I need to have a periodontal surgery where they cut the gums and lay them open to clean the teeth and possibly fill in where there is bone loss. With insurance I’m looking at close to $4000, plus I need a deep cleaning prior to the surgery, which is $1200. From what I’ve been told because my bone loss is 6 to 8 throughout my gums, this may not work. I’m 36, and I’m wondering if it would be better to just have my teeth extracted and get dentures. What do you think?
Sorry to hear about your gum disease problem at such a young age, however your teeth sound like there still savable. Bone loss involving six to eight mm pockets is considered moderate periodontal disease and very treatable especially if your teeth have very little or no mobility. Having the periodontal treatment recommended will stop the progression of the disease, therefore will help prevent you from losing your teeth; however it is vital that you develop exceptional oral hygiene habits and have dental cleanings every 3 months to maintain your smile and dental health.
The periodontal surgery can cost about the same as having all your teeth extracted and having dentures placed. Dentures are not like your natural teeth and most people can’t eat some of the foods they are use to. New denture wearers develop sores and gum pain which can end after a while or can last a lifetime especially if the denture is poor fitting. The bone and gums shrink over the years and dentures can become loose, therefore need to be relined or replaced. Upper dentures seem to stay in place better due to the suction we gain from the roof of the mouth, however lower dentures are another story. On the lower arch we do not get the same suction, there is less of a foundation, and the movement of the tongue prevents the lower denture from staying in place most of the time. If you choose to get dentures we would recommend that you consult your dentist about an over-denture on the lower jaw. This consist of having dental implants placed on the lower arch which then attaches to the denture keeping it stable and more comfortable.
We highly recommend that you save your natural teeth if possible. Always remember you will never have another set of teeth like your own and a denture is the last resort one should take. If you’re concerned how well your teeth will respond to the periodontal surgery and there longevity you should get a second opinion to help you make the best decision for you.
Post courtesy of Dr. Perry, Baton Rouge Dentist.