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FAQ:  Gum Disease - Periodontitis - Part A


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Ara Nazarian DDS, Troy MI


  • I was told a couple of years ago that I have mild to moderate periodontal disease on lower left quadrant...more now I'm sure...but my most immediate question is about an area behind a front bottom tooth (just to my right). Down below the teeth, towards the bottom of the jaw bone I guess but not on the floor of the mouth, is a white, round, sort of flat bump on the gum. It hurts and I just noticed it. Though the pain in the general area has been there off and on, more on lately, daily, and instictively massage my chin/jaw area below the spot to try to relieve. I take pain killers with tylenol in them for unrelated problems and can really tell when it wears off. I know there is no substitute for going in, but wondering if the white smooth, flat, sore spot (nothing comes out) could be the prelude to an abcess or is an abcess and if so, how much time do I have before it gets bad to the point of serious complications....not that I'd wait that long. Visitor from CA     (answer)

  • I have been told I have advanced gum disease. I have a pocket behind one of my top front teeth and my bottom front ones have pulled away from each other and one is loose. It has been recommended that I get the two bottom ones extracted, possibly four, then treatments for the gum disease. They would do what they call a "flipper", then would require dentures. They say there is bone loss and can't do anything else. Is there any alternative to having false teeth or can the bone be rebuilt? ...Visitor from OH     (answer)

  • I had a severe infection in my jaw bone two years ago. My doctor prescribed antibotics. Since then I have pain in my teeth and thus far have lost 5 teeth. My teeth basically begin raising up out of the gum line and then finally work their way out. The teeth and the roots all in one piece. The teeth look healthy as in there are no cavities or discoloration. I am concerned as to whether a dentist could pull all my teeth for dentures. I see no reason to have a partial plate done at this time and then have more teeth fall out later. Have you heard of this happening and what do you recommend having done. ...Visitor from OK     (answer)

  • Every now and then my gums itch, I have no idea why. Although I am in my late 30's, all my teeth are intact and I do not even have a filling. So as far as I know, I have no dental problem whatsoever,yet my gums itch every now and then. Could it be related to allergy or cold? ...Visitor from CO     (answer)

  • I have a severe case of perdiontal disease. I know the answer is most likely dentures (ick). Can't my teeth be capped? Are there other choices? ...Visitor from Iowa     (answer)

  • Is periodontal disease contagious? Is this disease (like severe gingivitis (red and bleeding gums) contagious? Can it be passed from one human being to another by kissing? ...Visitor from CO     (answer)

  • Periodontal Disease since Age 22: I have been doing alot of research online about this, but I'm still unsure on what my options are. I am 26 years old and I have been suffering from periodontal disease since I was about 22. I have always brushed and taken care of my teeth so I was a little confused when it started. I have seen a couple dentists about the problem, but was treated poorly and didn't get much help. At this point, my gums have receeded almost entirely from my bottom front teeth, and it is truly beginning to affect my life. I can't seem to enjoy anything that I used to, because in the back of my mind I am constantly thinking about this problem. I wonder what I would be a candidate for? Are implants possible for me? ...Visitor from NY     (answer)

  • Bone degeneration and tooth loss: My dentist wants to pull my four bottom front teeth due to significant bone loss. Is there anything that I can do to prevent this such as perhaps having bone grafted to the existing bone while the teeth are still in my mouth or some other kind of stabilizing surgery? I'm only 46 and don't want to have the teeth pulled when they are not giving me any trouble . . . I realize that I may have to some day, but I would like other options to try and delay this as long as possible. Especially since they are all four bottom front teeth. ...Visitor from NY     (answer)

  • My teeth are extremely discolored (also with old bonding on the front top 6 which was made gray!), I've had braces (and still have 3 crooked front bottom teeth), I have had the full perodontal surgery twice, and I grind my teeth. I'm 42 and looking for painfree and white teeth! The periodontal damage (severe boneloss)is in the rear teeth top and bottom. My question is: Is it worth investing money on crowns (front top 6 teeth)and partials (rear top and bottom with the bottom partial also replacing the crooked front teeth)? They would be white, but would they last with the periodontal problems? Is it true that if the rear problem teeth are removed that the periodontal problem will go away also? Or would dentures be a wiser and more economic solution? I could have had 2 doctorate degrees by now with the amount of money that has gone into my mouth - and they're still ugly!!! And I'm tired of the pain from loose teeth and abcesses regularly! HELP!!! I need to decide ASAP. I'm planning on going to college this fall and would like to be done with this matter by summer.     (answer)

  • I had a minor stroke in January of 2002 with no permanent disabilities. However, the results of my brain scan revealed some abnormal brain atrophy. In June I went to my dentist for my annual check-up and he told me to see a specialist because I had significant gum atrophy. Based on this information, I have three questions on which I would like > you to respond.
    1. Do you know of any global diseases that would have an effect on both the brain an gums?
    2. What are the causes and possible treatments for gum atrophy?
    3. What type of doctor would you suggest I see to address the gum atrophy?
    Visitor from NJ     (answer)

  • I am in quite a quandry. I went to a periodontist today who suggested I have surgery to build up my lost bone mass. This procedure will cost approximately $4,000. A cheaper alternative, costing $750, is to deep clean my pockets, only really prolonging the inevitable tooth loss. I do not have the money for surgery and if spending $750 is really only a "quick" fix, should I just wait and investigate dentures? I am 47 years old. I would appreciate any input you can give me. ...Visitor from NJ     (answer)

  • Gum recession and collapse: I had periodontal scaling and planing and within a couple of days my gums over a part of my front 6 tooth upper bridge severely receded and left a gaping hole. The periodontist could not explain the problem, said he had never seen this before or read about it before. He thought that perhaps I had a reaction to the antibiotic gel placed under the gums. A hygienest performed the procedure and the doctor merely provided the local anastesia. I am searching for an answer as to why this happened. The Periodontist says I need to have it grafted. ...Visitor from NJ     (answer)

  • Dentures for Periodontal Problems? I have been to many many dentists and periodontists with no luck. I have my teeth cleaned every 3-4 months but have been told I have moderate gum disease with some pocketing. My teeth look good but I have problems with my tongue being coated and feeling like I have a breath problem. I have expressed concern about removing my teeth but am told I shouldn't do that. I do have a permanent bridge in the front left side of my mouth. I have tried every product on the market to try to solve this problem. Would you recommend that dentures on my upper mouth would be the right decision? Please give me some advice because no one else seems to know the answer. ...Visitor from VA     (answer)

  • Root Canal and Gum Disease: I have very bad gum disease. All of my teeth are quite loose. Except for the gum disease, my teeth are ok. My periodontist has said it's time to throw in the towel and consider full dentures. He doesn't easily suggest dentures. I don't like the idea of losing all of my healthy teeth because my gums are unhealthy. Could root canal work save them? ...Visitor from MO     (answer)

  • Hurting Gums: My gums on my left side, top and bottom have been hurting so bad I haven't been sleeping. They bleed a little but they are not swollen and they are pink. How can I stop the pain? Do you think I have gum disease? ...Visitor from NM     (answer)

  • Peridontal disease: I am 49 years old and was told by the dentist that I have advanced periodontal disease. So much so that she couldn't figure out why my teeth were so tight in my mouth. She felt they should be hanging on by a thread. I want to get some sort of treatment to align my teeth back. I have one front tooth that sticks out and my bottom two front teeth have moved away from each other until I appear to have a gap. Some of my other teeth are starting to space apart. I've also lost about two teeth in upper left side. Would it make sense to get braces, since I am told I will eventually lose my teeth and there is no way to stop it? ...Visitor from IL     (answer)



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