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How Can Gingival Recession And Severe Tooth Decay Be Treated?

Posted on Tue, 18 Jul 2017

Question: Hi ,I have gum issue..as well as having cavity now in on eof my teeth..my front 4 teeth 2 up and 2 below..has gone extremely week..

Answered by Dr. Honey Arora (43 minutes later)

Brief Answer:
Please elaborate the query.

Detailed Answer:
Hi..
Thanks for the query..

If you have a cavity in your tooth then please first of all tell me that do you have pain in tooth that is having a cavity or is it superficial?
- Secondly please tell that what is the exact problem with the gums in your upper and lower front teeth?
-Is there bleeding from gums or gum recession?
-Are your teeth getting loose?
-Do you have pain in teeth?

Please revert back with answers..

Regards..

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Honey Arora (11 minutes later)

Hi Doctor,

I have cavity in one of my teeth..that has been identified in full mouth x-ray.

And I have extreme gum re-cession in my 2 front lower teeth ,because of which I have slight pain in one of my lower teeth.

I don't want to loose my natural teeth..hence worried.

I want to know the best approach that can be taken to save my teeths and prevent it from further detoriation.

Let me if more info is needed.

Answered by Dr. Honey Arora (39 minutes later)

Brief Answer:
You need treatment of gums.

Detailed Answer:
Hi..
If you have gum recession then it has to be treated to prevent fall of teeth due to severe loss of attachment..
Also you should get the cavity filled to prevent progress of decay..
But first of all please send me clear pictures of your teeth and also upload your full mouth x ray so that I can evaluate the severity of bone loss and your pictures will help in checking the level of gum recession..

Please revert back..

Regards..

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Honey Arora (58 minutes later)

Hi Doctor,

I have uploaded my full mouth X-ray and my teeth pics..

Please let me know your opinion which could be best to save my teeths.

Please let me know,if anything else is needed from my end.

Thanks,
XXXX

Answered by Dr. Honey Arora (26 minutes later)

Brief Answer:
Bone loss, needs Periodontal treatment.

Detailed Answer:
Hi..
From your x ray I can see bone loss that supports the teeth..
Also there is slight recession of gums .
You should consult a Periodontist and get evaluated..
First of all deep scaling and currettage should be done followed by a course of antibiotics like Metronidazole and chew a Vitamin C pellet daily..
Do warm saline gargles and antiseptic mouthwash gargles..
Massage your gums with an antiseptic oral ointment like Chlorhexidine or metronidazole containing gel..

Wait for a month to check for the progress of treatment..
There is considerable bone loss therefore treatment like bone grafting or flap surgery can be advised..

For the decayed tooth, the decay is reaching the nerves, therefore Root Canal treatment can be done..

Hope this helps..

Regards..

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Honey Arora (12 minutes later)

Hi Doctor,

Thanks for your detailed analysis.

But I consulted few PERODONTICS here some of them are suggesting Bonegrafting and some has asked for to go for Laser version of Flap surgery known as 'LANAP' FOR REMOVAL OF GUM DIS-INFECTION.

Any idea which would be best re-commendation.or should I consult an oral surgeon as well to get hos opinion.please suggest I m so confused..:(

Thanks,
XXXX

Answered by Dr. Honey Arora (14 minutes later)

Brief Answer:
You can go for LANAP PROCEDURE.

Detailed Answer:
Hi..
You can go for LANAP Procedure but only if your
Periodontist is well trained in it..

Please let me know for further queries..

Hope this helps..

Regards..

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Honey Arora (9 minutes later)

how about taking opinion from oral surgeon..will that help in this case..?

And will LANAP procedure will help me to retain my teeth which has gone so weak..do I need to go under some other procedure as well to save my teeth.

pls suggest

Answered by Dr. Honey Arora (3 minutes later)

Brief Answer:
Taking Periodontist advise is sufficient.

Detailed Answer:
Hi..
You should take advise from Periodontist only as they are specialised in gum related problems.
Yes, LANAP PROCEDURE will help in reducing infection and healing the bone and gums that will eventually help in retaining the teeth..
Deep cleaning followed by LANAP Procedure will be sufficient..

Hope this helps..

Regards..

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Honey Arora (5 minutes later)

Thanks for all ur suggestion doctor..it really helps..thank you so much for your reply and your time.

Answered by Dr. Honey Arora (10 minutes later)

Brief Answer:
Please rate the query.

Detailed Answer:
Hi..
It is my pleasure to help you..

If your query is resolved please close the query, give a five star rating and write a positive review..

Wish you a good health..

Regards..

Note: Find out which dental treatment will work best for your teeth. Ask here.

Above answer was peer-reviewed by : Dr. Remy Koshy