Hi NAM1,

I understand that you are scared and worried. From what you have described, your dental issues are indeed complex and I think there is more to the situation than maybe you even realize.

To begin with, having diabetes especially uncontrolled, puts you in a high risk category for periodontal disease because diabetes impairs the white blood cells which are the main defense against bacterial infections. Periodontal disease is a bacterial infection. Chronic or uncontrolled periodontal disease causes bone loss. Also, healing from gum surgery may be compromised due to limited blood flow to the surgical areas.

Were all of these dentists aware of your diabetes prior to the dental work? It is risky for someone with uncontrolled diabetes to have elective gum surgery, never mind repeated ginigivectomies. I find it beyond comprehension that your dentists performed this surgery on you repeated times.

It is possible that the gum tissue just never healed properly since the first ginigvectomy was done and subsequently there after. The reason for this could be due to your diabetes and not the actual procedure itself. As far as the dentist leaving cord underneath the gum tissue for approx 11 months.... if that were the case, you most likely would have developed a severe, painful bacterial infection in those areas. The inflammation would have been severe and infection would have set in very quickly. So I'm not sure what the dentist thought he pulled out of there, but I highly doubt it was the cord used in the preparation of your crowns or bonding.

You wrote that #9 has been root canaled. Root canaled teeth harbor alot of bacteria in them which can spread from that tooth through the bone to the adjacent teeth. This is commonly seen in the upper front teeth due to vascularity and the thin bone in that area of the mouth. This could be another reason why the gum tissue over 8 and 9 never seems to heal properly.

My suggestion to you would be to avoid any further gum surgeries. The healing of the gum tissue is compromised because of your uncontrolled diabetes and you may never get the results you are hoping for. Perhaps even worse, it is a health risk for you every time you go through the healing process from the surgery. Unless your teeth are broken down, avoid any additional crowns or bridges because they tend to irritate the gum tissue and can be more difficult to keep clean. It is imperative that your plaque level be at a minimum to avoid the progression of the periodontal disease.

There is much literature linking uncontrolled diabetes to poor oral health and vise versa. Studies show that if one of these conditions can be brought under control, the other one is more likely to do the same with proper care and nutrition.

I know you are trying to achieve a certain esthetic look with your teeth, but perhaps you should consider a more conservative approach and seek a dentist who can achieve good esthetic results without surgerizing your gums or reducing your bone any further.

I often refer people to the website IAOMT.org because the dentists and doctors who partake in this worldly organization are more inclined to think outside of the traditional box and because of that, they see the cases that no one else sees.

I really don't think I can be of any other help to you due to the fact that we are in cyberspace and your situation is very complex both dentally and physically.

We are always hear to listen and offer whatever guidance we can.......... please keep us informed on how things are going.

All the best to you...
Bryanna