This question is more than six months old, so the information in the answer may no longer be accurate.
Visitor asks:

Dear Sir/Madam!
In the lower row, I think the right central incisor is quite loose. The lateral incisor next to it also moves. The canine farther along is okay. Then there is a loose first premolar. The molars at the end are firmly anchored. If I massage the gum, something white comes out from behind the gum around the problematic teeth. It is probably a purulent discharge — a consequence of periodontal disease. About half a year ago a respected dentist cleaned the tartar and sent me for an orthopantomogram. After the tartar was removed, the tooth I think is the right central incisor looked like a well-sharpened spear stuck into the gum. The dentist examined the orthopantomogram and sent me home, saying everything was fine and I should come back in half a year for another tartar cleaning, despite the fact that I told her about the mobility of the teeth and she herself verified my claims with some instrument whose name I do not know; she did mention deep periodontal pockets. The holes that appeared to the left and right of the lower part of the central incisor after the tartar was removed were relatively quickly filled again with tartar, which has now built up again, especially on the back of the tooth. This is probably because the tooth has been crookedly positioned between the other two from the beginning. Around the central and lateral incisors there is a visible recession of the gum by about half a centimetre, and at the first premolar the exposure of the so-called tooth neck is a few millimetres deeper and continues to deepen!!!??? How far can it still progress? Since half a year has passed and there is no point going somewhere where they do not know how, or for some reason do not dare, to deal with periodontal problems, I would like to know whether you are willing to treat them and save the teeth from falling out or extraction, because otherwise they are relatively fine. I am a paying patient, Samo, if I may joke a little. But jokes aside, the matter is serious: I have difficulty eating and am consequently losing weight, not to mention the seepage of purulent fluid through porous periodontal tissues, which causes fatal diseases of vital internal organs. Thank you very much for your answer.

Dentist Tomaž Rotar answers:

Dear Sir/Madam!

Based on your description, I conclude that you have periodontal disease. Treatment of periodontal disease is a lengthy and not always successful process, and to a large extent it also depends on your cooperation (literally obsessive cleaning of the interdental spaces...). The decision regarding the type of treatment (radical removal of teeth or, on the other hand, prolonging the life of your own dentition) therefore depends on the patient's wishes and readiness to undergo time-consuming therapy and follow hygiene instructions, and on the other hand on the dentist's decision based on experience with such patients.
Treatment begins with hygiene phases, scaling and root planing, gingival curettage and flap surgery. If necessary, replacement of lost bone follows (guided tissue regeneration). Treatment also includes replacement of already lost chewing units, since the remaining teeth are overloaded. We can prepare a precise treatment plan after reviewing an X-ray and performing a clinical examination.

Have a nice day!

✦ This content was translated from the original with the assistance of an AI translation system.
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