Managing Mild Periodontal Disease Before Permanent Dental Work - Dentistry

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Mild periodontal disease


Hello, doctor.
During my dental cleaning, the dentist informed me that I have mild periodontal disease.
I recently had five new dental bridges placed, and they are currently only temporarily cemented.
I would like to ask if, when the permanent cementing is done, will the periodontal disease need to be treated first, or will the bridges need to be removed for treatment? Should I wait until the periodontal condition is treated before permanently cementing the bridges? Thank you, doctor.

miso, 20~29 year old female. Ask Date: 2016/01/18

Dr. Zhang Xiangyuan reply Dentistry


Dear online friend, based on your description, the dental bridge is temporarily cemented, and you are considering periodontal treatment in the future.
The appropriate time for your dental bridge to be permanently cemented actually depends on whether the periodontal treatment you undergo will have an impact.
It is recommended that you discuss this with your treating dentist.
Please allow your dentist to choose the right timing for securing the prosthesis.
Thank you for your question.

Reply Date: 2016/01/18

More Info


Managing mild periodontal disease before permanent dental work is crucial for ensuring the long-term success of your dental restorations. When you have been diagnosed with mild periodontal disease, it is essential to address this condition before proceeding with permanent dental work, such as cementing your new dental bridges.

1. Understanding Periodontal Disease: Mild periodontal disease, often characterized by gingivitis, involves inflammation of the gums due to plaque buildup. If left untreated, it can progress to more severe forms of periodontal disease, which can lead to tooth loss and other complications. Therefore, managing this condition is vital before any permanent dental work.

2. Temporary vs. Permanent Cementation: Since your new dental bridges are currently only temporarily cemented, this provides an excellent opportunity to treat any underlying periodontal issues. If you proceed to permanently cement the bridges without addressing the periodontal disease, you risk trapping bacteria and plaque beneath the bridges, which can exacerbate the condition and lead to further complications.

3. Treatment Before Permanent Cementation: It is advisable to complete any necessary periodontal treatment before permanently cementing your dental bridges. This may involve professional cleanings, scaling and root planing, or other periodontal therapies to reduce inflammation and improve gum health. Once your periodontal condition is stable, your dentist can then proceed with the permanent cementation of your bridges.

4. Monitoring and Maintenance: After your periodontal treatment, regular monitoring and maintenance are essential. This includes routine dental check-ups and cleanings to ensure that your gums remain healthy and that the periodontal disease does not recur. Good oral hygiene practices at home, such as brushing twice a day and flossing daily, are also crucial in maintaining gum health.

5. Consultation with Your Dentist: It is important to communicate openly with your dentist about your concerns regarding the periodontal disease and the timing of the permanent cementation. Your dentist can provide personalized recommendations based on the severity of your condition and the specific treatment plan you need.

In summary, it is highly recommended to treat your mild periodontal disease before proceeding with the permanent cementation of your dental bridges. This approach not only helps ensure the longevity of your dental work but also protects your overall oral health. Always consult with your dentist to develop a comprehensive treatment plan that addresses both your periodontal health and your restorative needs.

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