Advice about bone grafting

WelcomeForumsAsk a periodontistTreatment OptionsAdvice about bone grafting

This topic has 9 voices, contains 10 replies, and was last updated by  anklechristian 11 days ago.

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February 16, 2010 at 12:00 am #9717

pc
February 16, 2010 at 12:00 am #9733

pc

Hi there,

I saw your website, nice site. I’m looking for advice about periodontal treatment.

I have widespread gum recession and bone loss (5 to 6mm pockets, although my periodontist is putting me on extensive SRP to reduce pocket depth and to “seal up” the gums to keep bacteria out). I live in Vancouver, Canada and the periodontist I’m seeing says he is not able to do guided tissue regeneration (e.g. bone augmentation) for the widespread bone loss that I have.

Fortunately, I have large teeth and roots but the bone level is getting low. My teeth are not loose yet but I need to take action now.

I’m looking for a 2nd opinion and I’m looking for a better periodontist who can do the bone augmentation to provide more support for my teeth. I was wondering if you could point me to periodontists in western Canada or in the northwestern U.S. who are experts in bone augmentation, bone grafting for teeth, or even gum/bone regeneration in teeth. Ideally, I’d like to see such an expert who is close to Vancouver, e.g. Washington state, Oregon state, or western Canada.
But I could even fly out to other parts of Canada or the USA to see such an expert.

Do you have any suggestions about some experts or treatement in this field for my situation? Thanks for your help

February 17, 2010 at 12:00 am #9734

Jack Wasserstein, DDS

If you are already seeing a Periodontist and he is advising you that you are not a good candidate for bone grafting, then that is probably the case. Specifically, and based on what you are describing this sounds like your situation, when your pattern of bone loss is horizontal it is difficult and very unpredictable to regain the bone height around teeth. You can think of horizontal bone loss as follows – when the bone recedes evenly around the tooth from the top towards the bottom of the roots. Typically it spans more than just one tooth. There can be gum recession in association with the bone loss as well. If indeed this is your situation, conventional periodontal treatment – scaling and root planing and periodontal surgery is the most predictable and cost effective approach.

Bone grafting is usually employed when the bone loss around the tooth is in a vertical pattern. In this scenario, the bone loss is in a v shaped pattern adjacent to the tooth – I hope to post some pictures soon. In these scenarios, you can attempt to regenerate the bone next to the tooth and as high as the preexisting level of the bone.

I would advise you to get a second opinion from another local periodontist, before traveling. If you need a referral I recommend http://www.perio.org which is the official website of the American Academy of Periodontology.

If you have any radiographs to send that would also be helpful in commenting about your specific situation.

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There are several other wedding day options. There are people gotten married in submarines or possibly in air carriers. People experience gotten married when they were skydiving or even on foothills. For the best quality wedding you get you really should find one and only thing you love doing together with your partner some of the most and make an attempt to get married during that setting. Eventually, there can be no finer tactic to get wed then through doing genital herpes virus treatments love as soon as you say, I really do. Occasion DressesPutting together with each other a invitee list for one’s wedding are usually chaotic, to state the the very least ,. If most people thought that refining their plans wedding might possibly be simple, welcome for the wacky world belonging to the guest record. Here are actually some tips to help you to through.

Putting together a married relationship guest checklist may be understood as the easiest tasks you will need to do in your wedding intention. However, when you will soon understand, this did not be farther from your truth. Simply recording your closest relatives and buddies may not necessarily be tricky, but simply wait until your household and the future spouse’s family results in being involved.
Special Occasion GownsThey may choose to invite most 30 from your long displaced cousins from other side of this country! Although this might sound just fine in your direction, if that you’re paying for ones wedding oneself, it be capable of turning into a seriously different account.

Sure, putting together being married guest list is just about the most stressful parts of planning a marriage. While it’s not necessary to want to be able to insult the relatives additionally your relatives-to-be, it won’t always result that method. There often be one or more person on the group who would like to invite everybody they realize. Keep in the mind that concerning your wedding, you with your fiance will probably be the ones who’ve got to go around and speak to and thank everyone of these people intended for coming. Do you really want to enjoy your evening with people you no longer even realize that well? This is the reason when preparation your wedding day guest record, try to have it to people you actually want to have presently there. Wedding Jewelry SetsThis is usually the day in your future husband or wife, no an individual else’s.

Today, on and the second hand, if a different person is covering your wedding party or helping to fund your wedding and reception, you have to be respectful towards their very own wishes. As an example, traditionally, the bride’s parents buy the wedding ceremony. So if they wish to have a challenging lost dad or 2 there, they need to have some say in that ,. However, if your immediate future mother-in-law wrists and hands in a listing of 200 involving her nearest relatives, the bride’s father mustn’t feel obligated to fund something of that ranking. A boundary has to be drawn around. One of the important things note is that the different bride and additionally groom’s closest family and friends get invited, with not everybody left away. When it arrives at an invites, the bride’s close friend should come until the mother-in-law’s 2nd cousin. Other than that, everything other than them is negotiable.

It will be responsibility from the person paying plus the bride along with groom (even should they are definitely not paying) to choose a number during which to covering the customer list at. When achieving this, realize who everyone probably will not invited along with feelings gets hurt, but which is sometimes a problem specially when financial issues could happen. Your guests along with your pocketbook is going to understand!.

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