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What Do These Following X-ray Findings Indicate?

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Posted on Mon, 19 Dec 2016
Question: can you please review the attached x-rays to determine likelihood of tooth loss and recommended treatment? patient has been seeing periodontists. is there any chance of saving the teeth from being lost? are any of the teeth at risk of being lost? We are panicking. is there any advanced treatment to cure the bone loss? Please help. thank you
doctor
Answered by Dr. Mahesh Kumar T S (4 hours later)
Brief Answer:
Mild bone loss, oral hygienemaintainance, scaling, gum surgery

Detailed Answer:
Thanks for your query. I have gone through your query images.
As far as the bone loss is concerned, you have a mild bone loss in the back teeth and moderate bone loss in the front teeth region. This occurs because of inadequate oral hygiene maintainance that results in accumulation of deposits or calculus which in turn lead to bone loss. Right now nothing to worry, no need of any advanced treatment. But maintain the oral hygiene by brushing your teeth twice daily and get your teeth cleaned once in 6 to 8 months. Brush your teeth twice daily and rinse your mouth soon after eating anything. If there is continuation of bone loss then it can be treated with advanced treatments like gum surgery with graft placement.
I hope I have answered your query. If you have any queries reply me back. Take care.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Mahesh Kumar T S (9 hours later)
Brief Answer:
Gum surgery, oil pulling will not help, spend will not affect the teeth

Detailed Answer:
Thanks for your query. I have gone through your query.
The bone cannot be regenerated by natural methods. Endogain also wont regenerate the lost bone. In the back teeth the lost bone can be fixed with the help of grafts but in the front teeth region graft also cannot be placed. If you observe the radiograph in the link what you have sent me, there is mild improvement. No need to worry about losing the teeth. The front teeth has to maintained properly for long life of the teeth.
The oil pulling method also wont help in any way. If you understand the mechanism for bone loss, you can decide what is the treatment plan. The main cause for bone loss is deposits, usually these deposits become hard and are called as calculus. These secrete acid and dissolve bone. So you need to remove the deposits by scaling or oral prophylaxis and future deposit accumulation should be prevented by maintaining Oral hygiene methods.
The orthodontic treatment can be done only if there is sufficient bone support. If there is no bone support we cannot do orthodontic treatment. Orthodontic treatment is used to correct the mal aligned teeth not for regenerating lost bone.
Jaw bone loss can be determined by getting a computed tomography of both the jaws.
Palate will not grow nor any bone grow following gum surgery or grafting. It
Spenda will not affect your teeth.
Sorry for the late reply, There was some problem with the network.
I hope I have answered your questions. If you have any queries reply me back. Take care.

Brief Answer:
no need of bone graft, bone cannot be regenerated

Detailed Answer:
Thanks for your reply. Bone which is lost cannot be regenerated. In the lower front teeth region the bone loss is more compare to other areas. Since you have already got splinting done nothing to worry. There is no need for grafting right now for this much bone loss. In the front teeth we cannot put grafts. Just maintain the teeth in a proper way so that further there should not be any more bone loss. What ever has been lost cannot be regenerated.
I hope I have answered your query. If you have any queries reply me back. take care.

Above answer was peer-reviewed by : Dr. REMY KOSHY
doctor
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Follow up: Dr. Mahesh Kumar T S (2 hours later)
I was informed that the palate (the donor site) will regenerate or regrow after gum graft procedure - is that correct?
When you said in your last message "no need to worry about losing the teeth" - are you referred to the teeth in original message I sent to you (the attached xrays), not the xray from the emdogain link I sent? do you think the teeth will be lost based on the xray images attached to the original message?
is there sufficient bone support based on the xrays attached to my orginal message to have orthodontic treatment?

thanks again
doctor
Answered by Dr. Mahesh Kumar T S (1 minute later)
Brief Answer:
less bone support. take opinion from orthodontist

Detailed Answer:
Thanks for your reply.
Yes I agree that bone will grow in the palate if you take graft from palate. The donar site will be replaced by a soft bone. But the problem is with the recipient site. The original images what you have uploaded in that the lower front teeth have very less bone support. You will not lose these teeth immediately but when compare to normal teeth these teeth have less support. These teeth needs to be maintained properly. Get your teeth cleaned once in 6 to 8 months You better take an opinion from the orthodontist and then go for the orthodontic treatment. Some amount of bone will remodel following orthodontic treatment but bone will not regenerate.
I hope I have answered your query. If you have any queries reply me back. Take care.
Note: Find out which dental treatment will work best for your teeth. Ask here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Mahesh Kumar T S

Dentist, Oral and Maxillofacial Surgery

Practicing since :2007

Answered : 3377 Questions

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What Do These Following X-ray Findings Indicate?

Brief Answer: Mild bone loss, oral hygienemaintainance, scaling, gum surgery Detailed Answer: Thanks for your query. I have gone through your query images. As far as the bone loss is concerned, you have a mild bone loss in the back teeth and moderate bone loss in the front teeth region. This occurs because of inadequate oral hygiene maintainance that results in accumulation of deposits or calculus which in turn lead to bone loss. Right now nothing to worry, no need of any advanced treatment. But maintain the oral hygiene by brushing your teeth twice daily and get your teeth cleaned once in 6 to 8 months. Brush your teeth twice daily and rinse your mouth soon after eating anything. If there is continuation of bone loss then it can be treated with advanced treatments like gum surgery with graft placement. I hope I have answered your query. If you have any queries reply me back. Take care.