{"id":47870,"date":"2024-03-20T12:37:55","date_gmt":"2024-03-20T19:37:55","guid":{"rendered":"https:\/\/www.mynewsmile.com\/blog\/?p=47870"},"modified":"2024-04-04T13:20:31","modified_gmt":"2024-04-04T20:20:31","slug":"extract-all-my-teeth","status":"publish","type":"post","link":"https:\/\/www.mynewsmile.com\/blog\/extract-all-my-teeth\/","title":{"rendered":"The dentist wants to extract all my teeth"},"content":{"rendered":"<p>I&#8217;m a 41-year-old female with periodontitis and severe bone loss. I went years without dental insurance and checkups. I recently started seeing a dentist who performed two scaling and root planing appointments. The hygienist saw improvement, with pink gums and my deepest pocket was 9mm. She recommended I see a periodontist for follow-up and maintenance cleanings, which I did three weeks later.<\/p>\n<p>However, the periodontist made me feel terrible about myself. She measured pocket depths up to 12mm and noted <a href=\"https:\/\/www.mynewsmile.com\/dental\/gum_infection.htm\">blood and pus between my gums and teeth<\/a> on nearly all my teeth. How could the pocket depths change so drastically in just three weeks? She said my teeth wouldn&#8217;t withstand laser treatment and recommended extracting all of them, stating that even with implants, I could still get gum disease.<\/p>\n<p>I feel that as a dentist, her role is to help save as many teeth as possible. Shouldn&#8217;t I have been prescribed antibiotics for the pus and blood? Shouldn&#8217;t she have offered treatments like perio trays to address the pockets? I feel defeated and devastated at the thought of losing my smile, which has always been my best attribute.<\/p>\n<p>I&#8217;m desperate for advice and would appreciate any guidance. Thank you.<\/p>\n<p>&#8211; Jessica from Colorado Springs<\/p>\n<p>(See Dr. Hall&#8217;s answer below.)<\/p>\n<div class=\"responsive-post-content\">\n<div class=\"post-left-column\">\n<script>\/\/ <![CDATA[\n(function(d, s, id) {\n  var js, fjs = d.getElementsByTagName(s)[0];\n  if (d.getElementById(id)) return;\n  js = d.createElement(s); js.id = id;\n  js.src = \"\/\/connect.facebook.net\/en_US\/all.js#xfbml=1\";\n  fjs.parentNode.insertBefore(js, fjs);\n}(document, 'script', 'facebook-jssdk'));\n\/\/ ]]><\/script><br \/>\n<span style=\"font-family: Arial; font-size: small;\">We thank our advertisers who help fund this site.<\/span><\/p>\n<p><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script><br \/>\n<!-- Square for mns blog - 2020 --><br \/>\n<ins class=\"adsbygoogle\"\n     style=\"display:block\"\n     data-ad-client=\"ca-pub-4419877247826466\"\n     data-ad-slot=\"6484616093\"\n     data-ad-format=\"auto\"\n     data-full-width-responsive=\"true\"><\/ins><br \/>\n<script>\n     (adsbygoogle = window.adsbygoogle || []).push({});\n<\/script>\n<\/div>\n<div class=\"post-right-column\">\n<p>Jessica,<br \/>\nI doubt that your pocket increased from 9 mm to 12 mm in three weeks. There are a couple of reasons for discrepancies in the measurement of pockets. When you have periodontal disease, there will be <a href=\"https:\/\/www.mynewsmile.com\/dental_questions\/tooth_tartar.htm\">deposits of tartar<\/a> on the roots of the teeth, and a dentist or hygienist can hit one of those with the periodontal probe and think they have reached the bottom of the pocket. Also, when the tissue is badly inflamed, it can be easy to poke through it and think that the pocket is deeper than it actually is.<\/p>\n<p>While I&#8217;m not going to be able to tell you who is more accurate in assessing your condition, there are a couple of things about your experience with the periodontist that bother me.<\/p>\n<p>First is the blanket recommendation that all your teeth should be extracted. Advanced periodontitis is serious, but to go from having all your teeth to saying all of them are hopeless is a diagnosis that I find hard to believe. A tooth that is hopeless is going to be loose. It doesn&#8217;t sound to me like all your teeth are loose.<\/p>\n<p>Second is the eagerness to give up without giving your teeth time to respond to therapy. If you had been faithful and regular with dental care and still had advanced periodontal disease, I would be more receptive to a hopeless diagnosis. But you admit that you went years without professional care. It&#8217;s not all that surprising that the condition of your gums is poor. Why not give you the best care we can, see how you do with your home care, and see what we can save?<\/p>\n<p>Dentists vary a lot in their commitment to saving teeth. Some will do everything they can to save a tooth. For others, extracting a tooth is the easy way out. A periodontist is supposed to be a specialist in saving teeth, so it is surprising to me that your periodontist is so willing to give up on all of them. The way your periodontist made you feel telegraphs to me a lack of caring.<\/p>\n<p>Now, maybe your periodontist is right and the condition of your teeth is that bad. But I would recommend getting another opinion. You&#8217;re in Colorado Springs where there are a number of periodontists. I would look them up and read some of their online reviews, and see if you can find one who cares deeply about their patients and seems to be committed to helping them save their teeth. You seem to be very willing to do what you can to save your teeth and I would think an excellent periodontist would very much enjoy working with you to try to accomplish that.<\/p>\n<p>&#8211; Dr. Hall<\/p>\n<p>Do you have a comment or anything else to add? We&#8217;d love to hear from you. Enter your comment below. Or click here to <a href=\"https:\/\/www.mynewsmile.com\/askdr.htm\">ask Dr. Hall a question.<\/a><\/p>\n<p><iframe loading=\"lazy\" style=\"border: currentColor; width: 450px; height: 80px; overflow: hidden;\" src=\"https:\/\/www.facebook.com\/plugins\/like.php?href=http%3A%2F%2Fwww.mynewsmile.com&amp;layout=standard&amp;show_faces=true&amp;width=450&amp;action=like&amp;colorscheme=light&amp;height=80\" width=\"300\" height=\"150\" frameborder=\"0\" scrolling=\"no\"><\/iframe><\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>I&#8217;m a 41-year-old female with periodontitis and severe bone loss. I went years without dental insurance and checkups. I recently started seeing a dentist who performed two scaling and root planing appointments. The hygienist saw improvement, with pink gums and my deepest pocket was 9mm. She recommended I see a periodontist for follow-up and maintenance [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[11],"tags":[931,860,1344,422,550,915,1440,246,1439],"class_list":{"0":"post-47870","1":"post","2":"type-post","3":"status-publish","4":"format-standard","6":"category-gum-disease","7":"tag-advanced-periodontal-disease","8":"tag-advanced-periodontitis","9":"tag-bleeding-gums","10":"tag-hopeless-teeth","11":"tag-infected-tooth","12":"tag-periodontist","13":"tag-probing","14":"tag-saving-teeth","15":"tag-scaling-and-root-planing","16":"entry"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The dentist wants to extract all my teeth - Cosmetic Dentistry Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.mynewsmile.com\/blog\/extract-all-my-teeth\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The dentist wants to extract all my teeth - Cosmetic Dentistry Blog\" \/>\n<meta property=\"og:description\" content=\"I&#8217;m a 41-year-old female with periodontitis and severe bone loss. I went years without dental insurance and checkups. I recently started seeing a dentist who performed two scaling and root planing appointments. The hygienist saw improvement, with pink gums and my deepest pocket was 9mm. She recommended I see a periodontist for follow-up and maintenance [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.mynewsmile.com\/blog\/extract-all-my-teeth\/\" \/>\n<meta property=\"og:site_name\" content=\"Cosmetic Dentistry Blog\" \/>\n<meta property=\"article:published_time\" content=\"2024-03-20T19:37:55+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-04-04T20:20:31+00:00\" \/>\n<meta name=\"author\" content=\"David A. Hall\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"David A. 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