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Healthy Gums

HealthyGums.nl is a knowledge sharing platform about periodontal health and how to restore it.

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On our website you can find information about how to keep your gums healthy, and about the treatment needed  to restore health when necessary.

You can find me for consultation and treatment in the following specialist clinics:

You can only deliver quality care by working together with colleagues: joining forces with dentists, oral hygienists and dental specialists makes it possible. 

A healthy smile begins with healthy gums

This patient has been for quite some time under treatment for his pockets in the practice of his dentist. 1 year ago they measured pockets of 5 mm around the 2nd and 3rd tooth from the last (arrows).

The 2nd tooth from the last, becomes now somewhat painful.

The dentist measures now a pocket of 7 mm. The xray which they made, shows 20% loss of support (dashed line).

 

 

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When I get to see the patient 3 weeks later, the situation is rather dramatic:

  • The gums are very swollen and loose
  • Both teeth are very mobile
  • The pocket is 15 mm deep! The xray shows that all the supporting bone is gone between the 2 teeth.

In just 3 weeks after initiation of complaints (for the first time in years of treatment without an optimal effect) are both teeth practically lost! Extraction seems inevitable, and would have been the fate of these teeth if the patient would have been seen by any colleague doing emergency service.

In such cases are quick actions needed:

The rather acute character of the inflammation brings with it the chance that some of the damage may be reversible.

So after running some necessary diagnostic tests, I treated the teeth in the same session.

 

During a control 2 week later, there was some improvement to be seen:

  • less swelling 
  • the pocket depth was back to 8 mm

 

4 months after the treatment, it started to look like we had a chance to save these teeth:

  • The 2nd tooth from the last was not mobile anymore
  • On the xray we see the half of the bone being back
  • The pocket is now no more than 4 mm. This means that the gums have formed a proper closure to protect the bone present from the oral bacteria.

 

Of course we are very happy that the teeth can stay. On the other hand we need to consider that despite the good result of my treatment, there has been a net loss of support around both teeth. That is why it is much better to get the pockets through our treatment down to no more than 4 mm in order to minimise the risk of such an acute inflammation that can cost teeth in the future.