After losing 7 teeth within a year, I finally got the courage to visit the dentist. She diagnosed me with advanced periodontal disease. My case is out of her hands, and she is referring me to a periodontist. Although I’ve neglected dental appointments all my life, the good news is that I am fortunate to have employment and good dental coverage. I don’t know what to expect with a periodontist, and my dentist hinted that I should save my questions for the expert. I still would like to know if my gumline is slow are both dentures and dental implants an option for me? I’m only 51 years old, and I prefer not to have full dentures. – Kinston from GA

Kinston,

Your dentist is wise to refer to a periodontist to treat your gum disease. The periodontist will evaluate your medical and dental history before recommending any form of tooth replacement.

Factors that can affect your options

• Advanced gum disease– Healthy gums are essential for healing around the implant for a snug fit. Diseased gums will interfere will the healing process.
• Bone loss – You need enough bone volume to support dental implants. Advanced gum disease spreads to the bone and can deteriorate it. Additionally, missing teeth result in bone resorption. If you’re a candidate for dental implants, you might need bone grafting first.
• Your physical health – Certain autoimmune diseases and health conditions, including diabetes, must be well controlled before you receive dental implants. Your body must be healthy enough to promote healing, so the implants and your jawbone will fuse.

Removable dentures

Removable complete dentures will decrease your chewing efficiency. They are not stable, and they can lift or slip.

Implant overdentures

Although it might not be possible or practical for you to receive individual dental implants, your dentist can secure a denture to two or more dental implants. Implants make dentures look and feel more like your natural teeth. Your dentist can snap—or screw—the denture onto dental implants. Any option that includes dental implants will give you a healthier and more attractive smile.

Best wishes for a steady recovery and healing from periodontal disease.

Dr. Ryan Perry, a Baton Rouge dentist, sponsors this post.