Local periodontal information online: 

As we will discuss, gum disease or periodontal disease can happen at any age. Later in life, chronic periodontal disease can cause teeth to become loose and possibly need to be extracted - if not addressed. It is estimated that just in the USA alone, some 45% plus of people ages 30 and older have some form of periodontal disease. This may be mild gingivitis with slight bleeding when flossing, to advanced periodontitis disease. 

Local Gingivitis Question Online - How do I know have gingivitis?

Gum disease can happen for children who have teeth, young adults and adults. Basically, to anyone with their teeth. As we will discuss, gum disease untreated can lead to older adults to lose teeth. Gum disease is the most common way adults lose their teeth, especially after the age 50.  Interestingly enough, it is estimated that some 60% plus of children ages 6 to 11 of the population have some sort of gingivitis. Gingivitis is the earliest presentation of gum disease, and it’s characterized by inflamed, bleeding gums. Advanced gum disease, known as periodontitis, includes destruction of the bone surrounding the teeth. We do get asked many local gingivitis questions and some people do want an online virtual teledentistry gingivitis consultation of their gums - to get a general idea of what is going on? All forms of gum disease are caused by harmful bacteria that produce toxins and elicit an inflammatory response from the immune system.

What are the best ways of taking care of your teeth?

Good oral health starts with consistent daily habits.  Regardless of the tools used, a routine sets the foundation for healthy teeth and gums. Brushing with a manual or electric toothbrush cleans sticky bacterial plaque off the surface of the teeth. Floss, toothpicks, or small brushes remove plaque and debris from between the teeth. If you only brush, you miss over ⅓ of the tooth surfaces, and gum disease most commonly begins between the teeth.

Common dental prophy and scaling question is, what is the difference between dental prophy cleaning and scaling and root planing?

Visits with a registered dental hygienist are essential to monitor your gums and help you maintain a healthy mouth. A dental prophy includes removal of mineralized plaque, called tartar or calculus, above the gumline.  A professional polishing removes stain and micro-deposits as well. However, scaling and root planing involved removal of deposits below the gumline with hand instruments and ultrasonic scalers. A prophy cleans above the gums, and scaling and root planing cleans the roots belows the gums.

Scaling and Root Plan Periodontal Treatment Question,  Scaling and Root Planing Teledentistry Consulting - How do you know if you need scaling and root planing?

Your dentist and hygienist evaluate the bone levels on your x-rays, We do get asked many local scaling and root planing questions online by patients - wondering why they need to do this procedure?  Many people also inquire about teledentist periodontist scaling questions on why their teeth are hurting after having done this procedure? By scaling and cleaning under the gums, can cause the gums to be sore and have some pain for a couple days or so. Before doing this procedure, your dentist or hygienist may conduct a thorough exam using dental probing to check the specific depths of the gum pockets around each tooth. If these pockets are deeper than normal, scaling and root planing may be advised to clean away deposits that cause bone loss. This procedure also disturbs the bacterial population in each area and helps your body fight this chronic infection.

Gum recession teledentistry consultation and local perio gum recession question chat online If you have severe gum recession around a couple of teeth, what is it?  How can this be repaired?  

The gums sit high around the neck of the teeth and cover the roots and protect the bone. However, this thin tissue may recede around the root and expose the underlying tooth. Many people ask online gum recession questions or want a local teledental gum recession consultation online - to find out why their gums keep receding? As we are discussing, gum recession or the receding of gums can happen to people who brush too hard or have gum disease. Gum Recession causes the thin bone around the tooth to drop, and this may possibly lead to tooth loss.  Gum grafting is a procedure that allows areas of moderate to severe recession to be covered again. In most cases, the dentist uses some of your own gum tissue and grafts it over the exposed root.

Dental Bone Grafting Question Chat - What is dental bone graft? 

When a tooth is removed, a large hole is left in the bone. Over time, this area will fill in with new bone. But many of these areas will shrink and leave less bone. This shrinkage may compromise the neighboring teeth or limit the possibility of a future dental implant. A bone graft adds bone, commonly ground cadaver bone, to the site to encourage dense, healthy bone to form in the void. Hence, dental bone graft is done to replace dental bone loss, usually caused by tooth extraction or severe gum disease. We do get asked many local dental bone grafting questions online, such as how long until I can eat after getting dental bone grafting procedure. Generally, want to have a softer diet for the first day and first allow the anesthesia to wear off - which should happen within couple hours or so after the procedure. As a patient, should ask your dentist to provide instructions - as some people have medical conditions, etc. For example, if are diabetic, then need to make sure to be prepared prior to procedure and understand what needs to happen.

Can I get a Dental Bone Graft after a tooth extraction?

Many tooth extraction sites benefit from a bone graft that’s placed at the time the tooth is removed. Since there’s a hole present, the dentist can place grafting material into the site and close it over with a special membrane and sutures. This procedure is always worth considering if you’re considering a future dental implant. 

Dentist Bone Graft Questions Chat - Teledentist Bone Grafting Consultation: Why would I need dental bone grafting if getting dental implants? 

A dental implant can provide a lifetime of benefits, but it requires adequate bone to support it. In areas where teeth are missing, the bone often shrinks and may be inadequate for a replacement implant. Many people go online to ask a local bone grafting question online or do a virtual dentist bone grafting question consultation online.  Why, because many people are not sure if they want some form of dental bone placed into their mouth - and want to know why it is necessary? The reason you may need bone grafting to create enough solid bone for an implant. In some cases, grafting can be done at the same as the placement of the implant. In other cases, it needs to be done as a separate procedure. We will discuss this further in this local periodontal treatment question chat article.

Children Gingivitis - Young Children Gum Disease Question Chat:  

As we discussed, over 50% of children from the ages of 6 to 11 have some sort of gingivitis. We do get asked many local children givingivitis questions online about this topic. Why do children from these ages getting givingivitis?  The main reason is that children in these ages are less likely to brush properly and have higher levels of plaque - which can cause some levels of gingivitis.

Orthodontic braces gum inflammation questions - Why do my gums seem puffed up or inflamed with my orthodontic braces?

Braces include brackets and wires that are bonded to the teeth.  People do ask about ortho braces questions and orthodontics brackets question online about food being trapped under them. This extra hardware often traps food and plaque around the teeth and causes inflammation in the gums. Patients that have braces need to take extra time and effort to clean around the metal components. A water flosser, like a Waterpik or something like that, can be useful to flush away plaque and food i used properly.

Local Dental Prophy Question Online - Why would I need more than 2 dental prophy cleanings per year? 

If you’re suffering from gum disease, an extra visit or two each year can make a significant difference. When your hygienist disturbs the harmful bacteria under the gums, they’re unable to build up and create more damage. If you’re unable to brush and floss adequately due to arthritis, stroke, or other dexterity issues, additional cleanings can help you maintain oral health.

Dental Hygienist Question about gum probing - Why does my dentist or hygienist probe or measure the gum area between my teeth? 

Between your teeth and gums, a small crevice exists. This gum pocket is usually 2-3 mm deep. But when the gums become inflamed, the pocket may increase to 4 mm. As gum disease progresses and bone dissolves, this pocket can increase to 5mm or more.  Probing of these gum pockets provides clear, objective data about the condition of the gums and bone around the teeth.  The exam also helps your providers monitor the stability or progression of existing disease.

Dental Gum Flap Surgery Question - What is gum flap surgery? 

When a moderate amount of bone is destroyed from gum disease, deep pockets form around the teeth. We get asked local periodontal gum flap surgery questions online, for people that do have perio disease and are being recommended this procedure by their dentist or periodontist. So what to do if have deep gum pockets around your teeth? These deep gum pockets can be difficult to clean, even for a dental hygienist. Dental Gum Flap surgery opens the gums and exposes the root surfaces of the teeth for thorough cleaning with fine instruments. Then, the gums can be repositioned so that the pockets are smaller and easier to maintain. This can lead to exposed roots and sensitivity, so a plan to control side effects should be discussed.

Loose teeth question & teledental mobile loose teeth questions - If several of my teeth are loose, what is going on? 

Multiple missing teeth is a strong indicator of advanced gum disease and significant bone loss. People do ask us local severe perio gum disease questions online, about loose teeth that are hurting when they chew on them. If do have loose teeth, then this may be from some sort of periodontitis or severe gum disease? As the bone dissolves, the tooth loses critical support and becomes mobile.  If teeth have ever been subject to trauma, such as a fall, they could have undiagnosed root or bone resorption. Regardless, loose teeth should always be evaluated immediately by a dentist.

Periodontist Chat - Tele Periodontist Consultation: 

Dentists specialists that specialize in the treatment of gum disease are called periodontists. Periodontists can provide gum disease treatment and place dental implants for their patients. People now go online to get local periodontists telednetistry consultation online - virtual teledentist periodontist consulting can be done to get more perio information and ask periodontal questions about the patients mouth.

Severe gum disease problem questions online - If I have gum disease, can I get dental implants? 

Gum disease is a chronic infection that leads to inflammation and bone loss, and this condition can affect implants, too. If the disease isn’t under control, dental implants are at risk for bone loss just like teeth. If your dentist identifies gum disease, this should be addressed prior to dental implant placement. Once you clean your gum areas, then dental implants can be a good choice.  Having a healthy gum area to place dental implants is important.  

Dental Bone Grafting Teledentistry Consult - Dental Bone Graft Question for Dental Implants:  

Some people with lots of dental bone loss around the missing teeth area where they want to get dental implants placement, may require dental bone grafting procedures. People are now starting to use Teledentistry Gum Disease Consultation or Dental Bone Graft Teledental Consulting with local dentists to get more dental periodontal information online.

Immediate Dental Implant Question - Tele Dental Implant Consulting: What are immediate dental implants?

When teeth are removed, there’s a hole where the tooth used to be. With single-rooted teeth, it may be possible to place an implant into the area at the same appointment. This is called an immediate dental implant. If there’s infection in the bone, or the tooth is multi-rooted, it’s usually necessary to let the area heal prior to dental implant placement. This may take several months. Many people ask local immediate dental implants questions or teledentistry dental implant questions virtually while doing a live virtual dental implant consultation. Many times people want to know if it is a good idea to have immediate dental implants placement? Immediate dental implants are being done by those with experience, and may be a good way of getting dental implants?  Though, the person should understand the pros and cons - which your dentist, periodontist or oral surgeon can explain. 

Summary: Asking periodontist questions, getting local periodontal teledentistry consultation and local teledentist gingivitis information virtually. Providing gum disease answers online. Immediate Dental Implant Placement Question after Tooth Extraction Discussion.

We discussed local online periodontal disease in this local periodontal blog. Gum disease can cause dental problems if not treated. People now can get local teledentistry periodontist consultation online to get more perio information online. As we discussed, some people have an immediate dental implant placement right after having a tooth extracted. These type of procedures need thorough dental treatment planning and good dental imaging x-rays.