Monday, April 27, 2009

Do I need all these dental procedures?

I had my wisdom teeth removed at 31 and 2 years later am told I have bone loss and need a bone graft. I went to see a periodontist about this and he also mentioned several gum grafts and frenectomy procedures. All this seems very aggressive in my opinion since overall I have a very healthy mouth. I do have some recession but it has held steady in the last 3-4 years. I am not sure I need all the treatments recommended by the periodontist....your thoughts??

Do I need all these dental procedures?
When you are unsure about the recommendations you received, make an appointment with another dentist for a second opinion. Some dentists are more on the conservative side, some are more aggressive in their treatment recommendations. Take the treatment plan print-out you should have received from the first office with you to the second office. That will give the second dentist a better idea of what was recommended to you, since he will understand the dental terminology. If you did not get a print-out, ask for one. Don't automatically asume that the original treatment plan is wrong or too aggressive. If the second dentist recommends something different, ask him why. Hope this helped.
Reply:If it impacts the way you eat and live everyday, then do it, otherwise if it doesn't, then don't get it.
Reply:A dentist and an oral surgeon to whom he referred to me once said I needed 5000 worth of work like that. I went back and checked with my old dentist. He said everything was ok so I didn't do it. Nothing bad happened. That was thirty years ago. Nothing bad has happened.





Try another dentist and c.
Reply:Are your teeth loose? That's the only reason I could think you may need a bone graft. Are the roots of your teeth showing and causing extreme sensitivity? That's the only reason I could think they would want to give you a gingival (gum) graft. If you answered no to these questions, they are being to aggressive in my opinion.
Reply:Get a second opinion from another periodontist (not in the same office). ALWAYS get more than opinion on any recommended major procedure.
Reply:I would encourage you to get a second opinion but be cautious. Typically you need a bone graft when your bone levels are too low. How many people have you ever heard say "I lost a lot of bone around my teeth?"





Yet 40-60% of adults have bone loss, some severe and some mild. It is caused by Periodontal Disease, a silent disease. You don't usually know you have it until a dentist finds deep pockets and radiographic bone loss, or when your teeth start to wiggle and fall out.





I value my teeth greatly, so I wouldn't just "not do it" because you don't notice any problems. By the time you notice problems, it very well could be too late to do anything at all.





Get a second opinion, find out exactly why they want to get ina bone graft and gingival graft. If it is for cosmetics, and your teeth dont bother you, then skip it. But if it is because you have a compromised mouth because of gum disease, I recommend jumping on that and getting it taken care of!


Good luck to you!


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