I do my cleanings every 4 months and the dental check up twice a year. My dentist never said anything about posible bone loss that I need to watch out for. Then out of nowhere in my last check up upon complaining of tenderness, he referred me to a periodontist who said I need a bone graft and extraction due to severe bone loss. How can this happen so quickly? Should my dentist or hygieniest have known this prior to my last check up?