Posts tagged “periodontal disease”

Is it safe to get my infected tooth removed and immediately replaced with an implant?

November 29th, 2013
Q.

My top front tooth (left central incisor) is loose due to periodontal gum disease which I have been battling for over 20 years. I currently have an infection which has caused a small lump to form on my gum and there is a slight discharge where the tooth meets the gum. This is despite 3 monthly hygienist appointments throughout the 20 years at which I am frequently told my oral hygiene is good. I have been told that the tooth cannot be saved and will have to be extracted but that a dental implant can be inserted into the socket immediately after the tooth is removed and a temporary denture or maryland bridge put in place until a permanent crown can be placed. I am told that the bone around the tooth has gone but that there is sufficient bone further up to secure the implant without a bone graft and that the infection will clear as soon as the tooth is removed. I have always been given to understand by my own dentist that the bone loss is quite severe so I was surprised to be told by the implant dentist that a bone graft would not be necessary and I am also rather worried about the presence of infection as everything I have read about implants seems to stress that the gums must be free of infection if the implant is to be successful. I would appreciate your comments as I am feeling very confused and worried about being left with an unsightly gap if the implant fails.

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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Is it best to remove tooth affected by periodontal pockets and get an implant?

November 22nd, 2013
Q.

Hi – I had a upper molar extracted. After this, Bone absorbsion must have taken place, leaving a slight depression, at the same time, a upper wisdom tooth then grew out next to the gap and closed the gap at a slight angle. However, periodontal pockets opened up at the same time, leading to periodontal disease and I now I have a periodontal pocket of over 7mm in the Wisdom tooth.

On a recent panoramic x-ray there is clear bone loss.
I had a deep root scaling to counter the disease, and maintain excellent dental hygiene, but I am again getting periodontal infections in this tooth.

I am utterly fed up with it, so I would like this wisdom tooth extracted and a implant put in it’s place.

I also have read a lot about the gram negative periodontal bacteria which have negative effects on peoples general health. I would like to think that if the tooth is extracted and a implant put in that would be the end of the disease in the site, as I read there is no periodontal ligament with a implant. Would this be the case?

I realise I would likely need a sinus lift and perhaps a bone graft also to build up the bone.

How would you proceed in this sort of case?

If the tooth is extracted would you wait for 2 months for the periodontal bacteria to be eliminated from the site by a patients immune response? Is it better to get the tooth extracted and wait 2 months before I see a implant specialist?

What sort of outcome can people with periodontal disease I hope for with implants?

dr nick fahey

Dr Nick Fahey
Woodborough House Dental Practice
21 Reading Road, Pangbourne, Reading RG8 7LR
Web: www.woodboroughhouse.com Tel: Tel: 0118 984 3108


Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.comTel: 020 7636 5981

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I’m considering implants but have a number of problems that might affect this, will i still be able to achieve a good mouth profile?

August 19th, 2013
Q.

I am currently considering implants on my upper jaw along with sinus lift/bone graft. I still have some baby teeth which need removing, and some of the sound adult teeth will be crowned and a fixed bridge will be fitted on implants I currently wear a upper denture which covers my existing teeth and obviously gives fullness in my mouth. I have recently been treated for the periodontal problem. I know this is a complex case, but I would like to know whether I can achieve a fairly good lip/mouth profile after as when I remove the denture I am really flat mouthed. I look forward to hearing from you.

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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Is it a good idea to have the all on 4 treatment if i have an aggressive periodontal disease

August 1st, 2013
Q.

Dear Dr Fahey, I hope you can advise me. I researched for many months, I found a clinic for the all on four implant for my upper teeth to be removed and to have the all on four implants. I’m 48, I have aggressive Periodontal disease which the clinic is aware of. My teeth are very very long and gums have receded to such a point that they are loose with large gaps and some of the molars have already been removed.

My appointment to have the all on four procedure is booked. I was told there is a high chance of failure because of my condition and that the surgeon will only know once he has removed my teeth and placed the implants, which he may also decide not to proceed with on the day if he feels that the bone isn’t stable enough.I haven’t had the chance to discuss the procedure with the surgeon as yet until the day of the surgery.

I went to my dentist to ask her advice, she suggested that I take antibiotics and that she deep cleans the pockets and then over several weeks in stages injects antibacterial gel into the pockets to prepare the mouth and ensure that it is ready for surgery.

The information booklet given also states the the bridge only lasts for ‘up to five years’ and can crack. I just wondered what your take on the procedure was for someone who has Periodontists and whether this is the correct procedure for me?

Thank you.  

dr nick fahey

Dr Nick Fahey
Woodborough House Dental Practice
21 Reading Road, Pangbourne, Reading RG8 7LR
Web: www.woodboroughhouse.com Tel: Tel: 0118 984 3108


Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.comTel: 020 7636 5981

View My Profile Dr Fahey

What are my options when my teeth fall out due to periodontal disease?

March 11th, 2012
Q.
Hi, I have been petrified of dentists for years so have avoided going at all costs, but over the last year i noticed the gap and gum between my top front teeth was getting bigger so i plucked up the courage to go and see my local dentist. Once there she gave me an xray and said I had periodontal disease very severe, since then I have been back for her thoroughly clean them and remove any tartar that has built up but she has now told me that chances are i am going to lose my teeth by the end of the year (they could fall out) as you can understand this has scared me as I am only 32 and she doesnt seem to be giving any form of advise as to what I can do to a) stop it getting any worse or B) if they do fall out what can be done, I understand I am with an NHS dentist but was wondering what options I would have if I went private as i dont really understand what you price list means, if you could give me any advose I would be very grateful. Many thanks ,
dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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My crown has been exposed because of loss of gum due to periodontal disease. What can be done?

December 23rd, 2011
Q.
I suffer from periodontal disease and I’ve partially lost my upper gum, exposing my crowns. Is there anything available that can cover my gum?,
dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

View My Profile Dr Moore

Why has bone not regrown after case of periodontistis?

December 17th, 2011
Q.
Hello, my problem is that when i was younger I had periodontitis affecting my front two bottom incisors. Consequently the bone eroded away and has left me with two very loose teeth with little or no gum surrounding or supporting them. Is there any way to fix the problem?? Why has thw bone not regrown over the years?,
dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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I suffer from periodontal gum disease, would I still be a suitable candidate for dental implants?

November 6th, 2011
Q.
I suffer from periodontal gum disease, would I still be a suitable candidate for dental implants?,
Dr Kalpesh Bohara

Dr Kalpesh Bohara
The Dental Suite, 27 Park Rd, Loughborough, LE11 2ED
Web : www.dental-suite.co.uk Tel: 01509 231144
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Are my gums too weak to hold dental implants?

July 1st, 2011
Q.
i have periodontal disease and i\’ve been told all my teeth have to be extracted! can i have dental implants? or will my gums be too weak to hold them? i\’m only young and i don\’t want to go all my life without any teeth,
dr nick fahey

Dr Nick Fahey
Woodborough House Dental Practice
21 Reading Road, Pangbourne, Reading RG8 7LR
Web: www.woodboroughhouse.com Tel: Tel: 0118 984 3108


Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.comTel: 020 7636 5981

View My Profile Dr Fahey

Can I get a full set of implants as soon as my teeth have been extracted?

July 1st, 2011
Q.
Due to peridontal disease all of my teeth are going to be extracted, i was informed about dental implants can i get a full mouth set? if i do can i have them in as soon as the teeth have been extracted? thanks for your time,
A.
yes and sometimes :~)
dr nick fahey

Dr Nick Fahey
Woodborough House Dental Practice
21 Reading Road, Pangbourne, Reading RG8 7LR
Web: www.woodboroughhouse.com Tel: Tel: 0118 984 3108


Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.comTel: 020 7636 5981

View My Profile Dr Fahey

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