Periodontal Disease - loose most or all of my teeth?

I have been told I have advanced periodontal disease and will loose most of my teeth including all the front teeth and all the back teeth with only a few in the middle (top and bottom both sides). Do I have all my teeth pulled knowing that keeping the few teeth that are salvageable will most likely cost allot of money, or is it worth it to keep the few with partial dentures and risk further problems ultimately leading to having them all pulled eventualy.





The main question is which is better partials or full dentures?

Periodontal Disease - loose most or all of my teeth?
It depends on several things, your age, your medical history, your hygiene. What perio class you are?


And really and turthfully how much money you're willing to spend on your teeth.


I have a perio 4 patient, really advanced perio, 8 mm pocket depths, class II mobility, smoker. She does have a few a few good teeth. She asked what would happen if she decideded to keep her teeth, we told her she may undego several surgeries, gingival grafts ...etc the succes of these procedure relies greatly on patient maintenance, we discussed the prices %26amp; healing time.


I think she going to have the rest of her teeth removed, %26amp; get dentures. That being said she has other more serious health issues, and she was realistic saying that she may not be able 2 keep up with the cleaning.


Me personally if i had the finances and stuff, I would try to save my own teeth.
Reply:Keeping your own teeth is usually better than dentures...but it sounds like you are past that. Keeping teeth for you means infection and more loss.
Reply:If you can keep your cuspids(eye teeth), those are good to hang on to. They are also usually the last teeth to go when you have periodontal disease, because they have very long roots. If you can save them, then you can anchor a good partial denture to them and be in pretty good shape. Of course, you would need to keep up good oral hygiene and see a hygienist probably three or four times a year to keep the periodontal disease from claiming those teeth, too. Gum disease is never cured, it is only maintained. But, if you lose all of your teeth, especially if you are still pretty young, your chances of having to deal with poorly fitting dentures is pretty high, because over time, with no teeth to support, the jaw bone deteriorates, leaving nothing for the denture to grip onto. This is why you see people whose teeth seem to "float" when they talk, or, if you were like me, and had a family member who could "pop" their teeth out at you as a child and scare the #%%26amp;* out of you.



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