Are my teeth gone?

[Umitbat]

Hi
I am not good at caring about my teeth so my gum and bone problems got so big that lower front teeth are moving now.
I am 52.
My dentist said best way to take 4 and do implants.
Any ideas please?

 

[Dr M]

If your teeth are indeed mobile, there is a high chance that you have a gum and bone disease called periodontitis. Although the four front teeth might need to be removed, I would not consider doing any implants unless the periodontal disease has been stabilized. You need to so a dentist, for a full consultation and x-rays, with a possible referral to a periodontist as well before any implants can be considered. Otherwise you will end up losing the implants as well

 

[Dr M]

If your teeth are indeed mobile, there is a high chance that you have a gum and bone disease called periodontitis. Although the four front teeth might need to be removed, I would not consider doing any implants unless the periodontal disease has been stabilized. You need to so a dentist, for a full consultation and x-rays, with a possible referral to a periodontist as well before any implants can be considered. Otherwise you will end up losing the implants as well

 

[Umitbat]

If your teeth are indeed mobile, there is a high chance that you have a gum and bone disease called periodontitis. Although the four front teeth might need to be removed, I would not consider doing any implants unless the periodontal disease has been stabilized. You need to so a dentist, for a full consultation and x-rays, with a possible referral to a periodontist as well before any implants can be considered. Otherwise you will end up losing the implants as well

Thanks for response.
Actually you are right about gum disease antibiotics already started.
My dentist said he will do the plants same in session as teeth taken. Is that a problem?
But 4 front teeth looks like can't be saved ?
Too late for gum grafting?

 

[Dr M]

Impossible to say if gum grafting can be done without more information? Did the dentist refer you to a periodontist? Periodontitis cannot be resolved by antibiotics alone. It is never a solution to any problem. You need to treat the cause of the periodontitis.
I would not place implants in a patient with active periodontal disease

 

[Umitbat]

He is a periodontist.
He will also do a treatment to cure gum disease. I don't know the exact procedure but he said it will take 2-3 weeks. And it is surgical operation.
But he said he will plant fronts immediately after removing teeth. That's a question mark for me too.

 

[Umitbat]

How can i decide to try grafting or not?

 

[Dr M]

If he is indeed a periodontist, I assume that he feels the periodontitis is stable. That is why he wants to go ahead with the implant placement. To decide on the grafting options, you will have to see how much bone is left as well as attached gum tissue, before placing the implants. Unfortunately I cannot comment on that since I don't have any clinical information regarding your case. The specialist will most likely decide if it is indeed required, but you can ask him about it

 

[Umitbat]

Thanks for valuable information

 

[MattKW]

That doesn't look like controlled periodontitis to me.

 

[Umitbat]

That doesn't look like controlled periodontitis to me.

Thanks for response but i didn't understand what you meant

 

[MattKW]

Thanks for response but i didn't understand what you meant

Your gums are swollen, inflamed, and there is subgingival calculus visible on the roots.

 

[Umitbat]

Your gums are swollen, inflamed, and there is subgingival calculus visible on the roots.

Sadly Yes and treatment will start this weekend.
But my dentist insists front 4 are not saveable and must be taken.
Any idea about this?
Thanks again.