over 90% bone loss

[Anon_7898]

I have been diagnosed with localised, aggressive periodontitis for my upper right canine and the prognosis is extremely poor. I have no idea how this has happened but for my age it is practically unheard of. I have been attending regular dental visits since I was 17, and it feels like this has literally happened out of the blue. My gums have been bleeding since I was a teenager, and my dentist always brushed it off and just told me to floss. I used to floss RELIGIOUSLY but they still continued to bleed whenever I brushed (really badly). This carried on until i was 21, and I had a dental abscess. It was at that point my dentist referred me to see some student hygienists (didn't even know what a hygienist was prior to this, i was very young and naive). Eventually, my gums stopped bleeding but by then it was too late for my upper right canine. the periodontitis is now localised, but the bone loss is absolutely ridiculous. Is bone regeneration surgery worth having? it is very expensive and if the odds are really low then there's no point wasting my money. Are implants even an option at this stage? If i get a bridge, will it change my facial shape? (as i know my jaw bone will resorb itself even more)

 

[Anon_7898]

that is an actual x-ray of my tooth btw lol.

 

[MattKW]

You've obviously had an RCT for this tooth, so it is much more likely that the bone loss is due to the RCT, rather than perio disease. To get me started, why did you get an RCT for this tooth? Do you have any other general X-rays of your other teeth.

 

[Anon_7898]

I had a tooth abscess, as i mentioned lol

 

[Anon_7898]

And all my other teeth have normal bone levels etc. Don’t have any x-rays, need to request them from my dentist

 

[Anon_7898]

Also I had root canal on my front tooth due to trauma, and the bone levels are normal. Why would root canal resorb the bone so badly for my canine?

 

[Anon_7898]

You've obviously had an RCT for this tooth, so it is much more likely that the bone loss is due to the RCT, rather than perio disease. To get me started, why did you get an RCT for this tooth? Do you have any other general X-rays of your other teeth.

also, 2 specialist periodonstists have both diagnosed me with localised periodontitis. are you saying they have both incorrectly diagnosed?

 

[MattKW]

also, 2 specialist periodonstists have both diagnosed me with localised periodontitis. are you saying they have both incorrectly diagnosed?

OK, so I can understand that the 13 might've died from trauma, but it is extremely unusual to get localised periodontitis for a canine. I'm wondering if the RCT is the problem.

1. In what year did you need the RCT? If you get X-rays of this tooth over time, perhaps it will show if the abscess started at the root (RCT problem), rather than the gums (periodontal problem). It is a much more likely cause, and the X-ray indicates more bone loss at tip of tooth rather than top of gums.
2. Was the RCT done by a general dentist, a student, or an endodontist?

 

[Anon_7898]

OK, so I can understand that the 13 might've died from trauma, but it is extremely unusual to get localised periodontitis for a canine. I'm wondering if the RCT is the problem.

1. In what year did you need the RCT? If you get X-rays of this tooth over time, perhaps it will show if the abscess started at the root (RCT problem), rather than the gums (periodontal problem). It is a much more likely cause, and the X-ray indicates more bone loss at tip of tooth rather than top of gums.
2. Was the RCT done by a general dentist, a student, or an endodontist?

Thank you for taking the time to reply. I got the RCT in 2016, as I had a tooth abscess on the canine which led to facial swelling. An endodontist performed this RCT as my usual dentist wasn't available and it was an emergency. At this point there was 80% bone loss, and it is now over 90%. I don't have an x-ray of my canine 2 years ago I will have to see if I can get hold of one - I am planning on requesting my dental records soon. Since a teenager though I have had about 5 gum abscesses on this canine, and then I had one which actually affected the main tooth so needed RCT. Since the RCT I have also had three gum abscesses in the area. The only explanation I can come up with is that inbetween my canine and molar there is a massive gap, and I do not have this gap anywhere else in my mouth. I want to get braces to fix it, but because of the bone loss I am unable to

 

[Anon_7898]

OK, so I can understand that the 13 might've died from trauma, but it is extremely unusual to get localised periodontitis for a canine. I'm wondering if the RCT is the problem.

1. In what year did you need the RCT? If you get X-rays of this tooth over time, perhaps it will show if the abscess started at the root (RCT problem), rather than the gums (periodontal problem). It is a much more likely cause, and the X-ray indicates more bone loss at tip of tooth rather than top of gums.
2. Was the RCT done by a general dentist, a student, or an endodontist?

how comes it is so rare to get periodontitis for a canine?

 

[Anon_7898]

OK, so I can understand that the 13 might've died from trauma, but it is extremely unusual to get localised periodontitis for a canine. I'm wondering if the RCT is the problem.

1. In what year did you need the RCT? If you get X-rays of this tooth over time, perhaps it will show if the abscess started at the root (RCT problem), rather than the gums (periodontal problem). It is a much more likely cause, and the X-ray indicates more bone loss at tip of tooth rather than top of gums.
2. Was the RCT done by a general dentist, a student, or an endodontist?

Also, before the dental abscess and RCT this tooth was noticeably loose

 

[MattKW]

Also, before the dental abscess and RCT this tooth was noticeably loose

Yes, but a history is essential. How did the tooth get traumatized? Did the tooth get trauma first, then develop an abscess requiring an RCT, then become loose, ...?

 

[Anon_7898]

Yes, but a history is essential. How did the tooth get traumatized? Did the tooth get trauma first, then develop an abscess requiring an RCT, then become loose, ...?

I have never had trauma to the canine

 

[Anon_7898]

Yes, but a history is essential. How did the tooth get traumatized? Did the tooth get trauma first, then develop an abscess requiring an RCT, then become loose, ...?

I mentioned that I had trauma to a front tooth, in which I had normal bone levels. I was using that as an example, sorry for the confusion

 

[MattKW]

I mentioned that I had trauma to a front tooth, in which I had normal bone levels. I was using that as an example, sorry for the confusion

OK, but why did canine develop an abscess that was treated by an endodontist? They are very rare teeth to require RCTs in someone so young.

 

[Anon_7898]

OK, but why did canine develop an abscess that was treated by an endodontist? They are very rare teeth to require RCTs in someone so young.

Genetic Overactive immune system response maybe? My grandma had bone loss in her teeth at a very young age

 

[MattKW]

OK, getting nowhere. Canines don't require RCTs for that sort of reason. I'm finding it hard to believe your story. Bye.