Believe me, I know just how frustrating this whole situation can be. That's why I wholeheartedly believe that every dental office should have an educated patient advocate, like myself, to be the liaison between the dentist and the patient. This way the patient can be well informed, the dentist can do his work and the treatment plan is straight forward right from the beginning.
It has been my experience time and time again that dentists are afraid to give the patient the "bad news" at the onset. Which is not an easy thing to do and the concern is that the patient will become too afraid to move forward. So they are vague about certain things or they set up an *** backwards plan just to get the patient to commit to some treatment. They hope the patient will follow through with the easier stuff and continue forward with the rest of it. On the other hand, some dentists are not all that concerned about their patients systemic health and have to be reminded about the whole body connection. In this day and age... this should not be happening at all, but unfortunately it's a huge flaw within the dental profession.
If your night guard is not fitting well, it is imperative to have it adjusted because the teeth that are hitting too hard will continue to deteriorate irrelevant of what treatment you have done.
It is important to know that anytime you try to retain teeth that are not healthy, the infection will always be present because bacteria continues to thrive in and around these teeth. It can be very defeating to the rest of your teeth as the bacteria makes it way around your mouth.... not to mention the continued systemic consequences associated with retaining ill teeth.
I know it's hard to lose teeth but it's important to always think of the big picture and if being healthy is the goal..... then the best solution is obvious.
Anytime you have teeth removed there is always the chance that the other teeth next to or above/below the missing ones will shift. Every case is different due to what other teeth are already missing. It is difficult and sometimes not favorable to replace teeth in areas that have extensive bone loss. Again, each case is different.
Discuss replacement options with your dentist and you and he can work out a plan that feels right to you. In the meantime, remove the ill teeth so you can get on with your plan to have the other surgery without worrying about complications brought on by your teeth.
Hope this was helpful..... keep us posted!
Originally Posted by terravue
Thank you for responding Bryanna,
It is so frustrating to go to a "professional" pay the money and not get the right treatment or in this case in the right order. The dentist I am seeing has the three extractions at the end of the treatment plan! I have done all the periodontal root planing and the injectables in the last 6 months as well as getting the night guard which still allows me to clench my back teeth and puts pressure on my #27, a tooth we are trying to save.
I am going to call about getting in to get the #2 extracted on Monday but I guess I better get the others done as well now. From the plan and the way it was being done I was kind of thinking I might be able to save these teeth. False hope, would have been better if he had been straight with me.
Thank you for your explanation of what is happening with this infection, I had kind of put the clues together myself but finding this site and your explanations put it all focus for me and although I should have had the tooth pulled last Tuesday I wouldn't have known to clue the oral surgeon into the sinus activity.
It will be frustrating if I have to put off my Bariatric surgery since that is why I went to the dentist 6 months ago , to get this under control and get ready but I understand your reasoning.
With a lot of bone loss is there really any way of replacing these teeth? # 2, 14, and 18. Or can I live without something there?
Thank you very much for your time in answering here, You seem to have a really good grasp of all this and I am grateful to talk to you, Terry