Periodontal Treatment

Frequently Asked Questions

1. QUESTION:
   periodontal treatment?
   ok so im going through this treatment right now and they say not to eat and fats and or hard and spicy foods, i’ve only eaten half a quesadilla and yogurt since the surgery yesterday and im STARVING, i have no idea what to eat

   • ANSWER:
     YOU MAY EAT A NORMAL DIET AS LONG AS YOU AVOID SOME FOODS THAT MAY AGGRAVATE YOUR SURGICAL BANDAGE PLACED ON THE GUMS.
     MANY FOoDS DON’T HAVE TO BE HARD AND/OR SPICY. BE CREATIVE.

2. QUESTION:
   Can a general dentist check to see if i suffer from PERIODONTICS AND GIVE ME Periodontal treatment?
   When i go to a general dentist can they check to see if i suffer from PERIODONTICS AND GIVE ME Periodontal treatment for that or do i have to go to a specialist?

   • ANSWER:
     A general dentist should be able to determine if you have periodontal disease by doing a thorough dental exam. The exam would likely include a full set of xrays (approximately 16 xrays) that would allow them to assess for bone loss around the teeth and by doing a full periodontal probing which is where readings are taken with a small ruler (probe) to measure the space between the gums and the teeth. Depending on how comfortable the dentist (or hygienist) is and the technology that they have they may treat you or refer you to a periodontist who specializes in that type of care. Whether your hygienist is working for a general office or periodontal office they are all basically trained the same. The periodontist is more likely than a general dentist to be able to due gum and bone surgeries to help correct and improve a periodontal situation. Good luck!
     JAMRDH – a dental hygienist

3. QUESTION:
   Is there any way to get periodontal treatment covered by medicaid?
   I’m in quite dire need of dental work but I don’t have adequate funding to get proper treatment. I’m assuming, though, that my state medicaid won’t cover the costs, which is very disheartening. Has anyone had experience with this sort of circumstance?

   • ANSWER:
     Medicaid is different from state to state, check with your state d to see what their Medicaid program covers.

4. QUESTION:
   How bad is a periodontal treatment?
   I’ve neglected my teeth for a while and didn’t get any cleanings for (I’m ashamed to say) years. So now I have some serious issues, I had no idea it could get so bad and I broke out in tears in the dentist’s office.
   I need to get a deep cleaning and I’m not very thrilled, it’s expensive and I hear not very comfortable. How much does it hurt during and after? Will I immediately see a difference? I understand that it’s done in quadrants, does that mean 4 separate visit?

   • ANSWER:
     hi I had the deep cleaning done and it was a piece of cake. I did not feel any pain what so ever. You will feel a little pressure but not pain. Yes it is expensive I did my deep cleaning in 2 visits 2 quadrants at a time. The reason for that the dentist needs to see how your gum & teeth are responding to the treatment. It was well worth it. My gum and teeth are healthy now. good luck

5. QUESTION:
   How often and what dose should I take doxycycline for (bleeding gums) periodontal treatment?

   • ANSWER:

6. QUESTION:
   does any body know how much does periodontal treatment really cost?
   my dentist is charging me 5.00 copay my insurance pays the rest but I don’t know how much my insurance pays and don’t now if it’s to much money the copayment i have to pay.

   • ANSWER:
     what work was done? If it was for dental “pockets” or gingivitis or pyorrhea, you paid way too much. You can solve those problems without a dentist.

     Short term, you can fix the problems by going to the following web site: www.healthline.cc (not .com) Order from them the following items:

     Neem Oil
     Pine Bark Extract

     Mix these two things together to form a paste and then apply it to your gums in the morning and at night. You will be amazed at how quickly your gums become normal. Typically the worse problem you have, the longer it will take to heal completely, but you will see results in days. Dental pockets as large as a 5 on the scale, takes only weeks to fix.

     Now for long term fix, you need to change your diet so that you won’t be getting these problems. I suggest you go to the following web site and look at all the reads there.

     good luck to you

7. QUESTION:
   Should I go for periodontal treatment first or to have my wisdom teeth extracted?

   • ANSWER:

8. QUESTION:
   Laser treatment for periodontal disease?
   Some dentists offer laser treatment that is done in addition to scaling and root planing treatment for periodontal disease. It is expensive though. Can anybody share their opinion about whether the laser portion of the treatment (which is optional but costs extra) is worth it?
   Thanks
   I think each quadrant costs about 0 (root planing and scaling and laser treatment). Is this considered expensive?
   how many different laser vendors are there? Someone said Periolase is the only kind but I believe my dentist offers a different brand.

   • ANSWER:

9. QUESTION:
   How much is periodontal treatment?
   I don’t have any insurance at all and I am freaking out right now.

   • ANSWER:
     From a Periodontist, thousands of dollars but the job will be done right. General dental offices with a registered dental hygienist can often perform a deep cleaning and root planning which is the initial periodontal treatment usually, but if things don’t improve a periodontist visit may be needed. General offices usually charge 0-1000 for a full mouth deep cleaning and root planning. Look into CareCredit. If approved, this offers 12-18 months no interest. Good deal if you pay it off in the year. If not, choose a longer low interest payment plan. Just make sure your dentist takes CareCredit. Some have a similar thing different company.

10. 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 ?

11. QUESTION:
    Can someone w/ periodontal disease who follows a strict treatment regimen, receive cosmetic dentistry treatmnt?
    I have my teeth cleaned every 3 months, I brush 3 times a day, floss twice and rinse with a antiseptic mouthwash. I get root planing every 2 years. I have large gaps between a couple teeth as well as “long” teeth – both due to one flap surgery treatment. When I speak my lips cover these gaps but I am still very self conscious. My dentist says there is nothing that I can do. I’m wondering if he is right or not?

    • ANSWER:

12. QUESTION:
    Is periodontal treatment available on the NHS?

    How long is the waiting list usually?

    • ANSWER:
      Yes, you will most probably be referred to a specialist dental hospital, most NHS Trusts have waiting times up to 13 weeks, but depends on how urgently you require the treament..have known my colleagues to fit people in within 2 weeks or so.

13. QUESTION:
    Has Anyone ever had (Or performed) Periodontal treatment done? Arestin? SRP treatment Wed. and very nervous!?
    Apparently I have a pretty bad case of periodontal disease and I am only 25! They told me I needed deep cleaning underneath my gums…And when they rated my build up I had a 5 on almost every tooth ( I believe 5 was the worst). Please only respond if you have experience receiving treatment or performing treatment. Not interested in people quoting from the web. I already researched it myself. Thanks!

    My Questions Are:

    1) Should I be as nervous as I am? I wont have any Nitrous Oxide..Only regular anastasia (Injection), And I am afraid of needles! Especially one that is going in my gum! Will it still hurt during the treatment? Will it hurt afterward? I have two appointments made. Each is a two hour long session. I fear that the first session will be brutal and then will make the second session next week even more threatening! Also, the treatment is being done by a hygienist and not a Periodontist. Should I be worried?

    2) Will this be the only treatment I will ever need? Or is there cases where the hygienist will have to do it all over again? Assuming that I start brushing my teeth 2x daily, flossing, and maintaining proper homecare. Is the disease ever fully revered from this procedure, and completely cured?

    3) My Dentist was also pressuring me about using Arestin (minocycline HCI 1mg). I would have to pay it out of pocket…But after doing research on the web I found a lot of dentists claiming that it does not help at all, and that it is a money making scam. I would prefer not to use it (Money issues, and I kind of agree with these dentists).. Does anyone have any experience using Arestin? Is it worth it? Or can I get the SRD treatment alone and still be cured?

    4) Do you think they will let me have headphones with loud music playing during the procedure? I would hope that this may take my mind off of the procedure.

    5) The dentist never mentioned any antibiotics. Am I supposed to be put on some kind of antibiotic afterward?

    • ANSWER:
      Hey dude, I just had my deep cleaning done a few weeks ago. They also told me I had periodontal disease too. To tell you the truth, deep cleaning isn’t bad at all trust me. DONT be NERVOUS

      I had injection( anastasia), I don’t think, I use Arestin. ( Mine is not severe periodontal)

      I was listening to my ipod when everything get done. Usually they do per quadrant of your mouth. Half and Half

      Well, after you done with this treatment, YOU HAVE TO FLOSS, HAVE TO FLOSS SERIOUSLY. I floss almost 3 times aday or even 5 times a day. Mostly after eat something. FLOSS really help to prevent the build up. I barely floss, thats why I had periodontal disease.

      I didn’t take any antibiotics. It wasnt bad honestly.

      GOOD LUCK. YOU GOTTA DO THE DEEP CLEANING, UNLESS YOU WANT YOUR TEETH FALL OUT SOON.

14. QUESTION:
    I was told by my dentist that I need laser periodontal treatment.?
    Does anyone have an idea of how much this costs, and if it is covered by insurance?

    • ANSWER:
      Your dentist is jerking you. The insurance company is only going to pay the percentage (usually 80% on perio but if you have a horrible plan 50%) of the usual and customary fee for the zip code in which the procedure was performed. Ask your doctor what code is being used to bill. Make him get a preauthorization for treatment. There are many different types of perio surgeries. Ask him what he is doing. Is it root planing and scaling? Get specific. Most of all shop around. If you live near a major university tht has a dental school you have great options. If you are in a managed care plan you need to read the fine print because he can not charge you extra because he wants to use a different technique for the same old fashioned perio surgery. Also ask for your pocket chart.

15. QUESTION:
    How much is the usual cost for gum treatment (periodontal disease) in Toronto?
    My gums hurt a lot. It is so excruciating that I cry all the time. Acetaminophen doesn’t help to alleviate the pain. I have no OHIP yet so it would be nice to know how much I’d probably spend and where can I find good dentists or periodontists that don’t price too much? Thanks a lot!

    Btw, I will have my OHIP in Sept. 30. (Can I use it for gum treatment?) My parents told me to wait so that we won’t spend much but the pain is really killing me that I don’t think I can wait 7 more days. Do you think if I really have periodontal disease, 7 days would make a difference? Like if I had it done now my teeth can be saved but if I had it done 7 days later, it would be too late.

    Oh yeah, I’m also drinking antibiotics and pain reliever. The pain and inflammation is lessening as days go by but I currently have abscess on my hard palate which makes it hard for me to eat and talk.

    • ANSWER:
      1500 dollars

16. QUESTION:
    is there anything that cures periodontal disease without a very expensive and painfull treatment?
    like scaling and planing. any known treatments
    I am tired of being taken for a ride i dont want to spend a fortune.
    with all the breakthroughs in medial science you would think there would be a cure

    • ANSWER:
      Sorry to tell you this but once you have a gum infection the only way to get rid of it is with antibiotics and scaling and root planing and or gum surgery. The key is to prevent getting periodontal disease in the first place and that is with regular brushing and flossing and use of Listerine mouthwash.

      As always consult your general dentist for further evaluation.
      Frank Liu DDS, FAGD
      www.mylongislanddentist.com
      Twitter: frankliudds

17. QUESTION:
    PLS explain on the mecanism of periodontal treatment by local drug?
    this local drug use the resorbable base material

    • ANSWER:
      Localized antibiotics are placed in the pockets of teeth that are affected by periodontal disease. Usually these pockets probe with measurements of 5mm or greater. There are 2 commonly used localized treatments: 1) Arestin and 2) Atridox. The common antibiotic that they both use is what is called doxicyclin. These treatments are applied into the periodontal pockets usually immediately after a deep cleaning (scaling/root planing). They are gel like and actually stick in place (but patients are advised not to floss these areas while they are in place) They act by slowly releasing their antibiotic and help to eliminate the bacteria that inhabit the periodontal pocket. The hope is that with the bacteria eliminated ot reduced, the toxins that they produce will be eliminated and the periodontal tissue (gums) will reattach at higher levels, reducing the size of the pocket!

18. QUESTION:
    Periodontal treatment (severe pain)?
    I have been going to a periodontist for treatment (scaling and root planing) for the past couple of weeks. I’m 28 years old and don’t think my condition is very bad according to my periodontist. I think it is the early stage (with slight bone loss) Anyhow, my periodontist worked on all three quadrants, without causing me any pain… ok, maybe some minor discomfort on certain teeth, but nothing to squirm about in the chair. I was brave and fine about the whole experience. My mouth was always numb prior to each session. I went for the last session today (bottom left) and I have never felt so much pain in my life! My eyes were literally watering from the pain. I couldn’t take it, so she injected more anesthetic in the surrounding area. That did not stop the pain… I could feel everything. My cheek, lips, and part of my throat were all numb… except my teeth. My periodontist could not believe I was in pain and told me I was being anxious. Sorry, I wasn’t anxious (well maybe about the pain) but I did not have this pain during my previous visits. Shortly afterwards, I could smell something really bad… she told me I had an infection and she continued to clean it out while I was in excruciating pain. Is this pain normal? Why could I feel it after so much anesthetic? She didn’t prescribe me any antibiotics after the treatment and I’m worried if the infection finds its way into my blood stream? I don’t have any swelling anywhere… just pain under certain teeth… and it killed me when she tampered with it. I would really appreciate some feedback from a dentist/periodontist.
    Thank you.
    Sorry I forgot to mention that she uses laser around my gum line after each session. What is the purpose of this laser? She didn’t really explain well… just said that it helps. Thanks!

    • ANSWER:
      to cut the gum away, the pain will go away in another 3 days time

19. QUESTION:
    Periodontal Treatment Question?
    So my dentist wants me to have a deep cleaning for periodontal disease. On top of that he would like to treat each tooth that is infected with antibiotic. The antibiotic is not covered by my insurance and adds up to 0 that I would have to pay out of my pocket not counting the 0 that the insurance doesn’t cover for the deep cleaning! WOW!! But I can deal with the 0 its the 0 that I am worried about. So has anyone had this done and are those antibiotics really necessary? Will it be ok to just get the deep cleaning? I am sure the antibiotics are great and all, but for that money I can almost get some dentures. lol.

    • ANSWER:
      I would go for the deep cleaning…but the antibiotic is not covered because it doesn’t have a predictable outcome…
      I would do the cleaning then a follow up with the anitbiotic prescription mouth rinse Chlorhexidine Gluconate Oral rinse 0.12% (brand name Peridex) for 3 months and then have an evaluation at that time to see how the gums responded.
      I have found this is a good protocol and if you are under 40 will probably give a good result….over 40, when you re-eval, then see what happens…..

20. QUESTION:
    How much $ is this Periodontal treatment?
    Last week I had a new patient exam with a new dentist, and he did a “probing” test on me which measures my gum pockets, and he said I had “big trouble” because there were some big numbers. The worst is 8mm, which apparently is Advanced Periodontitis. He said I’d have to have cleanings done 4 times a year but nothing about treatment.

    When I went to see a hygienist (new as well), he said I must go see a specialist – a Periodontist to get my teeth fixed or I’d face losing many in 1-6 years. He said I needed surgery on a few of my teeth, and periodontist would also have to do deep cleaning where they freeze all my teeth. He says the surgery costs 00 per tooth, and made it sound like I had 4 or 5 that needed this done. He said it would cost 0 more to get an injection in my arm to make me asleep during the surgery.

    I don’t have insurance. Is it really this expensive? How much would this cost?

    My sister has had open flag surgery before and she had some done for a total of 00. She did it with a dentist, though, not a gum specialist.

    Can any dentist properly do these procedures? How much would it cost me with the periodontist? Should I go do this in the States (I’m Canadian)? THANKS
    I called up the periodontist’s office and explained my situation, but the receptionist wouldn’t tell me how much it would cost, she says it varies too much.

    Basically the hygienist said 00 per tooth, x 4 or 5 teeth. Plus the deep cleaning. Is it really this expensive?

    • ANSWER:

21. QUESTION:
    I had laser periodontal treatment. It appears that the gum was burnt away on my 2 front teeth? Never told risk

    • ANSWER:
      Was the treatment done in that area? The laser can burn tissue depending on the setting. It is possible this was done on purpose if this is the area they were treating. If you have deep periodontal pockets that cannot be resolved, the tissue is often removed (up to an average of 3mm) in order to give the effect of a shallower pocket depth thus allowing for easier cleaning, though not regenerating bone. If you are concerned, contact your treating dental professional, let them know you would like a re evaluation and that you have some questions for them. They should be happy to schedule you in quickly.

22. QUESTION:
    Advice needed on non surgical periodontic treatment?
    I’m having non surgical periodontal treatment (I posted a similar question before, but was unsure of the correct name!). Can anyone give me any more information on this? Does it hurt, what does it involve, are you sedated etc etc? Thank you.

    • ANSWER:
      simply its removing “plaque” of your teeth which is that white layer u get when not brushing properly.
      usually its done using a tip that moves with an ultrasonic power (very fast)
      usually it doesnt hurt. but some people have sensitive teeth. in that case (if sever pain) the dentist might numb your teeth and gums.

23. QUESTION:
    I may have periodontal disease and I don’t have health insurance. I can’t afford treatment. What should I do?
    Treatment is really expensive. Is there any kind of herbal or home treatment that isn’t too costly?

    • ANSWER:
      The card that the earlier person was talking about is Care Credit. You could apply for it and you would receive a credit line. If the amount that you need to use is over 0 you get 0% interest for up to 1 year. The catch is if you take longer than a year to pay it off they slam you with interest!! Also you need to find a Dentist who participates. Good Luck!

24. QUESTION:
    Treatment of Periodontal disease?
    I went to the dentist today and they said that i had mild periodontal disease and gingivitis. I thought this to be quite impossible considering that i am only 18 years old. Although i suppose it is possible I read on the phamplet’s about that it is incurable and other type things. From how they explained it to me it seemed like it could be easily treated and than prevented from than after. Should i be too terribly worried about this?

    • ANSWER:
      Hi dont listen to these people keep using fluoride toothpaste you need fluoride. I would worry about this but not too much periodontal disease & gingivitis is very common and anyone at any age can get it, it can also be genetic.
      It is also incurrable but prevention is the key! all you need to do is eat a healthy diet with low sugar etc, brush/floss twice a day and use mouthwashes in between. Also regular cleans at your dentist will help. You can loose your teeth through this so plz start today!

      Have a look at this if u wish.

      http://www.nidcr.nih.gov/HealthInformation/DiseasesAndConditions/GumPeriodontalDiseases/PeriodontalDiseases.htm

25. QUESTION:
    Is it possible for periodontal disease to spread from a tooth to another? What causes plague to form on tooth?
    My son brushes his teeth regularly, twice a day. Last December, his dentist told him that he has periodontal disease in his gum.
    This may be due to his oral hygience as he was unprepared for his cleaning kit when he was asked to work till the next day. It was about 10 months ago and is it too late to undergo treatment?? Can periodontal disease spread from a tooth to another? It was so unfortunate for him to have caught the disease, and what causes plague to form on the tooth/gum?? How to prevent it??

    Can anyone please kindly advise as soon as possible. Thank you very much.

    • ANSWER:
      Once a diagnosis of perio disease has been made, professional treatment is of the greatest demand to save the teeth and bone structure from this diseases devastating demise. Every tooth is subjected to damage from this “active infection” and the bone loss associated with this disease as well as the whole body. The same plaque found in perio disease has been found to be associated with heart attacks.

      Brushing your teeth twice a day is good, but it isn’t the solution to the problem. A person can brush ten times a day, but if it’s not done “correctly” and thoroughly then it’s just not going to do any good. Your son needs to spend at least “2-3 minutes brushing” with a “soft toothbrush,” brushing each tooth about “20 strokes” not just the front ones. Also “flossing” is of the utmost importance because it removes the plaque caused from bacteria found in the mouth, under the gums that brushing can’t reach.

      A diagnosis of perio disease means that he has developed pockets in the gum of some areas that surround his teeth. These pockets can range in depth, but all are “too deep” for him to be able to clean. We consider anything deeper than 3-4mm as too deep for a tooth brush or floss to reach to clean. He will need to have root planing done which removes all the debris from the pockets and along the roots of the teeth in question. This allows for some shrinkage of the tissue which decreases the pocket depth and possible reattachment of tissue with hopes that proper techniques in brushing, flossing, along with continued professional care and his excellent home care will help to eliminate the disease from progressing.

      It is unfortunate that he has “developed perio disease,” but he didn’t “catch it.” It progresses over time, usually from inadequate brushing and flossing techniques and lack of professional dental care. Although there is some research that links its cause to hereditary or genetics. The best treatment your son can follow is his dentist advice and see a periodontist for follow up cleanings every 3-4 months, they will alternate with his dental appointments. This may seem like a lot at first but will lessen with time, it’s to keep a close watch on the pockets depth and to eliminate the progression of this disease by maintaining and monitoring your son’s dental health. Perio disease can be devastating by destroying the surrounding tissue and bone structures that support the teeth, which left untreated will eventually lead to the loss of teeth. I hope you will encourage your son to continue with treatment to maintain his natural teeth and halt this disease. It can be stopped with proper treatment, your son isn’t alone with this disease. Good luck and I hope that I’ve given you enough insight to help you to understand this disease, how to correct it with his dentist and periodontist help and the causes of it so your son can change those habits to better his dental health.

26. QUESTION:
    Braces during periodontal maintenance?
    I am 34, and under went periodontal treatment by my dentist about 2 years ago, and have been under maintenance every since. I did suffer some bone loss, but it wasn’t significant enough for me to see a Periodontist. I have now had braces on for a year and a half. My teeth are always moving and wiggly, which freaks me out (I know this is normal, but still crazy feeling) Has anyone been through perio treatments, then had braces? Were your gums much healthier afterwards?

    • ANSWER:
      How braces work is this (well, the piece you are worried about):

      Bone remodeling works like this: increase the load on a bone and osteoclasts are created which break it down in response to the load. Remove the load and osteoblasts are created which create new bony cells. Repeat the process through repetitive motion and eventually the bone density increases.

      So, initially, your teeth will get loose because the bone under it has vanished to rebuild a new platform for your tooth to re-root into.

      And I would think your gums would be plenty healthy after your periodontal treatments. =]

27. QUESTION:
    periodontal Disease treatment?
    Has anyone tried the Perio Project? Does it work and what is the cost.

    • ANSWER:

28. QUESTION:
    I am 21 w/ periodontal disease. My jaw bone that hold teeth are deteriorating. Can I still get implants?
    I recently has braces. Some adhesive is left. I cannot afford periodontal treatment for my teeth just to fall out. Should I pay for treatment or get implants? Can I get implants if my jaw bone is deteriorating? I do not have insurance and am single mother. Best advice needed.

    • ANSWER:

29. QUESTION:
    I was wondering if anybody knows of any financial assistance programs in NY State for periodontal disease?
    I am a 27 year old woman who has been suffering from severe periodontitis since I was 21. I am a newly single mother, and this has affected my life tremendously. I am extremely depressed because of this situation and don’t know which way to turn. I don’t think I can afford the expensive fees for the work I need, but I don’t know what to do. I have even been having trouble finding somebody local that performs full mouth restoration as well as periodontal treatment that would be willing to assist with a reasonable payment plan. Any help or suggestions would be greatly appreciated. I need to make a positive change as soon as possible.

    • ANSWER:
      I don’t know of any programs in New York State. I would contact OHA, Oral Health America, to find out if they can assist you at all. Or check out their web site.

      In the meantime I have found that there is a fair amount I can do for my own gum health. I had terrible gums and they have improved a lot by using Biotene dry mouth products.

      Has anyone ever checked to make sure there is not another underlying cause of your gum disease?

      I also found another web site (see below) that might help.

      Good luck!!

30. QUESTION:
    What to expect during a debridement treatment?
    Next week i have an appoitment for a debridement treatment due to periodontal disease. Can anybody tell me what to expect? Share your experience with me please. I am very scared it would hurt. Thanks!

    • ANSWER:

31. QUESTION:
    periodontal disease/treatment?

    • ANSWER:

32. QUESTION:
    Any best dental clinic to get treatment for periodontal disease in and around Madurai, Tamilnadu, India?
    Need to get treatment for bleeding gum and loose teeth.

    • ANSWER:
      DR . RATHNAKUMAR near the thirumalai nayakar mahal….to the side of the northern compound wall of the mahal..

      Bose dental clinic , South gate , MADURAI

33. QUESTION:
    Does Listerine get down into periodontal pockets?
    While I’m waiting for my root planing/scaling treatment for my periodontal disease, I’m wondering if Listerine molecules are small enough to get down into the periodontal pockets to kill the bacteria? I also use fluoride rinse. I don’t want to use a Waterpik, I have heard those can be too rough.

    • ANSWER:
      Listerine may help a bit, but a better rinse is chlorhexadine called Peridex. Your dentist can call in a prescription or it or may have a bottle in his office to give you. Good luck with your perio treatment.

34. QUESTION:
    Periodontal Disease-Is there a support network and is Periowave a better treatment option?
    I was just diagnosed with periodontal disease but I haven’t lost any teeth yet. I am so bloody scared of all sorts of ramifications of this. I haven’t been to a dentist in 10 years and have spent most of my time abroad and didn’t notice what was going on with my teeth until I came back home. My dentist says I should do deep cleaning with his hygienist 4 times and then see him regularly after that. I don’t even know what stage of the disease I am in-he hasn’t given me any antibiotics or referred me to a periodontist yet. I guess I am just plain scared and I never thought this would happen. I am only in my 30s and always brushed twice daily. Now, I floss, brush 3 times a day, and rinse. I was hoping that someone could just refer me to a support group. Someone to talk to about my fears. My dentist doesn’t want me to fixate on this too much or get too anxious about it but I can’t seem to stop and I think if there are other people out there in my situation that I could talk to, I would feel better. If you have already gone through this situation yourself than I would like to know what your story was-this might help too. Thank you.
    ps. I am considering the periowave treatment instead of deep cleaning-is this a better option?

    • ANSWER:

35. QUESTION:
    How many millimeters is considered more than 50% periodontal bone loss?
    I have periodontal disease. My insurance only covers treatments for pockets where there is greater than 50% bone loss. How many millimeters in depth are pockets where is there is greater than 50% bone loss?

    • ANSWER:
      Over 4 millimeters is considered periodontal disease.

36. QUESTION:
    Is it free to get treatment from a periodontist in Toronto?
    I have periodontal disease. I have lived in Toronto for 17 years (I’m 19 now), I wanted to know if I can get treatment at the dentist for free in Toronto.
    Thank you

    • ANSWER:
      I highly doubt you will find anyone who will treat you for free. The cheapest treatment for you would probably be the dental school at the University of Toronto. They also take ODSP and OW plans. The initial phases of periodontal treatment can be done at the school by students, and if you need to go to the surgical phase they should have periodontists on faculty who can do that there too.

37. QUESTION:
    can periodontal disease spread or infect the tonsils?
    I think i have strep throat due to periodontal disease but im not sure, all i know is my tonsils are kinda bumpy and i dont think thats normal… i know i have periodontal disease from my dentist who told me to get treatment for it but i shrugged him off, is it really effecting me that bad?

    • ANSWER:

38. QUESTION:
    HELP! need advice on the treatment i received from the dentist for periodontal disease?
    i know i have periodontal disease and am really upset after i went to the dentist for the first time in 6 years that i had a rubbish job done. she said that the receding of the gums weren’t bad even though there are huge visible gaps between my teeth where the gums have wasted away and you can see the roots of my teeth. also im sure regular scaling was done as no anesthetics were used for deep scaling and she was digging it under my gums. i don’t know what the time scale of this procedure is but she barely spent less than 10 minutes doing it. now the gums on my front teeth have pulled away further and become really unattached yet and one part looking hacked into. i didn’t even get advice on how to brush and floss my teeth. i feel really upset and angry and don’t know what can be done about this and who if anyone i should be complaining to as this is really affecting my social anxiety and confidence.

    • ANSWER:
      I would start by finding another dentist 1-800-DENTIST is useful to find one in your area. I’ve used it before and have been happy with the results.
      Maybe contact the Better Business Bureau or look on your state’s government health website to find out who to report to.

39. QUESTION:
    Can a cat die of periodontal disease or any other gum disease?
    I think one of my aunts cats has it. She has brownish saliva drooling out of her mouth. She has brownish tints on her teeth. Plus what would the treatment probably cost?

    • ANSWER:
      Yes, it can and will kill the cat without treatment. The infection in the cat’s mouth could enter the bloodstream, causing sepsis, or the cat will simply stop eating due to the pain in her mouth and starve to death.

      Treatment costs vary, depending on the severity of the disease and the veterinarian. In Colorado, a basic dental cleaning will cost around 0, including anesthesia and pain meds. However, if tooth extractions, x-rays, or other procedures are necessary, that will increase the cost. Call one of your local veterinarians and ask about an estimate for a dental cleaning. To get the most accurate estimate, you will need to take the cat to the veterinarian to have the mouth examined.

40. QUESTION:
    How much should it cost for planing & scaling if I were diagnosed with periodontal disease?
    Most of the pockets were 5 to 6 milliliters, and I will need planing and scaling on all teeth according to the dentist.. The dentist quoted me 00.00 for the service, which includes the follow up visit, sonicare tooth brush, and other incidentals that I would use to maintain my teeth after the process is complete. That seems really, really high to me. Are there any less expensinve alternative treatments I can try first that may also prove effective? I’ve heard that regular flossing, rinsing with hydrogen peroxide , and regular brushing can also stop the progression of periodontal disease. I am also interested to here of any other over the counter products that can be used to slow or stop the progression of periodontal disease. I am a male, 42 years of age, and in otherwise excellent physical condition. Any informaiton you can provide would be greatly appreciated.

    • ANSWER:
      00.00
      Where do you live?
      Youi must live in a high income area. .
      Cast ten lines like that and you only need one bite.
      I like your dentist.

      Koudos to him
      too bad for you if you are to proud to switch dentists

41. QUESTION:
    What is the difference between Periodontal Disease and Gingivitis?
    About 5 or 6 months ago, I went to the dentist because my gums had started bleeding. As I brush my teeth twice a day and always at least rinse with water, I was just told to brush my gums more, or floss or use mouthwash. The symptoms went away, but now the bleeding is back (mainly when I floss) and 2 days ago I noticed my gum in between my two front teeth had swelled and was slightly red. Since yesterday, I have noticed another area of gum swelling and thin redness around about 3 or 4 more teeth. I don’t understand as it has all happened so quick. I am worried. If it is only Gingivitis then what stage does it sound like? Also, my dentist appointment is 5 days away. I have went to get Corsodyl mouthwash to try and last me until then and have just started my first treatment. I can make an emergency appointment, but I don’t know how necessary and appropriate it would be as I don’t really know how bad it is…any advice?

    • ANSWER:
      Approximately 90 per cent of the adult people are affected by gingivitis. Most of these people remain oblivious about the silent development of gingivitis as it is initially painless. By and by, gingivitis can cause serious health implications. There can be swollen gums and bleeding while eating or brushing. If left unattended, gingivitis can even lead to indigestion and other tummy problems. Gingivitis can aggravate to periodontitis or pyorrhea. This is an extreme infectious situation when the teeth supporting bone starts eroding. Blisters can also appear. Pyorrhea signs are bad breath, painful gums and bleeding. The primary reasons of pyorrhea are excessive alcohol, smoking, poor mouth hygiene, poor nutrition, improper brushing, glandular disorders, chronic illness, and blood ailments. Smokers are more prone to develop pyorrhea and lose teeth than others. Note that bleeding gums can also be caused by brushing too hard or by using too hard a toothbrush.

42. QUESTION:
    How do I treat periodontal pockets in my gums?
    Last week, I went for a cleaning. The hygienist found two 4mm pockets during this visit. She told me my gums and teeth structure are great, so I do not need to see a periodontist. She said even though they are 1mm larger then they like, it does not warrant any treatment by a dentist.

    However, I have a few questions.

    1. What can I do to shrink and heal those two pockets at home? I already floss, brush, waterpik with mouthwash after every meal.

    2. Will these two pockets heal on their own if I keep up good oral care? I assume my waterpik is constantly keeping the pockets clean.

    I would appreciate any advice as to how I can treat these and heal these pockets, even though they are not serious enough for periodontal treatment. My hygienist stated I do not have periodontal disease and gave me a good report.

    Any advice would be greatly appeciated. Thanks.

    • ANSWER:
      I’m a hygiene student and I had a patient with the same issue. Normal sulcus pocket depths range from 1-3mm. 4mm isn’t a big deal, and your gums can be slightly enlarged even with good oral hygiene. It could just be your normal anatomy or perhaps you could have traumatized the area with popcorn or hard foods, thus causing enlargement.

      (If your 4mm pockets are at the back of your last tooth in the back of your mouth, I would recommend using an end tufted brush along with a floss holder to help you get back there. This was the case with my patient. She didn’t know that she was suppose to floss behind her last teeth in the back.)
      You seem to be doing an excellent job with your home care. Keep up with the great job you are doing!

43. QUESTION:
    So I need to know if gingivitis and or periodontal treatments hurt?
    So for any one who has had or has gingivitis or periodontal disease… I have either the beginning stage of the gingivitis or it has gone into periodontal issues. I have done a turn of research on it and I have an appointment for Monday I am super nervous and scared about it.

    For those that have had it or has it could you please tell me when they used the tool to measure the pockets to see how severe it is does it hurt? and when they do the scaling or any of the treatments how bad it hurt? I have only had one cavity filled in my lifetime and that was painful for me, so how does this compare?

    • ANSWER:
      The periodontal probing, to measure the pocket depth, will not hurt if done properly. If you have gingivitis, the treatment will not be as complex and will not hurt. If you have a more advanced problem leading to periodontitis, the treatment will require deep scaling and root planning. Sometimes if it is uncomfortable, a local anesthetic will be used to keep you comfortable. Good luck.

44. QUESTION:
    Should I avoid intimate contact with someone being treated with Ceftin for a bacterial, periodontal infection?
    There has already been some deep cleaning by the periodontist over a period of a couple of weeks, with surgery for more aggressive treatment scheduled next week. But right now my partner is in pain all the way down the neck from time to time, and was just given Ceftin by a medical doctor we had to visit while we are out of town. My partner doesn’t ask all the questions I would if I was the patient, and I still feel a little uneasy about the possibility of getting infected myself.

    • ANSWER:
      Hi! I’ve been in dentistry for over 25 years and this is NOT contagious. If this was another bacteria, often called ANUG(Trenchmouth), that that could be an issue. BUT no this is not spread from person to person. However, I would simply wait until the antibiotics have a chance to work and I would strongly recommend the person not engage in oral sex for several weeks. Since this area is still healing from the surgery, exposure to any bacteria is not recommended until it heals. If you have any other questions, please ask. ~M

45. QUESTION:
    Gum disease – How long have you had periodontal disease?
    How often do you visit your dentist? Did you get any special treatment done other than regular (deep) cleaning? How bad is it if you have pocket depths of 5 and 6? Is it too early to have gum disease in your 30s?

    • ANSWER:
      A person should be visiting the dentist and hygienist every six months for cleanings. The “deep” cleaning you are referring to is called scaling and root planing and is only done on patients with periodontal disease who have deeper pocket depths than someone with healthy gums. Patients with periodontal pockets should be visiting a gum specialist called a Periodontist as often as every 3 months in order to stop or at least slow the progression of the disease. This disease is caused by inadequate brushing and flossing over a long period of time and irregular professional cleanings. It is a complicated process but basically the bacteria in the plaque and calculus on your teeth and under your gums eventually causes bone loss around your teeth and the eventual loss of your teeth.

      Pocket depths of 5-6mm are considered fairly serious and need to be treated right away. The calculus on the root surface needs to be removed by a professional. Also, periodontal disease can absolutely occur in your thirty’s and is even more serious because if it starts progressing at such an early age you could lose your teeth at an early age as well. I hope this info. helps! I am a dental hygiene student.

46. QUESTION:
    Where and how can I get dental treatment as a disabled person?
    I have been in the past diagnosed with periodontis, and was receiving treatments for it, but the treatments (not covered at all by the military’s poor excuse for a dental plan) were eating up all my income, and that was when I was able to work…now, I am about to go through a divorce, and won’t have even the military’s dental plan, but will have Medicare, as I am disabled, due to a severe chemical burn that left me blind and neurological pain that cripples me on many days But I looked up Medicare and it said it doesn’t cover primary dental, so it won’t cover periodontal treatments?

    I really need to get this taken care of…I have large pockets, some teeth have been crushed by impacted wisdom teeth and broken off partially, and many dental problems.

    How and where can I get help with my dental needs? I am on Social Security and will be on Medicare soon…but Medicare doesn’t cover this, and my current dental plan doesn’t, and I’m going to have a hard time just paying rent and groceries with SSI.

    My neurological pain is bad enough, this is not helping at all…all this pain all the time is driving me insane. Help?

    • ANSWER:
      I’m a dentist.

      That’s a tough one. Obviously, without being able to see your mouth I cannot make any recommendations that I am confident would be appropriate for you. But judging from what you’re saying–i.e. that you have many dental problems–you might be a good candidate for having all of your teeth removed and getting complete dentures. Financially and medically, that may be your best bet. Only a doctor who actually examines your mouth can determine whether or not that is actually the case.

      There are practices–albeit rare–that do take Medicare.

47. QUESTION:
    Is periodontal disease going to kill me?
    Im only 22 and have periodontal disease with noticeable pockets, ive had my treatments but have read about the risks on my heart and brain. Is my life expectancy considerably shorter now? Im terrified…

    • ANSWER:
      The theory behind gum disease affecting the heart is the bacteria that grows in the gums can become mobile or enter your blood stream and infect and/or cause plaque buildup in your arteries, or a blockage in your brain. Some studies show that there is a greater risk for heart attack in people with gum disease than in people who have high cholesterol. I do not think that any of this has been proven, and I also think that the risks go down if you have your gum disease treated. I just did some reading about it, and it seems like the worse the gum disease is, the greater the risks associated with it are. I’m sure that since you are so young, if you start taking care of the problem now that you will be fine.

48. QUESTION:
    what are the treatment options for this case.?
    A female patient of age 23 years had taken orthodontic treatment from a quack as she was unknown.She had approached the clinic with the complaint of black discoloration of maxillary central incisors. On oral examination , 11 and 21 were non vital. History revealed that there was midline diastema in maxilla and mandibular teeth which was nil before treatment.Periodontal status was compromised.Ginival recission i.r.t 31 exceded mucogingival junction.Deep bite is massive as it covers all her lower teeth and touch palate. over jet is 6-7mm.she has spacing distal to 11, 12, 21,22,31,32 41 and 42.her mandibular incisors are small so as to attempt for coronopalsty or intrusion. extra orally; she has convex profile and her upper lip is incompetent exposing her maxillary anteriors till cervical line.What are the treatment options in this case.

    • ANSWER:

49. QUESTION:
    What is 1st molar periodontal disease?
    My dentist xrayed my teeth today and informed me of the bone loss that was noticeable around my first molars only. I was a bit surprised. I knew a had a little recession, but i wasn’t aware that it was a first molar problem. my first treatment for perio begins next monday and tuesday.Luckily my other teeth are strong and there is no bone loss there. Does anyone else have a similar problem?

    • ANSWER:
      That is weird that you only have it on first molars. All 4? In teenagers u see juvenile periodontal disease, which is usually in one localized part the mouth only. What treatment are you having and how bad were your probe readings? How long have you been going to that dentists? If they have previous records, they can compare to see how fast it has progressed. Bone loss can also be caused by braces (It happens when teeth move, but it is usually not a problem) or if your bite is not even, you can also get bone loss

50. QUESTION:
    Can I smoke cigarettes (or other things =) after periodontal deep cleaning?
    I just had this procedure done this afternoon. Please note that I had Arestin treatment done as well.

    Also, any suggestions on what to eat? My dentist told me nothing crunchy, sticky, hard or spicy, but also told me nothing with seeds (no berries) and no sandwiches because of the bread. SO HUNGRY!

    • ANSWER:
      Soup or how about ice-cream?

      I got a tooth pulled last week and was told definitely not to smoke for 24 hours, 24 hours!!! I lasted 4 but only because I had a nap. Been smoking like a chimney ever since and it’s healed up fine. ;D