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

Dear Sir/Madam! Since I am not sure that you read this message (Your comment is awaiting moderation?), I will try once again, hoping that this time a ray of dental hope will finally shine among my loose teeth in need of help.
In the lower row, I think the lower right central incisor is quite loose. The lateral incisor next to it is loose too. The canine farther along is okay. Then there is a loose first premolar. The molars at the back are firmly anchored. If I massage the gum, something white seeps out from behind the gum around the problematic teeth. It is probably purulent discharge – a consequence of periodontal disease. About half a year ago, my respected dentist cleaned the calculus and sent me for a panoramic X-ray. After the calculus was removed, the mentioned lower right central incisor, I think, looked like a well-sharpened spear stuck into the gum. The respected dentist looked at the panoramic X-ray and sent me home, saying everything was fine and that I should come back in half a year to have the calculus cleaned again, even though I told her about the tooth mobility and she herself, using some instrument whose name I do not know, confirmed the truth of what I was saying; she did, however, mention deep periodontal pockets. The depressions that appeared to the left and right of the lower part of the central incisor after the calculus was removed were relatively quickly filled again with calculus, which has now accumulated once more, especially on the back surface of the tooth. This is probably because the tooth has been growing crookedly between the other two from the beginning. At the central and lateral incisor there is visible gum recession of about half a centimetre, while at the first premolar the exposure of the so-called tooth neck is a few millimetres deeper still and continues to deepen!!!??? How far can this 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 tackle periodontal problems, I would like to know whether you would be willing to take them on and save the teeth from falling out or being extracted, since otherwise they are relatively all right. I am a paying patient, Samo, if I may make a small joke. But jokes aside, the matter is serious: I have difficulty eating and consequently I am 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.
P.S.
I apologise for bothering and troubling you, but the problems are getting worse. Should I interpret your silence as meaning that you cannot help me?

Dentist Tomaž Rotar answers:

Dear Sir/Madam!

From your description I conclude that there is a serious problem with the periodontal tissues, which also requires serious and usually long-term treatment that will be unsuccessful without strict adherence to the instructions. In order to decide which treatment to choose, we need at least a panoramic X-ray and, of course, a clinical examination. Periodontal treatment begins with the conventional hygienic phase and instruction in oral hygiene, which has (I assume) already been done. This is followed by scaling and root planing, flap operations and guided tissue regeneration. Please make an appointment for an examination, at which time we can provide you with specific information about the treatment.

Have a nice day!

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