Q.
1. I was checked at dentist office recently and I have been told that I have gum disease. Do I need arestin put in pockets if my preiodental desease from1mm to 4mm,most of them 1mm-2mm? can they just do professional cleaning and tooth planning without using atibiotics? I was told that I need to pay almost $1300 for antibiotics and $700 for cleaning.
2. How soon I need to put crown over tooth w/root canal?
3. What is the best over counter whitening kit and best toothpaste?
Thank you for your time.
1. I was checked at dentist office recently and I have been told that I have gum disease. Do I need arestin put in pockets if my preiodental desease from1mm to 4mm,most of them 1mm-2mm? can they just do professional cleaning and tooth planning without using atibiotics? I was told that I need to pay almost $1300 for antibiotics and $700 for cleaning.
2. How soon I need to put crown over tooth w/root canal?
3. What is the best over counter whitening kit and best toothpaste?
Thank you for your time.
A.
The pocketing you describe is unlikely to benefit significantly from localised antibiotic therapy. They should also be very gentle cleaning shallow pockets like this as over instrumentation of shallow sites can lead to further attachment loss.
The pocketing you describe is unlikely to benefit significantly from localised antibiotic therapy. They should also be very gentle cleaning shallow pockets like this as over instrumentation of shallow sites can lead to further attachment loss.
Obviously I am dealing with limited information here, I do not have the benefit of X-rays, the inflammatory state of the tissues, your age or your medical history but I would expect, in most cases, to be able to manage your periodontal disease without antibiotics, minimal debridement of the teeth and lots of focussed oral hygiene instruction. You will need to play your part in controlling this disease.
Regarding the timing of crowning a root filled tooth, I would discuss this with the endodontist who did the root canal as the answer could be anything from immediately to leave it 3 months!
Dr Ian Dunn
PurelyPerio Clinic 334, PO Box 334, Wilmslow, Cheshire, SK9 0AG Web: www.purelyperio.co.uk Tel: 01625 419700
