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Has anyone had to undergo gum grafting? Options · View
rm1961
Posted: Saturday, February 27, 2010 1:54:36 PM
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Recently found out I have pretty advanced gum recession on my lower teeth. Never noticed it nor pulled my lips down to inspect my gums. I was too busy worrying about everything else apparently!

I have an appointment with a periodontist and am quite apprehensive about what I might hear. My "old school" dentist and hygienist of 20 years never once talked to me about gums or gum recession. Not once. No mention of "pockets" or "millimeters" or calling out numbers (from everyone else I talk to, this is the norm at their dental visits). I just brushed my teeth and flossed and went to the dentist every 8 months or so. Yeah, I know, twice a year is the norm. The new hygienist pointed it out last month. I was in shock when I saw it.

I also have an appt. at a top dental school here in Boston, in the postgrad clinic where practicing dentists become periodontist.

Anyone have any info or can share if this reportedly awful procedure is necessary? My dentist says in 31 years he has never seen gum recession lead to losing teeth. At first he said he did not recommend having the surgery and then he did an about face and said I may need it on 6 teeth. Of course, I do not have dental insurance.

thanks...

stache
Posted: Saturday, February 27, 2010 4:30:33 PM
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Your old dentist is stuck in his ways.
rm1961
Posted: Saturday, February 27, 2010 5:07:56 PM
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Yes, I know! I wish I had gone to a different one years ago.
Sue
Posted: Saturday, February 27, 2010 8:20:55 PM
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stache wrote:
Your old dentist is stuck in his ways.





I think that happens alot in dentistry for whatever reason.


MissJ
Posted: Saturday, February 27, 2010 8:46:51 PM
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All I can say is be careful of the suggestions you get in the dental profession as they do look for 'employment opportunities' in your mouth. I find the most useful people in the dental profession are the hygienists who clean the teeth. Dental profession says to go 2X a year for cleaning but 4X a year is probably better because it 's the hygienist who can remove all the terrible tartar and pathogenic bacteria that hide in the dead plaque (tartar) and those are the things that eat the gums and tooth structures. The hygienist should also measure the pocket for you. Keep a record of the pocket measurements. Ideally, you don't want any of the pockets to be more than 3mm.

I'm very angry and distrustful of the dental profession because I attribute my TEETH LOSS to their advice. I let dentists replace my GOOD old fillings and THOSE ARE THE TEETH that continued to BREAK DOWN (cavities under the new fillings) repeatedly. Of the 3 molars I DID NOT LET THE DENTISTS TOUCH, those teeth never gave me trouble (molars). So, now they want to refill some more of my old fillings (the ones I never let them touch) but since my evidence based history tells me that the teeth that had ALL THE PROBLEMS were the ones I let dentists replace the fillings and the ones where I did not let them touch had no problems, I'm not letting them touch the ones I never let them touch before as those are the ones that are doing better than the ones I let the dentists change prior.

I feel that IF I had NEVER ALLOWED the dentist to remove fillings (because they were 'old') that were giving me no problems, I would have not experienced the tooth loss I've experienced to date.

A lot of these periodontists are not worth their salt either as they don't even do an assay of the gram negative periodontal pathogenic bacteria in the mouth and those are the bacteria that do the most harm.

Who's to say grafting the gums is not going to make a DEEPER periodontal pocket.




rm1961 wrote:
Recently found out I have pretty advanced gum recession on my lower teeth. Never noticed it nor pulled my lips down to inspect my gums. I was too busy worrying about everything else apparently!

I have an appointment with a periodontist and am quite apprehensive about what I might hear. My "old school" dentist and hygienist of 20 years never once talked to me about gums or gum recession. Not once. No mention of "pockets" or "millimeters" or calling out numbers (from everyone else I talk to, this is the norm at their dental visits). I just brushed my teeth and flossed and went to the dentist every 8 months or so. Yeah, I know, twice a year is the norm. The new hygienist pointed it out last month. I was in shock when I saw it.

I also have an appt. at a top dental school here in Boston, in the postgrad clinic where practicing dentists become periodontist.

Anyone have any info or can share if this reportedly awful procedure is necessary? My dentist says in 31 years he has never seen gum recession lead to losing teeth. At first he said he did not recommend having the surgery and then he did an about face and said I may need it on 6 teeth. Of course, I do not have dental insurance.

thanks...



If anybody knows of any orthopedic doctors, in Boston or Concord MA area who are conversant in FEMORAL ACETEBULAR IMPINGMENT, please let me know.

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Bugjune
Posted: Saturday, February 27, 2010 9:27:22 PM
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rm1961,
I had gum grafts done on both uppers and lowers when I was 43. That's when I got braces put on, but before my orthodontist would even "go there" I had to get my gums nice and snug and strong. The good news: it worked! My orthodontia was one of the best things I ever did, and since I am absolutely anal about daily flossing and brushing, I haven't had a cavity in decades.

The bad news: gum grafting hurt like the Mother of all torture. I was given a Valium in addition to the injections to numb my gum. My heart raced so bad with the epinephrine in that injection I seriously thought I'd die of a heart attack just sitting in the chair waiting for it to "kick in". No one was with me in the room at the time. My periodontist, a sadist by the name of Dr. Lamb, proceeded to use a pizza cutter to slice a slab of skin off the roof of my mouth. Sorry to be so graphic, but THAT area was NOT numbed. No sirree.

My left side (uppers and lowers) got infected, cuz I returned to work too soon, talked my head off, irritated the gums, and paid dearly with a long recovery of 3 weeks. Six months later, I gathered up the courage to do my right side (uppers and lowers). That went MUCH easier cuz I worked from home for a week and didn't talk as much. No infection, all healed beautifully.

You can always get a second opinion on the periodontal work - so don't rush into it! But also know that receding gums come with age no matter HOW good your dental hygiene is. So if you can soldier through the gum grafts, consider it an investment in your happy, smiling senior years. Good luck.



I Bug U
DCNGA
Posted: Sunday, February 28, 2010 9:10:58 AM
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Geez, Bug, that sounds agonizing.

I had to have (artificial) bone graft once (not gum) to the area above one of my front teeth and had to have a BUNCH of numbing shots in the roof of my mouth. A few days later, due to epinephrine, the entire roof of my mouth sloughed off (HURT awful). So, maybe he could not numb you for fear of the possible sloughing affect? Just guessing, no clue why he would not numb you oherwise.

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rm1961
Posted: Sunday, February 28, 2010 10:09:19 AM
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I agree with your first statement. I am so sorry to hear about losing some of your teeth. I have old fillings as well. I think my dentist is angry with ME as I expressed my displeasure about their failing to point out that my gums were receding and now I have four teeth on the bottom that are quite "bald" from no gum tissue. I think I'm dealing with a case of negligence. I don't have major sensitivity yet but who knows what the future holds.

I never heard the word "pocket" until about a month ago when I started researching this stuff. Like I said, my dentist was old school and in a one dentist office. I never worried about my teeth, frankly, as long as they looked pretty good. I hate to admit that. I realize I was totally brushing unconsciously and probably added to the problem. But my faithful hygienist of 20 years never once talked to me about this.

MissJ I saw you wrote in another thread that you had a perio. Do you trust him/her? Would you be willing to divulge the name as I don't want to spend the amount of money I know this entails without trusting the periodontist. You could PM me, if not, I understand.

MissJ wrote:
All I can say is be careful of the suggestions you get in the dental profession as they do look for 'employment opportunities' in your mouth. I find the most useful people in the dental profession are the hygienists who clean the teeth. Dental profession says to go 2X a year for cleaning but 4X a year is probably better because it 's the hygienist who can remove all the terrible tartar and pathogenic bacteria that hide in the dead plaque (tartar) and those are the things that eat the gums and tooth structures. The hygienist should also measure the pocket for you. Keep a record of the pocket measurements. Ideally, you don't want any of the pockets to be more than 3mm.

I'm very angry and distrustful of the dental profession because I attribute my TEETH LOSS to their advice. I let dentists replace my GOOD old fillings and THOSE ARE THE TEETH that continued to BREAK DOWN (cavities under the new fillings) repeatedly. Of the 3 molars I DID NOT LET THE DENTISTS TOUCH, those teeth never gave me trouble (molars). So, now they want to refill some more of my old fillings (the ones I never let them touch) but since my evidence based history tells me that the teeth that had ALL THE PROBLEMS were the ones I let dentists replace the fillings and the ones where I did not let them touch had no problems, I'm not letting them touch the ones I never let them touch before as those are the ones that are doing better than the ones I let the dentists change prior.

I feel that IF I had NEVER ALLOWED the dentist to remove fillings (because they were 'old') that were giving me no problems, I would have not experienced the tooth loss I've experienced to date.

A lot of these periodontists are not worth their salt either as they don't even do an assay of the gram negative periodontal pathogenic bacteria in the mouth and those are the bacteria that do the most harm.

Who's to say grafting the gums is not going to make a DEEPER periodontal pocket.




Sue
Posted: Sunday, February 28, 2010 10:16:57 AM
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Just a thought. Google up baking soda rinsing for receding gums. Years ago, my brother in law was having this same type issue as you are describing (maybe not as invasive) and I found an article in the paper about this type treatment. He showed it to his dentist and the dentist agreed for him to give it a try. He was lucky and ended up not needing his procedure.


AnnieB
Posted: Sunday, February 28, 2010 11:11:21 AM
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Oh Bug. :( When I read your post I had that feeling in my face like the blood draining. That sounds like the most agonizing pain.





"Annie Bean Sprout"
stache
Posted: Sunday, February 28, 2010 11:58:05 AM
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Generally you can trust what they tell you at a dental school but I had an odd experience at NYU last year. I went there for a crown and they said I needed a root planing as I was in danger of losing teeth. I thought this was odd as the school I go to for cleanings never mentioned this so I got a second opinion at NJ dental school and sure enough, NYU was telling stories to drum up guinea pigs. If anyone is considering NYU, try Columbia instead. NYU is riding on past reputation.
rev3
Posted: Sunday, February 28, 2010 12:05:27 PM
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stache

my friend had a similar experience with nyu school

if i recall the work looked horrible with a big silver wire right in front

she was not happy either
stache
Posted: Sunday, February 28, 2010 12:58:16 PM
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On top of it they were rude to me and arrogant. Not a good combination lol. People say they were fabulous a while back.
rm1961
Posted: Sunday, February 28, 2010 1:08:38 PM
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Thanks...from what I've read on line, Tufts Dental has a better reputation than Harvard Dental. So I'm going to just go have the evaluation for $48, see what they tell me and then decide my options.

I've also heard that some gum recession, if not due to active periodontal disease and it appears mine is not, is self-limiting once it hits the tougher gum tissue. So it stops receding at a certain point and then you just have to live with the sensitivity and taking extra precautions to keep the exposed root area clean. I've read so many horror stories and am afraid of messing up my life if the procedure doesn't work out and I'm then on a cycle of endless visits, re-dos, etc. If I do have to go through with it I would like to use Alloderm (donor tissue), if I"m a candidate, to avoid cutting the roof of my mouth open. That just sounds barbaric and what if it doesn't go well and you have to live with the results? Ugh.
Bugjune
Posted: Sunday, February 28, 2010 8:43:55 PM
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DCNGA: You are exactly right! I figured there was a medical reason as to why the area where skin flap was taken was NOT injected! He wanted a perfect slab of meat with no compromise in circulation to stitch on top of my gums. Owwieowwieoweeee. I'll never forget the sensation.

That baking soda rinse sounds very intriguing! I may give that a try. My gum recession now is age-related, but I've just had to live with it by switching to Sensodyne toothpaste, a softer brush, and less aggressive scrubbing.

Good ideas, these!

I Bug U
Sue
Posted: Sunday, February 28, 2010 8:50:31 PM
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Bugjune wrote:
DCNGA: You are exactly right! I figured there was a medical reason as to why the area where skin flap was taken was NOT injected! He wanted a perfect slab of meat with no compromise in circulation to stitch on top of my gums. Owwieowwieoweeee. I'll never forget the sensation.

That baking soda rinse sounds very intriguing! I may give that a try. My gum recession now is age-related, but I've just had to live with it by switching to Sensodyne toothpaste, a softer brush, and less aggressive scrubbing.

Good ideas, these!




Bug, there are plenty of articles out there on this *therapy*. It is a commitment though and you have to follow thru. I hope rm at least took a look at some of the info. It truly worked for my brother in law.


rm1961
Posted: Monday, March 01, 2010 8:22:39 AM
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Thank you...I heard some people say it wasn't that bad and others say it was torture. I won't rush into anything...and I can work at home for as long as it takes to recover. I am glad that your gum grafts worked. So the wound on the roof of your mouth completely healed OK? I have this fear that my mouth will never feel the same.


Bugjune wrote:
rm1961,
I had gum grafts done on both uppers and lowers when I was 43. That's when I got braces put on, but before my orthodontist would even "go there" I had to get my gums nice and snug and strong. The good news: it worked! My orthodontia was one of the best things I ever did, and since I am absolutely anal about daily flossing and brushing, I haven't had a cavity in decades.

The bad news: gum grafting hurt like the Mother of all torture. I was given a Valium in addition to the injections to numb my gum. My heart raced so bad with the epinephrine in that injection I seriously thought I'd die of a heart attack just sitting in the chair waiting for it to "kick in". No one was with me in the room at the time. My periodontist, a sadist by the name of Dr. Lamb, proceeded to use a pizza cutter to slice a slab of skin off the roof of my mouth. Sorry to be so graphic, but THAT area was NOT numbed. No sirree.

My left side (uppers and lowers) got infected, cuz I returned to work too soon, talked my head off, irritated the gums, and paid dearly with a long recovery of 3 weeks. Six months later, I gathered up the courage to do my right side (uppers and lowers). That went MUCH easier cuz I worked from home for a week and didn't talk as much. No infection, all healed beautifully.

You can always get a second opinion on the periodontal work - so don't rush into it! But also know that receding gums come with age no matter HOW good your dental hygiene is. So if you can soldier through the gum grafts, consider it an investment in your happy, smiling senior years. Good luck.

rm1961
Posted: Monday, March 01, 2010 8:26:08 AM
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Thank you for the info on the baking soda rinse. The recession on 4 of my lower teeth is advanced to the point where any kind of rinse is not going to help. The root is almost completely exposed on these 4 teeth. I am appalled that it got to this point without me noticing it (nor my dentist) and now I just have to deal with it.

In the meantime, I have been more anal about oral hygiene and I've been doing saline rinses about 3 times a day which I hear will help keep bacteria from collecting. I do want to avoid it worsening. I will look into the baking soda rinse


Sue wrote:




Bug, there are plenty of articles out there on this *therapy*. It is a commitment though and you have to follow thru. I hope rm at least took a look at some of the info. It truly worked for my brother in law.

rm1961
Posted: Monday, March 01, 2010 9:19:21 AM
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Bugjune wrote:
rm1961,
But also know that receding gums come with age no matter HOW good your dental hygiene is. So if you can soldier through the gum grafts, consider it an investment in your happy, smiling senior years. Good luck.



By the way, I asked my dentist about the inevitability of gum recession with age. I said "does this just happen with age?" He said "No". He felt mine was anatomic, as the teeth point into towards the tongue, then the gum followed the bone, or something like that. He did say I had some bone loss which is perhaps why he changed his tune about me needing the grafts. But then he pointed out he is not a perio and does not do this type of surgery.

I am feeling now like I have to apologize to him for my accusation that they did not point this process out to me as I can't believe it happened in the course of 1.3 years. There had to have been some signs, in my opinion. You don't just all of a sudden lose your gums between the ages of 47 and 48.

He has not replied to my last email and I have a feeling they don't want to deal with me since I expressed my displeasure. I know I need to find a new dentist but the good thing, I think, about this dentist I have been doing to is he won't do unnecessary procedures.
Sue
Posted: Monday, March 01, 2010 9:33:42 AM
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rm1961 wrote:

Thank you for the info on the baking soda rinse. The recession on 4 of my lower teeth is advanced to the point where any kind of rinse is not going to help. The root is almost completely exposed on these 4 teeth. I am appalled that it got to this point without me noticing it (nor my dentist) and now I just have to deal with it.

In the meantime, I have been more anal about oral hygiene and I've been doing saline rinses about 3 times a day which I hear will help keep bacteria from collecting. I do want to avoid it worsening. I will look into the baking soda rinse





Oh wow, you really are dealing with a lot and I can imagine the stress you must be feeling over this. I hope you find the help you need and can get this all taken care of. All the best!


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