence of the root would affect my teeth, and the dentist said it would not be a problem.
He also advised me to have a tooth extraction.
When I asked if he had a recommended hospital for the extraction, he referred me to a periodontal specialist.
Upon visiting, that dentist diagnosed me with periodontal disease, which none of the previous orthodontic centers had mentioned, nor any of the dental professionals I had seen during this time! Treatment began, and I only underwent the first scaling procedure.
During my follow-up, he said he would assess the severity before deciding whether to perform a second periodontal surgery.
In the meantime, I consulted several clinics to inquire if I had periodontal disease and whether I needed a second surgery, but the responses indicated that I did not appear to have periodontal disease! Moreover, those dentists mentioned that if I underwent a second surgery when my teeth were not that bad, it could actually worsen the condition of my teeth.
It has been a year since my first scaling, and occasionally my teeth still feel sensitive and I experience saliva secretion, so I did not return for the second surgery.
Now, the tooth directly above the missing one has already started to drop down since I had the extraction, and recently I noticed a crack in that tooth, which is also bleeding and feels like it might fall out.
I am unsure what to do because each dentist has given me different opinions!
1.
My current issue is that the periodontal problem has not been resolved.
2.
The tooth above the missing one is cracked and bleeding, and it feels like it is going to fall out.
3.
Since I cannot undergo orthodontic treatment at this time, should I consider getting a prosthetic tooth?
Thank you, doctor, for patiently reading through this lengthy message.

SS, 30~39 year old female. Ask Date: 2016/12/20

Dr. Huang Tingfang reply Dentistry

Dear Ms.
SS: Hello! Periodontal disease actually refers to the destruction of the bone and gums surrounding the teeth, collectively known as periodontal disease! In our country, over 90% of people suffer from periodontal disease.
It is better to treat periodontal disease before proceeding with orthodontics! Please communicate more with your dentist! Thank you! Wishing you peace! Sincerely, Dr.
Huang Ting-Fang, Dentistry.

Reply Date: 2016/12/20

More Info

It sounds like you have been through a challenging journey with your dental health, particularly concerning periodontal disease and tooth loss. Your situation is complex, involving multiple dental professionals and varying opinions on your condition. Let's break down your concerns and provide some clarity on how to proceed.

1. Understanding Periodontal Disease: Periodontal disease is an infection of the structures around the teeth, including the gums and bone. It can lead to gum recession, tooth mobility, and ultimately tooth loss if not properly managed. The fact that you have been diagnosed with periodontal disease by one dentist but not by others can be confusing. It's essential to have a thorough evaluation by a periodontist, who specializes in gum diseases, to confirm the diagnosis and assess the severity of your condition. This may include a comprehensive periodontal examination, which involves measuring gum pocket depths and checking for bone loss through X-rays.

2. Addressing the Cracked Tooth: The tooth above the site of your missing tooth that has developed a crack and is bleeding is a significant concern. Cracked teeth can lead to further complications, including infection and potential tooth loss. You should seek immediate attention from a dentist to evaluate the crack's extent. Depending on the severity, treatment options may include dental bonding, a crown, or, in some cases, extraction if the tooth is deemed non-restorable.

3. Tooth Replacement Options: Since you have a missing tooth, it is crucial to consider replacement options to maintain your oral health and prevent further dental issues. If you are currently unable to undergo orthodontic treatment due to the state of your teeth, a dental implant or a bridge may be suitable options. Dental implants are often considered the best long-term solution for replacing missing teeth, as they integrate into the jawbone and provide a stable foundation for artificial teeth. However, if your periodontal disease is not under control, it may be advisable to address that first before proceeding with implants.

4. The Importance of Consistent Care: Given the discrepancies in opinions from various dental professionals, it may be beneficial to establish a consistent care team. This could involve working closely with a periodontist for your gum health and a restorative dentist for your tooth replacement options. Regular follow-ups and clear communication about your treatment plan are essential to ensure that you receive cohesive care.

5. Managing Your Dental Anxiety: It's understandable to feel overwhelmed by the conflicting advice you've received. Dental anxiety can complicate decision-making, but it's crucial to advocate for your health. Don't hesitate to ask questions and express your concerns to your dental providers. If necessary, consider seeking a second opinion from a reputable dental clinic that specializes in comprehensive care.

In summary, your immediate steps should include:
- Seeking a thorough evaluation from a periodontist to assess your periodontal health.

- Getting the cracked tooth evaluated by a dentist to determine the best course of action.

- Discussing tooth replacement options with a restorative dentist once your periodontal condition is stable.

Taking these steps will help you navigate your dental health more effectively and work towards a healthier smile. Remember, maintaining good oral hygiene practices at home, such as regular brushing and flossing, is also crucial in managing periodontal disease and preventing further complications.

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