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 09:52:33 -0500
On Mon, 15 Nov 2004 09:17:08 -0500, Steven Bornfeld
<dentaltwinnospam@earthlink.net> wrote:
>
>
>Joel M. Eichen wrote:
>> 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
>>
>>
>>
>
>Joel--
>
> Who is Ed?
Ed is from "The Other White Meat" dental site, that I rarely refer to
by name ......
> We should clarify that Ed is abbreviating a subepithelial connective
>tissue graft. It is no longer considered experimental, that's for sure.
> I would guess that the actual attachment gain would vary depending
>upon the particular situation, but it is quite predictable. Yes, $3K
>sounds pretty high, but there could well be other parts of the treatment
>plan (bone grafting? splinting?) that we are not hearing about.
>
>Steve
>
>>
>>
>> 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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