[Wire]

Hi Bryanna, hope you're doing well.

I've started my journey of restoring my teeth today and a journey it is! I've actually come to Bangkok for my treatment as I have become totally frustrated and disheartened with the dental services in Australia.

Today was day 1. Saw three doctors in different fields.

My front top tooth started playing up about three weeks ago and became infected. The nerve system is intact so no requirements for RC discussion. I've been on antibiotics for about 3 weeks and although improved, it doesn't seem to clear up.

Full dental scan done today and two dentists gently advised me that the prognosis was not good and extraction is the only solution.

Then I had my final appointment with a lovely Periodontics doctor for deep scale/root cleaning. She had equipment I haven't seen before and basically sand blasted those little suckers.

Her diagnosis was that there is a chance of retaining this tooth. My little heart took a skip! There was a 6ml pocket and some bone loss along one side where the infection is. She numbed up the tooth and scaled up to 8ml and cleared all the stuff stuck to that root side and then debribed (is that the word?) irrigated the infection out as best she could.

The other side of the tooth has good bone connection and the gums have not receded at all.

She advised me to never again eat hard or sticky food as it could easily slide up and the problem will reoccur. She also suggested I stop taking the antibiotics because after 3 weeks they really hadn't fixed the problem. She advised me to se a qualified periodontics every 3 months for similar deep cleaning treatment, for the rest of time if the tooth stabilises. She feels confident the infection has now been cleaned out.

I'd be very keen to see what your thoughts are.

Tomorrow I see the implantologist for another round of options. Lucky me lol

Thank you Bryanna, appreciate all you answers to all who right you

Sue

[Wire]

Hi Bryana,

My one of my front (upper) top tooth had a 6mm pocket and I was on antibiotic for several months to try and clear it up to no avail.

The new periodentist said she did a thorough clean uo on the root of the tooth, scaled it well and told me to stop the antibiotics as I won't need them any longer.

There was a 6mm pocket along one side of the tooth (full of stuff) and she managed to get up to 8mm feeling confident she cleared all the infection that had gathered there. All signed of infection cleared up immediately, and three weeks on all is good.

She said there was some chance this tooth could be saved if I follow her health plan as there is no bone loss on the other side of that tooth at this point.

No root canal issues were present.

The implantologists on the other hand thought that tooth should be removed and when I told him what his periodentist said, he was happy to take he analysis on board and not extract at this point.

What do you think the chances are?
If that part of the root that has bone loss and is completely free from infection would they be able to place bone graft in that site to reattach onto that side of the root? Or is extraction inevitable?

Thank you for all your honest comments, I and all the other posters appreciate it

[Bryanna]

Hi Sue,

How did I miss this post in March???? Was it on a different thread? So sorry if I missed seeing it :/

Okay so I assume you are seeing dentists all within the same practice/office? That can be both good and bad. It's certainly convenient but they are not likely to go against each other if they disagree on treatment.

Did the periodontist use a laser called LANAP to clean out the pocket? This would sound like a clicking sound and there would be a lot of water. Or did she just use an ultrasonic scaler that had a high pitched sound, vibrated and used a lot of water? The laser definitely is more advantageous over the ultrasonic scaler because the laser actually kills the bacteria .. the scaler does not.

Generally, a 6mm pocket that has been treated with either of these things would take several months to heal completely. There is no immediate obvious change to the area with either of these treatments so you have to be very diligent with your oral home care. Did she instruct you to floss or not? With the laser it is recommended that you do not floss for several months up to a year after therapy.

The choice to remove this tooth or not is up to you. You could give it a few months and see what happens.

Bryanna

Originally Posted by Wire

Hi Bryanna, hope you're doing well.

I've started my journey of restoring my teeth today and a journey it is! I've actually come to Bangkok for my treatment as I have become totally frustrated and disheartened with the dental services in Australia.

Today was day 1. Saw three doctors in different fields.

My front top tooth started playing up about three weeks ago and became infected. The nerve system is intact so no requirements for RC discussion. I've been on antibiotics for about 3 weeks and although improved, it doesn't seem to clear up.

Full dental scan done today and two dentists gently advised me that the prognosis was not good and extraction is the only solution.

Then I had my final appointment with a lovely Periodontics doctor for deep scale/root cleaning. She had equipment I haven't seen before and basically sand blasted those little suckers.

Her diagnosis was that there is a chance of retaining this tooth. My little heart took a skip! There was a 6ml pocket and some bone loss along one side where the infection is. She numbed up the tooth and scaled up to 8ml and cleared all the stuff stuck to that root side and then debribed (is that the word?) irrigated the infection out as best she could.

The other side of the tooth has good bone connection and the gums have not receded at all.

She advised me to never again eat hard or sticky food as it could easily slide up and the problem will reoccur. She also suggested I stop taking the antibiotics because after 3 weeks they really hadn't fixed the problem. She advised me to se a qualified periodontics every 3 months for similar deep cleaning treatment, for the rest of time if the tooth stabilises. She feels confident the infection has now been cleaned out.

I'd be very keen to see what your thoughts are.

Tomorrow I see the implantologist for another round of options. Lucky me lol

Thank you Bryanna, appreciate all you answers to all who right you

Sue

[Bryanna]

Hi Sue,

I basically answered this post when I answered your other one except for this one question.

<<If that part of the root that has bone loss and is completely free from infection would they be able to place bone graft in that site to reattach onto that side of the root? Or is extraction inevitable?>>

IT MAY BE BEST TO LET THIS HEAL FOR A FEW MONTHS (PROVIDING NOTHING NEGATIVE DEVELOPS THERE) AND SEE IF YOU GET ANY REATTACHMENT OF TISSUE. IF YOU DO, THEN THE POCKET WOULD BE REDUCED BUT SO MAY YOUR GUM LINE. SO TO PLACE BONE GRAFT THERE NOW MAY JUST DISTURB THE HEALING FROM THE PERIO TREATMENT THAT SHE DID. THEN AGAIN, IT DEPENDS ON WHAT TREATMENT SHE ACTUALLY DID. IF IT WERE LASER, THEN IT IS BEST TO NOT DISTURB IT FOR SEVERAL MONTHS.

Do you have generalized periodontal disease?

Bryanna

Originally Posted by Wire

Hi Bryana,

My one of my front (upper) top tooth had a 6mm pocket and I was on antibiotic for several months to try and clear it up to no avail.

The new periodentist said she did a thorough clean uo on the root of the tooth, scaled it well and told me to stop the antibiotics as I won't need them any longer.

There was a 6mm pocket along one side of the tooth (full of stuff) and she managed to get up to 8mm feeling confident she cleared all the infection that had gathered there. All signed of infection cleared up immediately, and three weeks on all is good.

She said there was some chance this tooth could be saved if I follow her health plan as there is no bone loss on the other side of that tooth at this point.

No root canal issues were present.

The implantologists on the other hand thought that tooth should be removed and when I told him what his periodentist said, he was happy to take he analysis on board and not extract at this point.

What do you think the chances are?
If that part of the root that has bone loss and is completely free from infection would they be able to place bone graft in that site to reattach onto that side of the root? Or is extraction inevitable?

Thank you for all your honest comments, I and all the other posters appreciate it

[Wire]

Hi, thanks for your reply

The dental specialists all work together.

She used the Air Flow cleaning unit plus did a lot of scaling manually and disinfected the root area. She went up through the inside of my mouth as that was where the pocket is. No laser I believe.

Fortunately there isn't any gum receeding around the tooth. Advised me to floss and never eat anything hard or sticky ever again! Plus another visit in 3 months if all is stable, earlier otherwise.

The tooth feels good so far.

I have periodontal issues on the upper jaw but addressed this with 3 extractions a few weeks ago. I hope now I will be free of continual use of antibiotics now I have removed the bad teeth. Will see how the front one goes but I will never put up with infections again, now you've educated me.

I'll be addressing bone grafting at the end of the year but in the mean time the prosthodontics doctor made me a couple of great bridges to cover the gaps.

Ok, so there's a tiny bit of hope

Thank you Bryanna, have a good day.

Sue