Hello,

I have a question about Pyorrhea: Recently, I experienced this, on
the outer portion of the gum, Lower Right Quadrant.

I went to a periodontist, they are suggesting to remove the tooth and
the wisdom tooth behind it (47-48 respectively) The pocket is
nearing 11mm (I think it is less than that) I am told there is lots of
bone loss in this area, though on the X-Ray, does not look so bad,
there is bone still there

i.e.

|...| (... = Regular bone level)
--- (Present bone level)

A bit reluctant about the removal, would prefer to keep the teeth (at
least the wisdom one behind the problematic area, which is not loose,
but teeth apparently migrate into empty spaces, so that's an issue)

1. Any advice on preserving the teeth? Could a deeper, perio cleaning
help?

2. Anything I should know about the removal process?

3. What happens after removal? Does the Periodontitis still persist?
Does bone loss still continue, even after removal?

4. Is it possible for the gums to heal, after a Periodontist cleans
it, making the tooth stronger?

I too had some deep pockets ( 12 mm ) and my Periodontist has

Hello,

I have a question about Pyorrhea: Recently, I experienced this, on
the outer portion of the gum, Lower Right Quadrant.

I went to a periodontist, they are suggesting to remove the tooth and
the wisdom tooth behind it (47-48 respectively) The pocket is
nearing 11mm (I think it is less than that) I am told there is lots of
bone loss in this area, though on the X-Ray, does not look so bad,
there is bone still there

i.e.

|...| (... = Regular bone level)
--- (Present bone level)

A bit reluctant about the removal, would prefer to keep the teeth (at
least the wisdom one behind the problematic area, which is not loose,
but teeth apparently migrate into empty spaces, so that's an issue)

1. Any advice on preserving the teeth? Could a deeper, perio cleaning
help?

2. Anything I should know about the removal process?

3. What happens after removal? Does the Periodontitis still persist?
Does bone loss still continue, even after removal?

4. Is it possible for the gums to heal, after a Periodontist cleans
it, making the tooth stronger?

Hello,

I have a question about Pyorrhea: Recently, I experienced this, on
the outer portion of the gum, Lower Right Quadrant.

I went to a periodontist, they are suggesting to remove the tooth and
the wisdom tooth behind it (47-48 respectively) The pocket is
nearing 11mm (I think it is less than that) I am told there is lots of
bone loss in this area, though on the X-Ray, does not look so bad,
there is bone still there

i.e.

|...| (... = Regular bone level)
--- (Present bone level)

A bit reluctant about the removal, would prefer to keep the teeth (at
least the wisdom one behind the problematic area, which is not loose,
but teeth apparently migrate into empty spaces, so that's an issue)

1. Any advice on preserving the teeth? Could a deeper, perio cleaning
help?

2. Anything I should know about the removal process?

3. What happens after removal? Does the Periodontitis still persist?
Does bone loss still continue, even after removal?

4. Is it possible for the gums to heal, after a Periodontist cleans
it, making the tooth stronger?

With anywhere near 11 mm pockets, I wouldn't bet the farm.

Steve

Probably already 'bought' it.
;-(
D

bruce1v...@gmail.com> wrote in message

news:642e82c7-c9ef-4c70-bfd8-aa5b45723196@f63g2000hsf.googlegroups.com...

Hello,

I have a question about Pyorrhea: Recently, I experienced this, on
the outer portion of the gum, Lower Right Quadrant.

I went to a periodontist, they are suggesting to remove the tooth and
the wisdom tooth behind it (47-48 respectively) The pocket is
nearing 11mm (I think it is less than that) I am told there is lots of
bone loss in this area, though on the X-Ray, does not look so bad,
there is bone still there

i.e.

|...| (... = Regular bone level)
--- (Present bone level)

A bit reluctant about the removal, would prefer to keep the teeth (at
least the wisdom one behind the problematic area, which is not loose,
but teeth apparently migrate into empty spaces, so that's an issue)

1. Any advice on preserving the teeth? Could a deeper, perio cleaning
help?

2. Anything I should know about the removal process?

3. What happens after removal? Does the Periodontitis still persist?
Does bone loss still continue, even after removal?

4. Is it possible for the gums to heal, after a Periodontist cleans
it, making the tooth stronger?

I too had some deep pockets ( 12 mm ) and my Periodontist has
been able to reduce them to 2 mm through deep cleaning. Four teeth
were considered very periodontically unsound, present age 58yrs.
He originally wanted to do extractions and implants where the bone
was sufficient. However he went along with my preference for giving
deep cleaning a go. For this to have a chance you have to be
rigorous in your own daily cleaning and flossing. Two years on
and I still have all of my teeth except for 2 that were lost 20
years ago. The doc seems pleased but I have been warned that
things could turn for the worse, especially with any let up in
oral hygine. Tell your Perio you want to keep your teeth unless
he can mount a very solid counter argument!
Oh, and he did say that removal of teeth stops the disease in
its tracks.
Good Luck. Mick.

Hi Mick,

Thanks a lot for the info. Did you have a root canal as well?

And, as for the following:

Probably already 'bought' it.
;-(
D

I don't think so, and I do not find any humour in this.

On Apr 7, 6:03 am, "Michael" <mikh...@bigpond.com> wrote:
bruce1v...@gmail.com> wrote in message

news:642e82c7-c9ef-4c70-bfd8-aa5b45723196@f63g2000hsf.googlegroups.com...

Hello,

I have a question about Pyorrhea: Recently, I experienced this, on
the outer portion of the gum, Lower Right Quadrant.

I went to a periodontist, they are suggesting to remove the tooth and
the wisdom tooth behind it (47-48 respectively) The pocket is
nearing 11mm (I think it is less than that) I am told there is lots of
bone loss in this area, though on the X-Ray, does not look so bad,
there is bone still there

i.e.

|...| (... = Regular bone level)
--- (Present bone level)

A bit reluctant about the removal, would prefer to keep the teeth (at
least the wisdom one behind the problematic area, which is not loose,
but teeth apparently migrate into empty spaces, so that's an issue)

1. Any advice on preserving the teeth? Could a deeper, perio cleaning
help?

2. Anything I should know about the removal process?

3. What happens after removal? Does the Periodontitis still persist?
Does bone loss still continue, even after removal?

4. Is it possible for the gums to heal, after a Periodontist cleans
it, making the tooth stronger?

I too had some deep pockets ( 12 mm ) and my Periodontist has
been able to reduce them to 2 mm through deep cleaning. Four teeth
were considered very periodontically unsound, present age 58yrs.
He originally wanted to do extractions and implants where the bone
was sufficient. However he went along with my preference for giving
deep cleaning a go. For this to have a chance you have to be
rigorous in your own daily cleaning and flossing. Two years on
and I still have all of my teeth except for 2 that were lost 20
years ago. The doc seems pleased but I have been warned that
things could turn for the worse, especially with any let up in
oral hygine. Tell your Perio you want to keep your teeth unless
he can mount a very solid counter argument!
Oh, and he did say that removal of teeth stops the disease in
its tracks.
Good Luck. Mick.

Probably already 'bought' it.
;-(
D


I don't think so, and I do not find any humour in this.

And, as for the following:


Probably already 'bought' it.
;-(
D


I don't think so, and I do not find any humour in this.

11 mm pockets just do not create much optimism.

11 mm pockets just do not create much optimism.


Unless you were *hoping* for a bridge or implant.

grin

If you notice the emoticon, it is with a frown. Sometimes
people need someone to shake them into reality. 11 mm pockets
are just not normally treatable with any long term success.

A possible exception is if this is a lesion that began with
endodontic problems in the tooth and there is no other significant
perio disease in the rest of your mouth (and you aren't a smoker).

All we have to go on is the words on the screen. A real life
exam is needed for any concrete statements.

11 mm pockets just do not create much optimism.

D

but not more than that (Will have to check this again)

If not, what are the after effects of a removal? For example, I have
heard that bite problems can occur, or that other teeth, can become
loose because of a missing tooth, a whole range of issues.

P.S. Any tips on what I should look for in a good Periodontist?