Treating Periodontal Disease 1. I've tried several times, but unsure what to do with these sections of string. How long does it take after the development of the pockets to progress to a point where surgery is necessary? Each type of bacterium was harvested by centrifugation at 8000 g, and adjusted to an optical density (OD) of 1.0 at 550 nm in the coaggregation buffer (10 mM Tris‐Hcl, 0.1 mM CaCl 2, 0.1 mM MgCl 2, 0.02% NaN 3, and 0.15 M NaCl, pH 8.0) after washing twice with the same buffer. I'm pretty bad at flossing. A pocket charting and bleeding index was done at a mean of 4.6 months after treatment. 10+ Year Member. A deep periodontal pocket decrease procedure has actually been suggested because you have pockets that are unfathomable to clean with day-to-day at-home oral hygiene and a professional care regimen. I was told by the student that my teeth are in great condition, but I have 3-5mm gum pockets all over. Or one of those noname brand ultrasonic toothbrushes? Forums. For periodontal index examination at baseline and postoperative, the result of intra-examiner reproducibility of >90% for ±1 mm between initial and repeated probes was 100%. Aim: The aim of the present study is to evaluate the clinical effects of LANAP as an adjunctive to non-surgical periodontal therapy in the treatment of moderate periodontal pockets. But I will give the Oral-B brushes a look-see. The question is, are you confident in your oral hygiene habits to brush and floss thoroughly enough to the point that you don't let that 4mm progress to something worse? Looks like you're using new Reddit on an old browser. After you’ve got your basic kit, it’s time to add some key players. I brush twice and floss once daily, and have never experienced discomfort or bleeding, so I didn't think things would be weird. I’ve never had any pockets this deep, and of course they want me to see a periodontist. Would a chlorhexidine mouthwash help. ... Why choose a patient with 8-9 mm pockets? After root scaling, re-evaluation, and systemic antibiotics, the patient showed improvement — just not the improvement I sought. Do receding gums really grow back? I was told by the student that my teeth are in great condition, but I have 3-5mm gum pockets all over. I tried expanding floss but that shredded into fibers, went down my throat and made me retch for several minutes. 8.52% of adults age 20 to 64 have periodontal disease. Are the pockets reversible or is my best bet stopping further loss? And if they need to be taken care of, what is the most cost-effective way to do that? I don't eat candy, brush only after meals, and occasionally chew gum. No dental insurance. The Waterpik® Water Flosser is clinically proven to remove plaque and improve gum health.. Generally speaking, 3mm … Your periodontal setup should include a sharp set of standard Gracey curettes plus your favorite go-to instruments. Nonsurgical scaling and root planing are usually successful if the periodontal pockets are shallower than 4–5 mm (0.16–0.20 in). What can I do at home to improve this? A total of 1328 pockets were treated using a 300-μm fiber in contact at 0.4 W for 20–30 sec per pocket with coaxial irrigation. No dental insurance. Periodontal condition was measured as the number of teeth with deep (≥4 mm) periodontal pockets and the number of bleeding sextants per individual. This included SRP (scaling & root planing), as well as doses of Arestin into the gum pockets. Severe periodontal disease is defined as having at least two teeth with interproximal attachment loss of 6 millimeters or more AND at least one tooth with 5 millimeters or more of pocket depth at interproximal sites. however 5 and 6mm pockets are generally in the sweet spot where we can treat with generally a fair prognosis. In the Sonicare group probing attachment levels improved by 8.6% (MANOVA; p = 0.01), but no PAL improvement was seen in the Braun group. The electric toothbrushes are a great investment. Things are much healthier. We’ll give you the facts and go over whether natural remedies, such as oil pulling or drinking green tea, can help your gums grow back. Oral Diseases (2010) 17, 115–122. It's all about technique, frequency, and diet, though. I had a few 6s, along with bleeding gums during the test, which indicated gum disease. But when the dentist came in to give me a look, she said that I had 4 mm pockets in my gum line, which is usually a sign of gingivitis at the least, and periodontitis at the worst. She also said it was uncommon for someone my age, given that this usually doesn't show up until later in life. Went to the dental hygiene clinic at the local community college. I read that the sawing motion is not ideal. Questions and stories from patients should be redirected to r/askdentists. 4mm isn't the end of the world, but we don't have the whole picture as far as being able to measure it ourselves, radiographs, and a clinical evaluation. Now it’s dire. Periodontal disease can be rough, but it doesn't have to be. If leaved untreated, periodontal disease bacteria can make the pockets to become deeper leading to the tooth supporting structures destroying and causing the dental element loss. Examine your mouth to look for plaque and tartar buildup and check for easy bleeding. Please refer to the WREB Candidate Guide in the Periodontal section. Don’t skip out on the 17/18 Gracey, if possible. Tables 7 and 8 show the outcome of the clinical periodontal indices represented by the PPD, CAL, and BoP. Dental Forums [ DDS / DMD ] This probe is a very small measuring stick that is inserted between the gum tissue and the teeth to check the depth of the periodontal pockets. Discussions and links of interest for dental professionals on all things dentistry. In most cases, the larger the number, the more bone loss is present, and the … Dentists measure the depth of the pockets with a probe that has a tiny ruler on the end. 1 Periodontitis begins with a loss of alveolar bone and subsequent formation of a pocked around the tooth, the final stage being tooth mobility and loss. Among the 134 subjects who used statins, 58 of them used simvastatin, 38 used atorvastatin and the remaining 38 subjects used other kinds of statins. Powered instruments − Wh… It sounds like this is fairly mild according to what you were told. Should I invest in a WaterPik? This article is intended to promote understanding of and knowledge about general oral health topics. My question is, if these pockets are the only issue I currently have, how bad could they really be? Her only recommendation for my routine is that I buy the insanely expensive SonicCare brush (you know the one, with the different massage settings and sterilizing brush head capsule), which I can't afford. Diagnosing and treating periodontal disease in its early stages can eliminate unhealthy periodontal pockets and curb the effect before it progresses to severe bone loss. The distals of molars are notorious for accumulating calculus that may go undetected, even on routine prophy patients. First you’ll need a deep cleaning. The periodontal infection was measured in two ways: by taking the number of teeth with periodontal pockets deeper than 4 mm and the number of teeth with periodontal pockets deeper than 6 mm. Oral B makes a pretty spiffy electric toothbrush that is quite a bit cheaper and still gets the job done. Periodontal or gum pockets are medical words to indicate that the depth of the tiny space (gingival sulcus) between the tooth and the surrounding gingival tissue, is more than 1–3 mm. 4 mm pockets: how bad are they really? It was painful when the hygienist was probing with her tool. I also floss each night with the handheld flosspicks. Dentists and teeth-knowers, I went to get my six-month cleaning today and expected things to be in order as usual. The site may not work properly if you don't, If you do not update your browser, we suggest you visit, Press J to jump to the feed. The probe was positioned parallel to the long axis of the teeth. I used to use an oral rinse (Listerine Total Care + Whitening) but haven't in the past two months. The exposure in 2000 was alcohol use (amount [g/week], frequency [any alcohol or different beverages]). Reply. A decent to outstanding electric toothbrush is one of the few things that I consider "true dental insurance" .... it does make a difference, so long as you brush with the right technique and for the full 2 minutes. Recently changed my form to a "small circles aimed towards the gumline" form and brush twice a day with the Arm and Hammer Healthy Gums toothpaste. I've seen patients turn around their 4mm pockets on just a new toothbrush and a little bit of flossing. To determine whether you have periodontitis and how severe it is, your dentist may: 1. Review your medical history to identify any factors that could be contributing to your symptoms, such as smoking or taking certain medications that cause dry mouth. If you have periodontal disease (periodontitis), you may also experience periodontal pockets. How much is your health worth to you? They are to be used after the regular jet tips and NOT instead of. Looking preferably for a route that doesn't require spending $120 on a toothbrush. Objective: To determine whether oral rinse matrix metalloproteinase (MMP)‐8 levels, measured by three different methods, tissue inhibitor of matrix metalloprotease‐1 (TIMP‐1) levels and elastase activity differentiate subjects with different periodontal condition; and second, to find out if MMP‐8 levels were comparable among the methods used. The back part of my upper right back molar has pockets measuring 7 and 8 mm (3 or lower is healthy). If you just have inflamed gums with pockets no greater than 3, you have gingivitis. During this procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria prior to protecting the tissue into place. Probing depth scores followed a similar pattern, with the Sonicare showing a mean reduction of 0.84 mm (15.8%) from baseline at 6 months, and Braun showing a 0.39 mm (7.2%) reduction (p = 0.002). Dentists and teeth-knowers, I went to get my six-month cleaning today and expected things to be in order as usual. If you have gingivitis, your pockets may be 2-4 millimeters deep, signaling a problem. Using it 2 times a day will help because it cleans under the gum level 2-4 mm while flossing is only 1 mm. The patient had deep periodontal pockets (I recall several being 9 mm), severe bleeding, and calculus deposits, and the patient declined the recommendation for a periodontist. The 4–5 mm pockets were reduced by 1.62 mm, 6–7 mm pockets by 2.85 mm, and 8–9 mm by 3.30 mm. Well, I have $35 in Bed, Bath and Beyond coupons and gift cards, so...about that much right now. If you can't afford a $120 toothbrush, you certainly will be pissed if you have to spend $400+on non-surgical therapy (example, deep cleaning). Press question mark to learn the rest of the keyboard shortcuts. I brush twice and floss once daily, and have never experienced discomfort or bleeding, so I didn't think things would be weird. On earlier visits it’s been 4 or 5 mm deep, concerning but not dire. Right now I use a Phillips Sonicare brush and plain Colgate fluoride toothpaste. Aug 8, 2006 #3 ... Facebook Twitter Reddit Pinterest Tumblr WhatsApp Email Share Link. Or too wide apart where the floss does nothing. Materials and methods: A total of 38 patients (22 males, 16 females; mean age 36±10.1 years) diagnosed with generalized chronic periodontitis were included in this randomized, single –blind clinical study. Removed. Periodontal outcome measures in 2011 were the number of teeth with deepened (≥4 mm) periodontal pockets and the presence of deepened periodontal pockets. LANAP is a great procedure people use for bone loss and deep pockets, its an alternative for traditional gum surgery but is seen differently by a lot of dentist. Fortunately, gingivitis is highly treatable. Healthy gums have pockets that measure no more than 3 mm … I'm not sure of your situation, but … 3. Prosthoman Membership Revoked. Prevalence of periodontal disease approaches 14% over a wide age span, including younger and elderly people. New comments cannot be posted and votes cannot be cast. 2. May 29, 2006 241 1 Status. Prevalence of Periodontal Disease . Of course, you will want your hygienist or dentist to properly measure those depths for you. Went to the dental hygiene clinic at the local community college. All working ends should be well-maintained and sharp. Healthy teeth have a normal pocket depth of between 1 and 2 millimeters. Most of my teeth are too close together to get the floss in. Pocketing can occur if your gums break down and separate from the teeth. 8-10 A meta‐analysis of 17 peer‐reviewed studies by Vergnes and Sixou revealed that periodontal disease was an independent risk factor for PLBW. Try using a water pik, they are amazing! The purpose of these tips is to help people who have 8-10 mm periodontal pockets. Periodontal Disease is defined by the presence of three or more teeth with pockets of ≥4 mm. They require 30 hours of being a test subject over ~1 year to qualify for a free cleaning (likely Dec-Jan). About the Ads. Prevalence rate ratios and 95% confidence intervals were estimated using Poisson regression models. Serum 25(OH)D level was determined by means of a standard laboratory measurement. Something else was needed. Periodontal gum pockets. The active end (0.5‐mm sphere) was run along the gingival sulcus of all teeth, with minimum pressure. Any type of periodontal disease treatment requires good daily care at home. [56] [57] [58] The dentist or hygienist must perform a re-evaluation four to six weeks after the initial scaling and root planing, to determine if the person's oral hygiene has improved and inflammation has regressed. I understand what I need to do. Regarding the involvement of periodontal disease in LBW or PTB, maternal periodontal disease seems to be modestly associated with PTB and LBW. These days, my pockets are still around, but they're at 3mm, and I haven't had any infection or decay in two years. This probe has a colored band between the 3.5‐ and 5.5‐mm markers, allowing for quick identification of pockets within this depth and of those deeper than 5.5 mm. Larger numbers (usually ranging from 5 to 12 mm) reveal the presence of periodontal pockets, which make it more difficult for an individual to control plaque effectively with at-home oral hygiene. Try this natural home remedy for periodontal disease with a little oil pulling and a change to your daily routine with this all natural way to help improve gum disease and can even heal infection. 5 and 6mm pockets are "bad" enough to need treatment, either nonsurgically or surgically. What can I do at home to improve this?

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