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

I have moderate periodontitis with some mobile teeth. Is it good to do extraction?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At February 10, 2021
Reviewed AtFebruary 10, 2021

Patient's 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.

Answered by Dr. Naveen Thomas

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 lower jaw, there are two or three teeth in the front with severe periodontitis and it is present in the molars too. You can use Betadine mouthwash to avoid infection and antibiotics can be taken. Please mention whether you have pain or swelling in that area. The dentist has suggested you the correct treatment.

Patient's Query

Thank you doctor,

I have pain in the upper teeth on the right side. I can attach some photos of the lower teeth. Is there a possibility for me to have gum regeneration or gum grafting or bone addition to save the teeth?

Answered by Dr. Naveen Thomas

Hi,

Welcome back to icliniq.com.

If you want to save the teeth for some more time, then you can do a root canal treatment in the upper right side and it can be managed for a couple of years. It helps to provide relief from pain if proper care is taken. In the lower teeth, gum regeneration is not possible at this age. But you can make the teeth more firm by doing root canal treatment. It helps to adhere the teeth to the alveolar bone more firmly.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Naveen Thomas
Dr. Naveen Thomas

Dentistry

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