Re: Tissue graft to gum questions
From: Joel M. Eichen (joeleichen_at_yahoo.com)
Date: 11/15/04
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Date: Mon, 15 Nov 2004 07:40:45 -0500
REPLY
On November 15, 2004 at 5:24:42 AM '????????????' posted....
Where did you find this Joel? Without seeing the patient is sounds
like she has a lack of attached gingival tissue and has had some
recession. I assume the proceedure planned is a SECTG. A very
predictable proceedure. 3K sounds very high even for LA. Would like to
hear what others think. Ed
On Sun, 14 Nov 2004 23:59:15 -0800, Camilla Cracchiolo
<camilla4@mindspring.com> wrote:
>
>I've been told by a peridontologist that, despite being a fanatic
>about oral hygiene, I have about 25% bone loss under the gum line and
>I need a tissue graft to my lower 4 front teeth if I want to keep
>them. He also wants to reposition the attachment from my lower lip to
>my gums since he says pressure from the lip pulling on the gum line is
>part of the problem. This will cost $3000.
>
>
>My questions:
>
>1. How effective is this procedure? Is it controversial in any way
>or still experimental?
>
>2. Is there an effective alternative that doesn't require surgery but
>is effective in supporting the teeth (such as wiring them in place,
>perhaps?)
>
>3. He told me that the latest thinking is that bone loss and gum
>inflammation may not only be due to poor oral hygiene but in some
>people is autoimmune. Is this backed up by evidence, and if so, are
>anti inflammatories such as naproxyn at all useful? Are there other
>medications of value? I do have what appears to be some mild
>unidentified autoimmune problem. I do have what appears to be some
>mild unidentified autoimmune illness so it wouldn't surprise me too
>much.
>
>4. And is $3000 a reasonable price for this procedure? (I live in
>Los Angeles, I realize prices can vary from community to community.)
>
>I can see that one gum is considerably lower than the rest and the
>front 4 teeth are slightly loose. They have been slightly loose for
>years, since prior to about 6 years ago I was not a good dental
>citizen and did not floss. That changed with my discovery of floss
>holders and I now not only brush several times a day, but floss EVERY
>time I brush. The bone loss and the looseness of the front teeth have
>stayed steady since I started this practice and otherwise my gums are
>in good shape with no bleeding or pockets.
>
>Obviously, if it's good standard dental practice and is effective,
>then I want to do it. My mama and both my aunts lost all their teeth
>after menopause and I do not want to wind up like them. Want to
>keep those teeth. But I don't want to get ripped off either.
>
>Thank you.
> ___________________________________________________
>
> Camilla Cracchiolo
> Registered Nurse
> Los Angeles, California
>
>camilla4@mindspring.com webpage temporarily down
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