Periodontitis

Periodontitis is the inflammation of the structures that support a tooth, which includes the bones, gums, and ligaments. This inflammation is caused by bacteria in the mouth, which can result in bone destruction, and eventually, the affected tooth falls off. It can be prevented by maintaining good oral hygiene.

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I have some mobile teeth with periodontitis. What is the treatment option other than extraction?

Query: Hi doctor,I am a 62-year-old female. I have moderate to severe periodontitis. A couple of teeth are mobile with some crowns. I have some missing teeth. My dentist advised me to have an extraction of seven teeth. I want a second opinion. I would like to treat them first. Please suggest.   Read Full »


Dr. Naveen Thomas

Dentist, Endodontist, Pedodontist, Periodontist

Answer: Hi, Welcome to icliniq.com. In the upper jaw, there are at least three teeth presenting with periodontitis and deep pocket formation. The only option is to do an extraction. If you do not have any symptoms for now, then you can delay doing extraction for few months or for a couple of years. In the...  Read Full »

Is it possible to accommodate dental braces in regions with severe bone loss?

Query: Hello, Most of my teeth was grafted on bottom. A surgery was done because the gums was not thick enough for braces and I had severe gum recession. i would really like to know how much bone is needed to be able to wear braces and if bone loss is severe what are the options to restore it and get any ...  Read Full »


Dr. Shamaz Mohamed

Dentist

Answer: Hi, I understand your need for orthodontic treatment, I.e. using braces. For undergoing braces first criteria is not to have any underlying gum disease. Gum disease like periodontitis cause bone loss significantly and hence need to be prevented by undergoing gum treatment which also includes gum ...  Read Full »

How to control bleeding gums?

Query: Hello doctor, For months now, I am suffering from a gum problem. It bleeds while brushing but no pain. Two connected teeth (as shown in the attached picture) are slightly moving. A white soft gum-like tissue has grown. If I try to brush it away, it bleeds. Keeping in mind that I cannot attend any ...  Read Full »


Dr. Beryl Fredrick

Dentist

Answer: Hello, Welcome to icliniq.com. I have gone through your query and attachment and understood your concern (attachment removed to protect patient identity). From your tooth picture and your symptoms, the condition is called periodontitis. It is a condition wherein the bone and the gums surrounding ...  Read Full »

How to save my molar tooth?

Query: Hi doctor, I am 18 years old. A few days ago, I had a toothache on my molar teeth and have mobility when touched. I have a big hole in that tooth from my childhood. I guess the black circle is the vein of the tooth. I could not afford to get an implant tooth. I had pain in that tooth a year back...  Read Full »


Dr. Prerna Jain

Dentist, Orthodontist

Answer: Hi, Welcome to icliniq.com. From your attached pictures (attachment removed to protect patient identity), it is clear that this tooth is decayed with loss of large crown structure. The decay has also spread to the roots.  As you have mentioned, there is some mobility on touching the tooth and some...  Read Full »

Please suggest ways to manage swollen and bleeding gums.

Query: Hi doctor, I had a cut in the gum after having some food. Later, I gargled with Listerine and it worsens the condition with swelling. I am having bleeding gums while brushing. I am 35 years old and I am diabetic. Please do the needful.  Read Full »


Dr. Naveen Thomas

Dentist, Endodontist, Pedodontist, Periodontist

Answer: Hello, Welcome to icliniq.com. It is called localized peridontitis, which occur sometimes if there was food impaction between the two teeth or some prolonged infection due to plaque and calculus deposition. You should use warm saline gargle thrice a day for a week. Visit a dentist and ask him to cle...  Read Full »

What kind of dental treatment is advisable for periodontitis during pregnancy?

Query: Hello doctor, I have seen a dentist recently who said that I have periodontitis. The dentist could not do an x-ray as I am 17 weeks pregnant. The lower jaw front two teeth are lose and I am very anxious whether I will loose the teeth. What treatment options do I have to fix the loose teeth?  Read Full »


Dr. Disha Kandi Jain

Dentist, Orthodontist, Naturopathy Specialist

Answer: Hello, Welcome to icliniq.com. As per your description, you are having periodontitis, and you are pregnant. It is the inflammation of the periodontal ligament. It should be treated because it may affect the health status. Ofcourse for any kind of second opinion one has to check it clinically or a...  Read Full »

How does the habit of pricking gums constantly affect oral health?

Query: Hello doctor, Ever since I was little I would stick sharp, pointy things between my teeth and poke and pick at my gums. It would cause pain but the pain was addictive, it is like I enjoy the pain. When I was a child I would use my fingernails to do it until my gums would bleed. I know that sounds n...  Read Full »


Dr. Beryl Fredrick

Dentist

Answer: Hello, Welcome to icliniq.com. I have gone through your query and understand your concern. Constant tooth picking leads to gaps between teeth, gum bleeding and gum weakness. Weakness of gums and bone creates more gaps which attract food deposits. These deposits irritate the gums constantly leading...  Read Full »

Kindly explain the treatment of periodontitis.

Query: Hello doctor, Kindly explain the treatment of periodontitis.  Read Full »


Dr. Beryl Fredrick

Dentist

Answer: Hello, Welcome to icliniq.com. Any history of previous braces treatment? Smoking history? Any systemic diseases? Under any long term medication usage? I have gone through your OPG (attachment removed to protect patient identity). Looks like you have a moderate form of generalized periodontitis. ...  Read Full »

Can antibiotics help to treat periodontitis?

Query: Hi doctor, I have history of periodontitis. It runs in my family. I fixed my top teeth (two bridges of crowns), but not my bottom teeth yet. Last few days it got worse as I have one very wobbly tooth and pain all around my jaw bone. I think it got infected. Can antibiotics help?  Read Full »


Dr. Ummah Mohammad

Dentist

Answer: Hi, Welcome to icliniq.com. I suggest you go for full mouth scaling and root planing. After that, follow these: Maintain good oral hygiene, proper cleaning of mouth after every meal and soft massage with fingers. Warm water and salt rinse 5 to 6 times daily. Do not allow food lodgement. Antibioti...  Read Full »

What can be done for gum pain in a pregnant woman?

Query: Hello doctor, I am 8 weeks pregnant and got bad gum ache on one tooth. It is really stressing me out. Can a dentist do anything to get rid of the pain?  Read Full »


Dr. Ummah Mohammad

Dentist

Answer: Hello,Welcome to icliniq.com.If it is just one tooth and there is no associated caries means that is periodontal. So what I suggest is single tooth scaling and root planning will not take much of your sitting time. I think you can go for single tooth scaling but make sure that you go to an experienc...  Read Full »

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