After periodontal surgery, there may be mobility in the teeth?
Due to severe periodontal disease, I underwent multiple dental cleanings at the hospital without improvement.
Therefore, the doctor recommended a gingival flap surgery to clean the dental calculus.
I had the stitches removed a week post-surgery, but a few days after the procedure, I noticed that one of the teeth that was cut open started to become loose (it can be seen moving when I apply pressure with my hand), and it hurts when I bite down on it.
As a result, I can only eat on one side.
When I asked the surgeon about this, she said that my periodontal disease is very severe, which is why this is happening.
I initially feared losing all my teeth, so I actively sought treatment for my periodontal disease.
Now, after the surgery, I feel like the treatment has prematurely exposed the foundation, causing my tooth to become loose.
I am hesitant about whether to continue with the flap surgery for the lower teeth or if it would be sufficient to have regular cleanings every three months.
clever0705, 20~29 year old female. Ask Date: 2017/01/20
Dr. Huang Tingfang reply Dentistry
Dear Mr.
clever0705,
Hello! As mentioned, your periodontal disease is quite severe, and your dentist is being proactive in providing surgical treatment to thoroughly clean the deep dental calculus.
Please discuss the treatment plan with your dentist and communicate openly.
Thank you! Wishing you good health!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry
Reply Date: 2017/01/20
More Info
Post-surgery tooth mobility after periodontal surgery can be a concerning issue, especially when you have undergone a procedure to address severe periodontal disease. It’s understandable to feel anxious about the stability of your teeth after such an intervention, particularly when you were initially seeking to improve your dental health.
Firstly, it's important to recognize that some degree of tooth mobility can occur after periodontal surgery, especially if the underlying periodontal disease was advanced. The surgery aims to clean the roots of the teeth and remove any infected tissue, which can sometimes lead to temporary instability in the teeth. This is particularly true if the supporting bone and gum tissue have been significantly affected by the disease.
In your case, the fact that you are experiencing noticeable mobility in one of your teeth, along with pain when biting, suggests that the tooth may not have adequate support following the surgery. This could be due to several factors, including the extent of the periodontal disease, the amount of bone loss, and the healing process of the surrounding tissues. It’s essential to communicate these symptoms to your dentist or periodontist, as they can assess the situation more thoroughly and determine if further intervention is necessary.
Regarding your hesitation about continuing with additional surgical treatments versus opting for regular cleanings every three months, this decision should be made in consultation with your dental care provider. Regular cleanings can help maintain oral hygiene and prevent further progression of periodontal disease, but they may not address the underlying issues that have already caused significant damage. If your dentist believes that further surgical intervention is necessary to stabilize your teeth and improve your periodontal health, it may be worth considering, despite your concerns.
Here are some important considerations and recommendations:
1. Follow-Up Appointments: Ensure you attend all follow-up appointments with your dentist or periodontist. They will monitor your healing process and can provide guidance on the best course of action based on your specific situation.
2. Oral Hygiene: Maintain excellent oral hygiene practices at home. This includes brushing twice a day with a soft-bristled toothbrush, flossing daily, and possibly using an antibacterial mouthwash as recommended by your dentist. Good hygiene can help prevent further complications.
3. Dietary Adjustments: Since you are experiencing pain when biting, consider modifying your diet to include softer foods that require less chewing. This can help minimize discomfort and prevent further stress on the affected tooth.
4. Pain Management: If you are experiencing significant pain, over-the-counter pain relievers may help. However, consult your dentist before taking any medication, especially if you have other health conditions or are taking other medications.
5. Consider a Second Opinion: If you are uncertain about the recommendations from your current dentist, seeking a second opinion from another dental professional, particularly one who specializes in periodontics, may provide you with additional insights and options.
6. Long-Term Management: If your periodontal disease is severe, it may require a comprehensive treatment plan that includes both surgical and non-surgical approaches. This could involve scaling and root planing, surgical interventions, and ongoing maintenance cleanings.
In summary, while it is concerning to experience tooth mobility after periodontal surgery, it is not uncommon in cases of severe periodontal disease. Open communication with your dental care provider is crucial to determine the best path forward, whether that involves further surgical treatment or a focus on regular cleanings and maintenance. Your proactive approach to managing your dental health is commendable, and with the right support and treatment, you can work towards stabilizing your teeth and improving your overall oral health.
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