Shall I opt flap surgery and bone graft for my loose tooth?

Question

Hi doctor,

I am having severe toothache and loose teeth. I used to chew tobacco for the past 10 years. I am getting severe tooth pain often and some blisters in the gums. My upper sixth tooth got loose and was removed three years ago. I have been to a local dentist and they advised deep scaling, root canal therapy for two teeth, and flap surgery followed by bone grafting. This treatment is too expensive; kindly suggest if there is anything else that can be done. Are all these treatments required in my case? I have attached my prescription and X-rays for your reference.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

It seems that the loose teeth have gone beyond repair and should be removed (attachment removed to protect patient identity). The cost-effective alternative treatment plan do deep scaling first to get clean gums and teeth and then use Betadine mouthwash for one month. Get the loose tooth removed as it cannot be saved. Flap surgery and bone grafting need not be done as they have a low success rate. In the gaps formed by the removal of the tooth, place a fixed tooth to get a good occlusion. Do cleaning every six months to prevent such blisters and loose teeth.

I hope this helps.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

If you can keep your teeth clean and do scaling every six months, then there is very little chance of it spreading to another tooth. Use either Betadine mouthwash whenever possible or warm salt water.

I hope this helps.

Thank you.