Patient's Query
Hello doctor,
I have been suffering from gum recession. I visited the dentist, but the doctor said that gum grafting is not possible.
Is there any other option?
Kindly help.
Thank you.
Hello,
Welcome to icliniq.com.
Grafting is done for classes 1 and 2 in Miller's classification. Beyond that, the prognosis becomes poor. Other options are removable partial dentures or implants.
However, if you can share the clinical picture with me, I can suggest the best treatment with a good prognosis.
I hope this helps.
Take care.
Patient's Query
Hello doctor,
Thank you for your reply.
What are the other treatments, except grafting?
Kindly suggest.
Thank you.
Hello,
Welcome back to icliniq.com.
After oral prophylaxis, if the tooth is stable, you can use a desensitizing paste. However, if there is mobility, you need to undergo extraction and get replaced with an FPD (fixed partial denture).
The implant will not be stable. The restoration could not be done due to tooth morphology. However, if the pain is unbearable, you can go for root canal treatment.
I hope this helps.
Take care.
Patient's Query
Hello doctor,
Thank you for the reply.
What are extraction and FPD implants?
Kindly help.
Thank you.
Hello,
Welcome back to icliniq.com.
Extraction means the removal of a tooth. FPD means fixed partial denture or in other words artificial fixed tooth.
A removable partial denture is not recommended for your age. Implants are single-tooth placements, but bone height is not sufficient for them.
I hope this helps.
Regards.
Patient's Query
Hello doctor,
Thank you for your response.
How many days will it take for the overall procedure?
Kindly help.
Thank you.
Hello,
Welcome back to icliniq.com.
It depends on the procedure you take. For FPD, there are three to five sittings and four to five days, including laboratory work. But it will start after 15 days of extraction, and that too after good healing.
I hope this helps.
Regards.
Patient's Query
Hello doctor,
Thank you for your response.
I visited a periodontist who told me to use electric floss. I used it, but it happened.
What should I do?
Kindly suggest.
Thank you.
Hello,
Welcome back to icliniq.com.
The concerned periodontist has prepared the recipient site, most likely for a free gingival graft, using either a laser or electrocautery. This procedure may help prevent further progression of the condition, but there are fewer chances of reducing tooth mobility.
I am quite surprised that, just for increasing the width of the attached gingiva, the procedure was performed without even an oral prophylaxis beforehand. Since the surgery has already been carried out, I suggest that you take the appropriate postoperative precautions.
I hope it helps.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
I cannot understand; in this case, has grafting been done or not?
Kindly help.
Thank you.
Hello,
Welcome back to icliniq.com.
Please note that the picture shows (attachment removed to protect the patient's identity) only the formation of the recipient bed for the graft.
However, the graft itself has not been placed yet. It appears that vestibular deepening has been performed, and probably after 10 to 15 days, either a free gingival graft or a connective tissue graft will be placed at this site.
I hope it helps.
Thank you.
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