Periodontal Surgery

Frequently Asked Questions

1. QUESTION:
   Periodontal Surgery.?
   I’m having periodontal surgery done in a few months because I have a “gummy smile”. I was wondering if anyone has had that done, and are you happy with the results? I’m only looking for reviews that have had a “gummy smile”.
   And, if you’ve had this done, what were the post-operation effects?
   I’m looking for the most thorough review.

   • ANSWER:
     The procedure is done using a scalpel or an electro-surg cautery device. You will be numb for the procedure and will feel no pain during the procedure. Afterward you may have a dressing placed on your gums for a week to protect them from salty and acidic foods. They will be raw and tender but the pain will be less than an extraction. Your teeth will show more and appear larger. Most often the end result is a much nicer appearance. Good luck and I hope you enjoy your new look.

2. QUESTION:
   How long a recovery from periodontal surgery?
   I’m 27 years old and will be starting braces this October. I am seeing a periodontist at the end of July to fix some minor periodontal problems (deep cleaning/gum grafting) and the surgery I am told is minimally invasive. If I have the periodontal procedure done in August, will I heal in time to start braces in October?

   • ANSWER:

3. QUESTION:
   Periodontal surgery?????
   My gums have been slowly, but surely receeding. I’ve heard that in my case i could have surgery where they take gum from the back of my mouth and graph it to the gums around my teeth. Has anyone had this????
   This is not from lack of dental hygeine, it is hereditary!!!!

   • ANSWER:
     I work in dentistry, and yes you can have a graft done… though you need to resolve the problem that is causing your recession before you have that done. Otherwise, the gums will just recede again… So, get to the cause and try to stop it… possible causes include things like over-aggressive toothbrushing, periodontal disease, tongue/mouth piercings, etc…

4. QUESTION:
   What are some foods that I can easily consume after Periodontal Surgery?
   It feels as if almost anything I eat is painfully sensitive to my gums. I’m currently taking two medications: Advil and Amoxicillin, and when the pain becomes unbearable: Hydrocodone.

   I’ve been told not to eat anything spicy or hard, and I haven’t been, but almost everything seems painfully sensitive.

   I have stitches on my gums, and this is in preparation for my root canal crown. I had endodontal surgery two weeks ago (root canal surgery) and periodontal surgery last week.
   I was told specifically not to use any straws.

   • ANSWER:
     Anything soft and cool for a couple more days. Then softer foods like mac and cheese and soups. Good luck with all your dental work.

5. QUESTION:
   Does periodontal surgery change the way your gums/teeth look? Is it painful?
   I just discovered that I have advanced periodontal disease – might loose up to 3 of my front teeth. I am so upset! I’m thinking of implants, but first my periodontist recommended scaling, and then surgery. Should I get a second opinion? Are implants the best choice?

   • ANSWER:
     I had the same thing a few years ago and went through both procedures. The scaling was like in intensive teeth cleaning and really didn’t hurt, but they will numb you up first if you are really sensitive. When I had the surgery, I had full anesthesia so I was pretty much out for the whole thing. The worst part is having to eat soft foods for the next couple of weeks until the stitches came out. It doesn’t change the way your teeth and gums look after you are healed up and as for implants, I would see what the periodontist recommends. My doctor was able to save all my teeth, so I didn’t have to go that route.
     Good luck!!

6. QUESTION:
   How much does periodontal surgery cost in dogs?
   I rescued a four year old shih tzu who has advanced periodontal disease. We’re probably talking extractions.

   • ANSWER:
     I just had my 10 year old Chihuahua’s teeth cleaned. He gets the cleaned at the vets office every year, however he did have to have one extraction. For a small dog like yours keep in mind that they are more fragile than a big dog, and I would recommend you allow them to give the dog intravenous fluids. You have to stop food & water at midnight the night before the procedure, so your dog might go 24+ without drinking or eating.

     The cleaning was 0 (including extraction)
     Sedation
     Intravenous fluids
     New toothbrush & toothpaste

     I would be very careful in selecting a vet that routinely cleans teeth.

     There is a shot available that the vet can give to keep the periodontal disease at bay. There is also a sealant they can apply to the dogs teeth, too.
     You might want to ask about those and be sure to get a toothbrush & toothpaste, too.

     Best of luck with your rescue baby. Take care.

7. QUESTION:
   taking alcohol and smoking after periodontal surgery?
   i had my periodontal surgery a week ago and was on medication. i finished the antibiotics prescribed to me today and i am only to take the pain relievers as needed. i had my post op a while ago and the dentist said we will have the threads removed by next week.

   my concern is: can i now go back to smoking and drinking alcohol? i have a party to go to on sun and i know there will be lots of booze! my dentist told me not to, but i feel he’s just scaring me. i can stop smoking for now or until he says i can already. but the booze, i might not be able to stop myself from having since its a party!!!

   please help! asap!

   • ANSWER:
     Smoking makes it much harder for your body to heal from your surgery so I would recommend not smoking. After all you wouldn’t want impede your body’s ability to heal after the cost and time you have already invested.

     I would expect that you should be able to drink at this point, providing you don’t have other narcotic pain relievers in your system. Alcohol can cause a strong reaction or liver damage if mixed with booze. So I would say go easy, but enjoy without smoking!

     JAMRDH – a dental hygienist

8. QUESTION:
   Is tooth extraction ever a good alternative to periodontal surgery?
   I have pockets around tooth 19. There have been several procedures on this tooth and it now has a crown.

   • ANSWER:
     is it mobile??
     answer to this question is the real criteria for a dentist to remove or not???

     there are 3 grades of mobility.
     grade 1 (very small) usually with out pockets
     grade 2 (medium) with pockets
     grade 3 (heavy mobility) with large pockets

     as u said pockets(bone resorption around teeth) in your question:
     you may have a surgery(bone grafting) or extraction.

     having artificial teeth(implants or rpd or bridge) is a later issue after loss of teeth

     think of losing a teeth first.
     (my father, being a father of a dentist got the best possible artificial s-not satisfied, because god given things are really great.try to conserve them)

     go for conserving the teeth first.
     if money problem, i cant help go for extraction
     Dr.Abhishek dentist

9. QUESTION:
   I was suggested periodontal surgery If you had one please share the experience. Is it worth to do.?
   After surgery how much care is involved and will I be able to eat the food normaly?

   • ANSWER:
     I’m not sure if you and I have the same condition, but I had deep pockets in my gums, some measuring 5 or 6 mm. I had surgery to correct it. They only do one quadrant of the mouth at a time. I did have to eat soft food for a little while after each operation, but it was totally worth it, because now I am able to clean my teeth better (with an inter-dental brush) and avoid tooth decay down the road. I eat totally normally now. Using the interdental brush twice a day takes just a minute a day or less. If you have dental insurance, that is good, because it can be expensive to do the surgery. Now I see the periodontist twice a year for a special cleaning. It has been a few years, and the dentist says it’s doing really well.

10. QUESTION:
    My problem is my gums shrink after a full mouth periodontal surgery, what can u suggest for a remedy. I’m 23.?
    Actually I am very much disappointed after the surgery. It really exposed the roots of my teeth. How can I solve this without too much cost?

    • ANSWER:
      IT cant be solved unless you go for graft surgery and this is not very successfull, dont brush hard otherwise the gums shrink more

11. QUESTION:
    Swollen Cheeks after periodontal surgery?
    Well, I had periodontal surgery a few days ago. My cheeks are extremely swollen. I’ve tried using ice, but the swelling is going down very slow. I have to go out in public tomorrow, and I’d like to have all the swelling gone. Any tips for the swelling to go down faster?

    • ANSWER:
      Time and healing may be the only thing that takes the swelling down. Be sure you don’t have infection. do you have a fever?, redness? swollen glands? You might need an antibiotic if you have any of those symptoms, but otherwise I would continue to Ice and be patient. You could also call your doctor and see if the swelling is within the range of normal.

12. QUESTION:
    Does anyone know how much periodontal surgery costs and has anyone ever had it?
    Just want to get a range of how much these types of surgeries cost and if you have experience please explain!!??!!

    • ANSWER:
      You can easily check your minimal health care rates in internet, for example here – healthquotes.awardspace.info

13. QUESTION:
    If I just had Periodontal Surgery, when is it ok to eat normally?
    More importantly: If I just had surgery yesterday, what should I NOT eat, in fear of damaging the work that was just done to my teeth?

    Thanks

    • ANSWER:
      Didn’t the doctor tell you? If you had a tooth removed, stick to soft foods and rinse your mouth carefully with warm water (unless the doctor gave you something for that) Just go easy on hard crunchy foods for awhile.

14. QUESTION:
    After Periodontal Surgery I had a molar go bad and it had to be pulled.?
    How I have a open spot that I would like to take care of. I know I can get a bridge or a implant. What is the best option?

    • ANSWER:
      As HARSH has said, it depends on the condition of your gums and bone. If your periodontal health is in jeopardy, then you are not a candidate for an implant. Your periodontist will advise you as to whether or not you are a candidate for an implant. You also want to consider whether the two teeth on either side of the missing tooth are strong enough to support a bridge, and whether or not they have had previous dental treatment, such as fillings. If they have not had fillings, then you do not want to go with the bridge because it is senseless to destroy healthy tooth structure in order to support one missing tooth.

      We have had many patients who at one time had severe periodontal disease, but were able to overcome it and have had great success with implants. It all depends on how dedicated you are to saving your teeth, as to which direction you wish to take. Talk over all possible courses of treatment with your dentist and periodontist and see what they think is your best option. Do not base your answer on advice gotten here, but talk to your health care team…they know you better than we do.

      Good Luck

15. QUESTION:
    My husband just had periodontal surgery and was told to refrain from going to the gym for a week.?
    He was told not to exercise but Is it still okay if we have sex?

    • ANSWER:
      He can’t make hard movements, his stitches will pop out.

16. QUESTION:
    What does gum grafting periodontal surgery entail?

    • ANSWER:
      Youtube it, there is probably a video on it somewhere. lol Sounds horrendous though. eeekk

      Practicing Shaman.. quantum physics rocks .

17. QUESTION:
    Signs of infection after periodontal disease surgery?
    I had the surgery for periodontal disease over 10 days ago, still haven’t had my stitches taken out.

    My gums on the side where they did it are darker red where the other side of my mouth looks a light pink. I am very sensitive on the one side, I cant even drink room temperature water!! Other symptoms as well, I cant find a list of symptoms for infection or anything??

    Anyone know of the symptoms??

    • ANSWER:
      Differences in color is normal. Sensitivity can be normal. Think about it– it’s brand new gums that have just been put on, they would be a little freaked out and irritated, wouldn’t they

      You need to look out for warmth in the area. Warmth can indicate an infection, as well as exudate. However, sometimes some oozing is allowed.

      You really should call your perio and tell him about it. We can tell you things all day her on YA, but since we don’t know what was done and how you reacted, we would just be guessing at best. Your perio knows what would be normal for the surgery that you had, and can help you out there.

      Good luck!

18. QUESTION:
    i’ve had periodontal surgery about 5 months ago, now i want to have my braces put on ?
    do you think i have waited long enough. the only problem i see is one of my front teeth is a little loose is this normal? in this area i also had a bone graft done also.

    • ANSWER:
      I had exactly the same problem and took a long time to work it out!

      You’ve been grinding your teeth!

      Yes – I know – I was surprised, too!

      http://www.tooth-grinding.info

      Teeth grinding (the proper name is bruxism) can not only be irritating – it can be dangerous, too.

      My name is Charles Harrison. Throughout my childhood, I would grind my teeth at night. By the time I was 9, you could notice that my teeth were as flat as if they were filed down!

      At 12 years old, I finally found a dentist who understood the damage I was causing to myself. He explained to me that it was called bruxism and he helped me understand why it was so important to stop.

      He fitted me with a 0 “night guard” to protect my teeth while I sleep. I could tell that I was still grinding my teeth while wearing this device, because I could see dents and grind marks on the night guard.

      Then one day, I discovered I had lost my night guard. So, I bought a sports mouth guard. Guess how long this lasted me?

      ONE NIGHT!

      When I realized nobody could help me, I decided to help myself.

      I would begin by testing myself to find out what helped and what didn’t.

      It took me a few months to perform the tests on myself because I let each test go for a few days to see more accurate results.

      And you know what?

      By making some simple life changes and performing daily 2-minute exercises, I saw a dramatic improvement.

      I discovered there is a Way to Stop grinding your teeth at night.

      See my website at http://www.tooth-grinding.info for free information.

      Charles Harrison

19. QUESTION:
    How much is periodontal surgery?

    • ANSWER:
      Very expensive and the instruments used by periodontists are very delicate and specialised as they have to get down between the roots of the teeth and the gum line. There are also fewer dentists specialising in that area so those who do, get a lot of work.

20. QUESTION:
    Question about Periodontal Surgery?
    My dentist has recommended periodontal flap surgery for me. I am wondering if there is anything other then this that can be done for gum disease. Also how much does it cost? He gave me a figure that seems unreasonably high.He says either I get this done or eventually lose my teeth. Also my gums don’t bleed that much just in a couple of places but they are very pale.

    • ANSWER:

21. QUESTION:
    My periodontist wants to charge me 00 for periodontal surgery. The procedure will take 90 minutes. Rip off?
    Upper and lower, left and right, for severe periodontal infection. I have already spent 00 for root planing.

    • ANSWER:
      a total mouth flap surgery could cost you that much depending on the severity of your condition.

22. QUESTION:
    Cost/fee for osseous periodontal surgery?
    How much does it cost per quadrant for osseous (bone graft) periodontal/gum surgery? A periodontist I saw today quoted me about 00 per quadrant, so it will cost me ,000 for all of them. (I’m in San Francisco, California)

    • ANSWER:
      Have you look at dental hospital. You may have students but it would not be so expensive.

23. QUESTION:
    Have you had PERIODONTAL SURGERY?
    Have you had surgery to treat gum disease (receding gums and bone loss) and if so, what was the treatment, was it successful, would you recommend it and do you have any tips or advice for someone (me) who has been diagnosed with aggressive, borderline localised/generalised periodontal disease

    • ANSWER:
      if your doctor says that you need surgery it means that your disease is aggressive and you HAVE TO do that.cause periodontal diseases are so important and if you dont go under treatment, you might loose your teeth.there is nothing to worry about. i did this surgery for the first time when i was a dental student for one of my patients.when she heales her gums were so healthy and she was so thank full

24. QUESTION:
    periodontal surgery cost?
    how much does periodontal/gum surgery cost.

    • ANSWER:

      http://www.dentalfind.com/Cost_of_Gum_Surgery/

25. QUESTION:
    Can you get braces on your teeth after having periodontal surgery (gum surgery)?
    RECEIDING GUM LINES

    • ANSWER:

26. QUESTION:
    How much does periodontal surgery for cats cost?
    I happened to get a look at my boy’s teeth the other day; I am pretty sure my cat has periodontitis. His gums are very red and inflamed, and his teeth look yellowish/brownish. He has really bad breath, but other than that no other changes in appetite (hes still a big boy who loves to eat), mood (happy and lively, always in my face haha), or anything else! He even eats kibble food/treats on occasion with no difficulty (though his diet is almost entirely wet food).

    Unfortunately, I just got left with a hefty bill from his recent bladder stone surgery. He’s doing well now, but I definitely cannot afford any vet bills for awhile.

    So my two questions are, will he be ok if I wait to have his teeth dealt with and if so for how long? And also, How much does periodontal surgery cost and what does it entail?

    • ANSWER:
      Vet prices can vary HUGELY depending on what city or if you live in the country or even which END of the country you live on.
      Also, it would depend on how much needs to be done.
      You really need to call YOUR vet to determine costs.
      Some vets charge by how much work and some have a flat fee for a typical procedure and then tack on more if it gets complicated.
      Sorry your baby is suffering but you really need to talk to YOUR vet.
      Example; one vet in my city charges 0 to spay a cat, shots extra.
      The country vet I found where I have to drive about 20 miles to get to him charged 0.00 for spaying/neuter procedure and all shots needed are included, including a deworming.
      Thats in 1 city alone, a difference of 0 dollars.
      And the procedure was the same but the cheaper vet takes care of all sizes of animals and the place is normal, even a little shabby but he is available day or night, no extra cost because he lives next to the office. And has a heart as big as all outdoors.
      The expensive vet has a big fancy office filled with lots of frou frou junk that doesn’t have a thing to do with how good he is. And after hours calls are EXPENSIVE. If you don’t have the money, you are out of luck.
      This is just one example.
      Call around.

27. QUESTION:
    Smoking after Periodontal Surgery?
    It’s been 4 days since I had my surgery and I was wondering if two bowls out of a pipe would cause my surgery to fail or develop and infection.

    No more no less.

    • ANSWER:
      Well, smoking in general is not a good idea, but I’m guessing you probably already know that so I won’t lecture.

      Smoking greatly increases your chances of getting dry socket, depending on what kind of surgery you had and, more specifically, exactly what was done.

      Personally, I would wait until office hours and call the dentist or oral surgeon’s office where the surgery was performed and ask them what they think. They will know your personal case and have your file in front of them while they advise you, which is the best way to make a medical decision.

28. QUESTION:
    when can i brush my teeth after periodontal surgery?

    • ANSWER:
      after pdl surgery, u probably would hav had a pack or a dressing. leaving that area, you can brush yor teeth after two days or so…. before that clot formation might be affected (by spitting). your dentist will keep you on mouthwashes, dnt worry.
      in that area particularly, brush after healing of the flap.. that too v.gently.

29. QUESTION:
    How long does it usually take for gmy gums to stop aching after Periodontal surgery?
    I recently had periodontal surgery. I’ve been taking two medications for the past 10 days: Amoxicillin and Advil, and when the pain becomes unbearable: hydrocodone.

    Its gotten better, but I can still trigger the pain by eating something(anything).. I haven’t been eating anything hard or spicy, as I’ve been told not to, though it is still aching after 10 days. I had it checked out two days ago, and it is healing according to my periodontist but has not yet fully healed.

    How long does it usually take for them to stop aching? (the stitches have almost fully dissolved as well)

    • ANSWER:
      It will go completely soon.
      Ask your pharmacist for a spray or lozenges which have a small amount of local anaesthetic.
      Before eating I used soluble paracetamol alternated with soluble aspirin, it worked but is not an ideal solution.
      Both soluble tylenol and soluble aspirin can act locally as well as systemically although aspirin is frowned upon as it can encourage bleeding.

30. QUESTION:
    I’m considering laser periodontal surgery, has anyone had this? Is it effective? What is it like?
    Is it effective?

    • ANSWER:
      yes its effective but costly very costly

31. QUESTION:
    Having periodontal surgery painful?
    What is the process? Don’t make it sound scary please.
    What is the process? My face be swollen after the surgery? Does it hurt while doing the surgery? Don’t make it sound scary please.

    • ANSWER:
      You might feel pressure, but it really shouldn’t be painful because you are numbed. I’m not trying to make this sound bad, but it might be painful later. You should have enough ice ready and maybe some ice-cream, if you’re not very good at dealing with the pain. For me, whenever I get something done at the dentist (for example, tooth extraction), it’s just with my mom (she’s a dentist) so she always has something just ready for me the second she finishes. I haven’t had a periodontal surgery yet (I’m only13…) but I’ve had a LOT of experiences with the dentist (yup, I know I should get off the candy!) especially by just going to my mom’s office to see how everything’s going. If you have any problems, you can contact me by email, Good luck, peace out xoxo

32. QUESTION:
    Has anyone had periodontal surgery?
    Just wondering average cost for having a flap and graft procedure.

    • ANSWER:
      its doen in 2 visits and is about 1500 dollars up for the full treatment

33. QUESTION:
    Periodontal Osseous Surgery: Is this too expensive?
    Dr says he will charge 95 for Upper left and 95 for Lower Left. Lower right is 95. This sounds like way to much especially since I’ve already spent 00 on root planing. Plus 5 for NO2 sedation.

    • ANSWER:

34. QUESTION:
    what’s the cost of osseous periodontal surgery in 2010?

    • ANSWER:
      You can easily check your minimal health care rates in internet, for example here – health-quotes.talk4fun.net

35. QUESTION:
    Periodontal laser surgery?
    I am 29 male and had my periodontal laser surgery done last week for one half and have the second half scheduled next month. Now the cost of this surgery is enormous, as my insurance only covers 00 lifetime, The periodontist is giving me a bill of 00 + 00 = 00 for two sittings. Which means I will end up paying 00 from my pocket. I want to find out if this is worth the money I am spending? Unfortunately I had neglected my teeth in the early years of my life and now paying a price for it. Also my mother had to get all her teeth replaced at the age of 55. So I am thinking there is a hereditary element to this. Can anybody from the dental field let me know if this cost is justified and will I be able to save my teeth…I supposedly have pockets of 5-6 mm. The periodontist said that scaling is not an option any more and laser surgery is the answer. I wanted to know if anybody had this done? and how has the experience been?

    • ANSWER:
      The fee seems reasonable.

      Dental problems are not hereditary, but children learn how to take care of their teeth and gums from their parents. Your mother obviously didn’t do a great job of taking care of her dental health, and you learned from her.

      If you complete the treatments and follow your dentist’s advice about proper homecare and regular checkup visits then it will be a wise investment to have the treatment done. 5-6 mm pockets usually respond well to laser treatment.

36. QUESTION:
    What is the quality of medical facilities and dental and periodontal facilities in Arizona?
    Are good high quality dentists and gum specialists available in Phoenix,Arizona?
    What is the general quality of medical facilities in Phoenix,Arizona?
    How is it when compared to some other states in the USA?Which is the best place to undergo a periodontal (gum)surgery?

    • ANSWER:
      I would imagine that they would have some of the best in your area. I can save you 80% on your dental costs! Here’s a list of providers in your area below and a fee schedule. It covers periodontal as well. Our plans are as low as .95 a month and same day coverage! 30 day money back guarantee! Just reply for more info
      808-990-3179

      Page 1 of 20
      MapDistanceNameAddressCityStateZipPhoneInfo

      Map1.61M&C Community Dental Care
      George Ayoub333 E Virginia Ave Ste 115PhoenixAZ85004(602) 307-5775General Dentistry
      Red Fee Schedule
      Extractions, Oral Surgery, Endodontics, Pedodontic Care, Periodontics, Full Dentures, Cosmetic Dentistry,
      Mon 9-6; Tue 9-6; Wed 9-6; Thu 9-6; Fri 9-6; Sat 8-3

      Map1.61M&C Community Dental Care
      Ibrahim Ismail333 E Virginia Ave Ste 115PhoenixAZ85004(602) 307-5775General Dentistry
      Red Fee Schedule
      Extractions, Endodontics, Periodontics, Full Dentures,
      Mon 9-6; Tue 9-6; Wed 9-6; Thu 9-6; Fri 9-6; Sat 8-3

      Map1.82Dental Services
      Giang Dang1902 North 16th Street PhoenixAZ85006(602) 253-3459General Dentistry
      Red Fee Schedule
      Extractions, Oral Surgery, Endodontics, Pedodontic Care, Periodontics, Full Dentures, Cosmetic Dentistry,

      Map1.82Dental Services
      Anh Tran1902 North 16th Street PhoenixAZ85006(602) 253-3459General Dentistry
      Red Fee Schedule
      Extractions, Oral Surgery, Endodontics, Periodontics, Full Dentures, Cosmetic Dentistry,

      Map2.29Tina Keyhani3330 N. 2nd St. Ste. 501PhoenixAZ85012(602) 277-3919Oral & Maxillofacial Surgery
      Red Fee Schedule
      Extractions, Oral Surgery, Implants, TMJ Treatment,

      Map2.84Southwest Dental Center, Inc.320 W Indian School PhoenixAZ85013(602) 248-9445General Dentistry
      Red Fee Schedule

      Map3.25Phoenix Dental Center PLLC
      Jamil Abdelghani1950 W. Indian School Rd. Ste. 6PhoenixAZ85015(602) 650-1700General Dentistry
      Red Fee Schedule
      Extractions, Oral Surgery, Endodontics, Periodontics, Full Dentures, Cosmetic Dentistry,
      Mon-Fri 9-6 Sat 10-3

      Map3.26Paik and Patel Family Dentistry
      Gerald Paik2546 E Thomas PhoenixAZ85016(602) 956-4111General Dentistry
      Red Fee Schedule
      Extractions, Oral Surgery, Endodontics, Pedodontic Care, Full Dentures, Cosmetic Dentistry,
      Mon 9-5; Tue 9-5; Wed 9-5; Thu 9-5; Fri 9-5

      Map3.26Paik and Patel Family Dentistry
      Snehal Patel2546 E Thomas PhoenixAZ85016(602) 956-4111General Dentistry
      Red Fee Schedule
      Extractions, Endodontics, Periodontics, Full Dentures, Implants, Cosmetic Dentistry,
      Mon 9-5; Tue 9-5; Wed 9-5; Thu 9-5; Fri 9-5

      Map3.79Kid’s Dental Place
      Joseph Nielsen4102 N 24th St Ste B2PhoenixAZ85016(602) 956-2024General Dentistry
      Red Fee Schedule
      Extractions, Oral Surgery, Endodontics, Pedodontic Care, Periodontics, Full Dentures, Cosmetic Dentistry,
      Mon 7-5; Tue 7-5; Wed 7-5; Thu 7-5; Fri 7-5

      Fee Schedule
      Red Fee Zip:85006

      GENERAL DENTIST FEE SCHEDULE

      ADA CodeSample General Dentist ProceduresDental Office Fees Up To*Our Fees Savings Up To
      00120Periodic Oral Evaluation80%
      00150Comprehensive Oral Exam (First Visit)371%
      00210Intraoral – Complete Series (including bitewings)366%
      00330Panoramic film758%
      01110Prophylaxis – Adult (to include light scaling and polishing364%
      02140Amalgam – 1 surface, primary or permanent, per tooth271%
      02150Amalgam – 2 surfaces, primary or permanent, per tooth968%
      02330Resin based composite – 1 surface, anterior666%
      02331Resin based composite – 2 surface, anterior862%
      02750Crown – Porcelain fused to high noble metal92556%
      03310Root Canal – Anterior (excluding final restoration8056%
      03320Root Canal – Bicuspid (excluding final restoration1559%
      04355Full Mouth Debridement659%
      08080Orthodontics (braces) under 19000056%
      08090Orthodontics (braces) 19 and over000056%

37. QUESTION:
    What does periodontal surgery consist of?
    If a person has gum disease (moderate to severe) with receeding gums, the whole nine….what does the dentist do to help this? Will the person lose their teeth even if they have it taken care of? Does the surgery hurt really bad?
    I DO brush and floss my teeth and my dental health is great….this is for my aunt who was diagnosed a few months ago and is terrified to go have the procedure done because she is scared she’ll go through all the pain and lose her teeth anyway. She’s also embarrassed even though A LOT of people have this problem. Thanks in advance to those that are answering!

    • ANSWER:
      There is a good possibility that some teeth will be lost. But if the patient takes their homecare seriously after having the periodontal surgery, there is a high chance of keeping the teeth as well.

      Generally, they will bet you numb before starting so that you don’t feel the scaling. Your gums will probably be inflammed for the remainder of the day, but if you are able to take Motrin or Advil you should be ok. The periodontist will scale below the gumline to remove the bacteria that is present/that causes the periodontitis. Generally, they may put you on antibiotics for a time to help kill all that bacteria off. You will most likely need to go on a more frequent schedule for dental cleanings, usually 4 times a year instead of 2.

      It’s worth it to keep your teeth.

38. QUESTION:
    periodontal surgery post tx?
    The bandaids feel wierd on the gums can i rip them off? Ones already coming off and I cant see dds for 7 more days bc she only works every other week

    • ANSWER:
      Try to leave the dressing on as long as possible. They are offering some protection to the gum tissue under neath. It might really sting with certain foods if left unprotected at this early stage of healing. I know that they feel weird and you want to rip them off. Try not to. You may possibly have stitches under the pack that may be ripped out.

39. QUESTION:
    Periodontal/Osseous Surgery?
    Hi There,

    I have been having bleeding gums for past 2.5 years without any pain symtoms what so ever. Bleeds especially at night and sometimes pulling saliva (forcefully) out of mouth. I have had Scaling and Root Planning on one side of mouth and regular cleaning at other times. Upon my primary physician ruling out other things, he suggested I go to a periodontist.

    The periodontist I visited, based on visual examination and probing, suggested I get a Osseous Surgery.

    Visually my gums look normal with no pus or abscess.

    My initial hope was that the dentist would suggest non-surgical/convervative therapy (like SRP)…

    Is there a guideline /minimum requirements for someone to have osseous surgery? If yes,what are they? (e.g what probing or pockets length are considered for surgery)

    Any effective alternatives to surgery?.

    Please respond.

    Thanks!

    • ANSWER:
      Hi-
      When you have pockets of around 6 mm depth or more, it’s not really possible for the instruments of scaling and root planing to reach the base of the pocket to clean the bacteria and their products, so inflammation continues, and continues causing bone loss. It is also not possible for floss to reach the base of the pocket to allow plaque removal on a daily basis.

      The goal of the osseous surgery is to recontour the pocket so that it is easier to clean, both by you with flossing, and the hygienist during recalls. It can be very effective and beneficial if followed by good oral hygiene and regular recalls.

      Many have sought alternatives, including use of antibiotics, but my sense is that as long as deep pockets remain with bacteria, there cannot be good resolution. I also don’t think the life-long use of antibiotics is healthy as resistent bacteria can develop.

      Incidently, my grandmother had periodontal disease at age 45 and went to have osseous surgery with a periodontist. She also quit smoking. She lived till 93 and had her own teeth. So, while it seems expensive, it can provide something that will benefit you for many years.

      Hope this helps

40. QUESTION:
    does periodontal laser surgery hurt?

    • ANSWER:
      A lot of it can be done with no anesthesia because there is no pain. For the rest there is local anesthesia which reduces the sensation to a numb or tingling feeling.

41. QUESTION:
    Periodontal Disease surgery soon. I need info, please!?
    Please tell me what to expect. They say they will cut open my gums in four sections over the next four weeks. How long to heal? What to eat? Do they sew them back? What about infection? They say I can’t be put to sleep. Is that fair? Does it hurt? HELP!!!!

    • ANSWER:
      Check this website for specific answers…

42. QUESTION:
    Gum surgery for periodontal disease.?
    When the Perio was looking, he was shouting out numbers to the assitant like it was the lottery. Mostly 4′s and 5′s. I have to get surgery.
    The thought sounds scary. but almost 3 yrs ago, I had all my upper teeth crowned and also they put a permanent three tooth bridge in it-it is all one piece and was pretty easy for me to handle.
    The Periodontist says if I could handle all that, then I should have no worries about this, he says my gums will be sore, but I won’t be miserable.
    Is he telling me the whole truth?
    What can I really expect?
    He said they will do a quad at a time- so i have to go back 4 times? Ohh nooo.
    He also said a yr ago, I should have has a scailing and root planning, but now, no, it’s time for surgery.
    Unschool, I have never heard of those procedures- I live in NJ, with not the greatest insurance, maybe that is why they didn’t tell me about this??

    • ANSWER:
      The procedure should be totally pain-free, but you will likely be sore for a about a week afterward. He will prescribe pain medication to help you with that.

      The numbers he was calling out were “probing depths” that’s the pocket between the tooth and the gum. Any area greater than 4 millimeters is an area that you cannot keep clean on your own, and professional care would be needed. The gum surgery will remove some of the gums (probably about 2mm) in order to make it easier for you to keep your teeth maintained at home.

      If you’re committed to maintaining your periodontal health, then this surgery is a good option for you. A few days of discomfort is much better than a mouth without teeth (which untreated periodontal disease will do)

      Good Luck

43. QUESTION:
    Would surgery, antibiotics, painkillers, and steroids delay menstruation?
    I got periodontal implant surgery last Monday. I was prescribed amoxicillin, Vicodin, and Medrol Dosepak (21 pills, 6 days). I haven’t taken the painkillers in 5 days, I am still taking the antibiotic, and I have finished the steroid dosepak. My period is 2 days late. Could the surgery and all of the medications be affecting menstruation?

    • ANSWER:

44. QUESTION:
    I have periodontal disease in my mouth but my insurance is taking so long to aprove the surgery what can i do?

    • ANSWER:
      Call your dental Insurance company and tell them that the wait is jeopardizing your health and can they send the claim through as soon as possible. Be sure and talk to a supervisor at the Insurance company, and write down the name of the person you spoke with,the day and time, and keep for your and your dentist’s records.

45. QUESTION:
    Dental question deep cleansing and root planning – for periodontal disease?
    The dentist is saying that my boyfriend has periodontal disease. The first step is to come in for a deep cleansing which will be 120.00 per quadrant. She is then saying that the second step is to schedule the surgery. I have read some things on this board that just mention the cleansing not the surgery also. If he has the deep cleansing (which I am assuming right now if the deep scaling and root planning) why would he need to schedule the surgery as well. Wouldnt we have to see if the deep cleansing worked first?

    • ANSWER:
      A truly natural treatment for periodontal disease and bad breath is in great demand but next to impossible to find. Everyone is looking for the symptom, cure, and treatment for periodontal disease, gingivitis, bleeding gums and bad breath because no one wants to loose their teeth and many health problem have now been directly linked to gum disease including heart attacks and strokes. It’s a much bigger contributor that originally thought!

      An all-natural oral health product OraMD tackles the problems associated with periodontal disease, pockets and receding gums and is also extremely effective against chronic bad breath product. Because the ingredients are natural enemies of bacteria, it cleans your mouth and stops halitosis ( bad breath ) in it’s tracks.

      Source: http://www.oramd.co.uk/

46. QUESTION:
    What are the risk factors in a diabetic patient and oral surgery?
    My father has type 2 diabetes. He’s appointed to have all his remaining upper teeth removed to be replaces by a denture and also a few mandibular extractions which will only leave him with his canines to hold a partial. These appliances are in process. In the meantime my father had a 2nd opinion and was told that it was too aggresive of a treatment, to not have th extracted because of the risk factors. We know my father has periodontal disease with major bone loss, and that eventually he’ll loose these teeth. My question is, what are the risk factors in oral surgery and prosthetic appliances in a type 2 diabetic as opposed to waiting for each tooth to hurt and get infected?

    • ANSWER:
      Type 2 Diabetes here.
      The main concern my dentist had was whether or not my diabetes was under control, and that my blood pressure was normal (I also have hbp). He gave me an antibiotic prier to the extractions (8 teeth total, front lower).. and set in a lower (temp) denture the day of the extractions. We watched for any signs of infection, and everything went fine.
      I will add here, that the dentist did stick me with a pointed instrument both in front and behind my gums, to check how long I might bleed. Everything there was fine.
      How old is your father, and is his diabetes under control?
      Infected teeth can cause more complications.. you don’t want to go there.
      Make sure his doctor knows what’s going on.
      Good luck..

47. QUESTION:
    I have Periodontal Disease what is the the most effective treatment?
    The Periodontal disease has been really getting me down and the dentist has not been very helpful. Does anyone know of over the counter treatments or will i need surgery? My gums have receeded quite a lot and i need something more effective than mouthwash.

    • ANSWER:
      I have found Q10 supplement has really helped me, I wish I had heard this before I lost so many teeth, so much nonsense with ‘we get enough in food’ just is not true for the vast majority. WHY don’t they tell us this stuff, profit for dentist’s ? :-

      http://www.google.co.uk/search?q=q10+Periodontal+Disease

      And a ‘sonic’ toothbrush / floss:-

      http://www.google.co.uk/search?q=Periodontal+Disease+sonic

      AGAIN WHY ?

48. QUESTION:
    I just found out I might have periodontal disease. The Dr. said I might need surgery. Plz help!!!?

    I’m afraid what’s going to happen next. Has anyone ever had gum disease and was cured of it?
    How much will it cost for the treatment? What’s the worst that can happen?

    • ANSWER:
      ASK THE DR. TO DO NONSURGICAL SCALING AND ROOT PLANING AND SEE HOW YOU RESPOND IN 6 MONT’S AFTER TREATMENT MANY CASES DON”T NEED KNIFE.

49. QUESTION:
    i have periodontal and its going to take awhile before i get the surgery done is there anything i can do?
    to keep my gums from bleeding

    • ANSWER:
      If you have severe periodontitis, I suggest you brush and floss after every meal, not just twice a day and I also suggest using ACT (a kind of mouthwash) in addition to Listerine since this contains fluoride in it. If you have a lot of space in your posterior teeth (molars and premolars), I suggest you get a proxibrush (looks like a mini pipe cleaner) to clean the space in between. There are also other hygiene equipments like Perio Aid and rubber tip stimulator that you can use in conjunction (ask your dentist to show you how to use them). Another mouthrinse that I might also suggest is Chlorhexidine or Periodex (you will need a dentist to write you a prescription for this but people usually don’t like it because of the taste and some of the other side effects (calculus and decreased sense of taste). Finally, if you can afford it, go to a periodontist and maintain a 3 month interval recall so that your periodontal condition can be managed more closely.

50. QUESTION:
    Is it safe to take Advil with coffee or other highly-caffeinated drinks?
    Also, do you know if its safe to take Amoxicillin or Hydrocodone with caffeinated drinks?

    (Post periodontal surgery drugs that I have to take)

    • ANSWER:
      Yes, to all three meds.
      Consider taking it with food to avoid heartburn.