Periodontal Disease: Managing Pain and Treatment Options - Dentistry

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Understanding periodontal disease and managing its associated pain can be quite challenging, especially when symptoms persist despite treatment. Based on your description, it seems that you have undergone a comprehensive periodontal care plan, which included multiple treatments aimed at addressing your dental issues. However, the ongoing discomfort and the new symptoms you are experiencing indicate that there may still be underlying problems that need to be addressed.

Firstly, it’s important to understand that periodontal disease can lead to inflammation and infection of the gums, which can cause pain, swelling, and even tooth mobility. The fact that you are experiencing soreness and a feeling of looseness in your molars suggests that there may still be inflammation present, possibly due to residual plaque or calculus (tartar) that was not completely removed during your previous treatments. Even after scaling and root planing, some patients may still have areas that are difficult to clean, leading to persistent periodontal issues.

The pain you are feeling in your lower jaw, especially when pressure is applied, could indicate that the underlying bone structure is affected, which is a common consequence of advanced periodontal disease. The mobility of your teeth is also a concerning sign, as it can indicate loss of supporting bone around the teeth. This is why it is crucial to follow up with your dentist or periodontist to assess the extent of the disease and determine the best course of action.

Regarding your question about switching to another dental practice for your remaining treatment, it is certainly within your rights to seek a second opinion or to transfer your care to another provider. Many patients find that different dentists have varying approaches to treatment, and a fresh perspective may help in identifying issues that were previously overlooked. However, it is essential to communicate your history and the treatments you have already undergone to the new provider to ensure continuity of care.

As for insurance coverage, this can vary based on your specific health plan. Generally, if you are still within the treatment plan and have not reached your maximum benefits, your insurance may cover additional visits. It is advisable to check with your insurance provider to understand your coverage details and any potential out-of-pocket costs associated with switching providers.

In the meantime, here are some steps you can take to manage your symptoms:
1. Maintain Oral Hygiene: Continue to brush and floss regularly, but be gentle around the areas that are painful. Consider using an antibacterial mouthwash to help reduce bacteria in your mouth.

2. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. However, consult with your healthcare provider before taking any medication, especially if you have other health conditions.

3. Dietary Adjustments: Avoid hard, crunchy, or sticky foods that may exacerbate your pain. Soft foods can help minimize discomfort while eating.

4. Follow-Up Care: Schedule a follow-up appointment with your current dentist or a new periodontist as soon as possible. They may recommend additional treatments, such as localized scaling, antibiotics, or even surgical options if necessary.

5. Consider Professional Cleaning: If there is still calculus present, a professional cleaning may be necessary to remove it completely and help alleviate your symptoms.

In summary, while you have made significant progress in your periodontal care, the symptoms you are experiencing indicate that further evaluation and possibly additional treatment are necessary. Seeking a second opinion is a valid option, and ensuring that you have a clear understanding of your insurance coverage will help you make informed decisions about your dental health moving forward.