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Sedation Dentistry Benefits

Gum Disease Stages

As discussed elsewhere on this website, a majority of the adult population have some form of gum disease.

Diagnosed and treated early with effectively with a large choice of products and services (Perio Protect, Perio Lase, PerioWave, PerioChip, Arestin, etc), mild cases of gum disease (gingivitis) can be successfully managed.

Severe cases of advanced gum disease, commonly known as Periodontitis, can be quite devastating and cause loss of critical bone structure and mass .... causing eventual loosening and/or loss of teeth.

A variety of interventions, nonetheless, can be performed in many cases where infected hard and soft tissues are removed and treated with different types of grafting products. Temporary implants and prosthetic products can be integrated into treatment that enables patients to NOT be without teeth during healing.

Watch two different videos showing successful periodontitis treatments that involved multiple extractions yet did not force patients to be toothless during healing.

The pictures below reflect varying degrees of advanced perio disease, associated with numerous other treatment needs.



Extractions can be a convenient choice for treating tooth problems that involve pain, abscess or signficant decay. Extractions of opposing teeth, while it prevents super erupted teeth, will ultimately lead to major bone loss if untreated. Loss can be severe enough to prevent the successful use of dental implants.

Untreated Extractions - Bone Loss
Dr. Daniel Marinic, Chicago Illinois


Significant oral disease issues left untreated for too long. Rampant tooth decay and loss of entire tooth structures. Treatment will require traditional perio treatments for all four quadrants. Extractions of unsalvagable teeth will also be required to eradicate active areas of infection.

Restorative and reconstructive procedures may include implants, crowns, dentures, partials, bridgework or implant supported prosthetics.

Rotting teeth
Prolonged Disease and Decay
Dr. Corinne Scalzitti, Austin Texas


Significant untreated tooth decay both under failed restorations and at gum lines requiring non surgical gum treatment. Dental Bonding requires exact precision on every step of the treatment procedure. The patient was neglectful because the patient could obviously see that damage being done over a period of years and just did not see a dentist. There was so much internal decay to the tooth structure that root canals, crown build-ups and posts were necessary before the porcelain crowns could be placed.

Untreated Decay - Active Disease at Gum Line
Sam Muslin, DDS, MAGD


Advanced Periodontal Disease, Lost dental papillae, Periodontal Pockets, Drifting Teeth, Gum Recession, Bone Loss, Tooth Abrasion, Tooth Erosion, inadequate attached gingiva, diastema, bad bite, bad occlusion

Severe Gum Disease - Bone Loss
Sam Muslin, DDS, MAGD


Severe Periodontitis, bone loss, soft tissue loss, recession, resorption, significant flaring of teeth, occlusal damage.

Severe untread Periodotitis
Dr. Daniel Marinic, Chicago Illinois


History of untreated gum disease, gum recession, bone loss, tooth abrasion, tooth erosion, black Lines at the gums from old style porcelain crowns done with cheap metal that oxidizes. Bad Bite, deep overbite, rotated teeth, porcelain crowns that do not match in color or size, dentistry done in segments rather than one organized procedure.

Bone Loss - Gum Disease - Oxidizing Crowns
Sam Muslin, DDS, MAGD


Gum Disease with calculus stuck to the lower front teeth, bone loss, tooth drifting and rotating or moving, superuption of lower front teeth, bad bite, poor occlusion, old amalgum fillings decaying, the upper two front teeth are removable, they can just flip out obviously called a "flipper". The dental acrylic on the removable partial denture has stained and looks dirty or brown. It is just old and can be replaced. Lower teeth have to be extracted, bone graft on implants or a fixed or removable dental bridge.

Gum Disease - Bone Loss - Super Eruption
Sam Muslin, DDS, MAGD


Lower teeth superupted, deep overbite, missing congenitally the upper lateral incosors and back molar teeth, gum recession and tooth erosion, teeth are drifting, bite is not stable, tooth abrasion, bruxism and heavy tooth wear as the angles on the lower front teeth are from clenching and tooth grinding or bruxism

Super Eruption - Missing Incisors
Sam Muslin, DDS, MAGD


Teeth flaring caused by gum disease and bone loss, tongue thrusting is pushing the teeth forward which causes the spaces to open wider and wider. The process is so slow, it takes years but suddenly after the teeth tip a little too far, the process moves much faster. Speech is affected and patient now has to use tongue to speak. Speech is slured. The lips appear bigger and bigger as the teeth tip more forward.

Bone Loss Flared Teeth
Sam Muslin, DDS, MAGD


Severe bone loss, tissue loss, tooth loss. Rampant disease process necessitates removal and/or treatment of remaining teeth and supportive tissue. Soft and hard tissue (bone) grafting anticipated after extractions are completed.

Treatment recommendations for regaining dental function could include combinations of dentures, implant supported dentures and/or fixed bridges, depending upon the amount of healthy jawbone available for incoporating miniature or traditonal dental implants..

Uncontrolled Periodontitis
Total Tooth Loss - Periodontitis
Dr. Richard Winter, Milwaukee Wisconsin


Rampant, uncontrolled growth of bacteria has caused bone loss, tissue loss, tooth loss. Removal and/or treatment of remaining teeth and supportive tissue required.

Treatment recommendations for could include combinations of dentures, implant supported dentures and/or fixed bridges, depending upon the amount of healthy jawbone available for incoporating miniature or traditonal dental implants..

Uncontrolled Periodontitis
Total Tooth Loss - Periodontitis
Dr. Edward Leventhal, Baltimore Maryland


Gum disease and poor oral health habits have already caused loss of teeth and bone loss. Calculus and plaque build up quite evident. Following standard perio treatments to eradicate diseased tissues necessary for regaining control, reconstructive and restorative procedures are possible.

Choices for restoring dental function and aesthetics could include combinations of dentures, implant supported dentures and/or fixed bridges, depending upon the availabity of healthy jawbone that can accommodate traditonal dental implants.

Bad Oral Health Habits
Total Tooth Loss - Periodontitis
Dr. Edward Leventhal, Baltimore Maryland


Gum disease,excessive tooth extractions, poor oral hygiene, malocclusion, bone deterioration, bone loss, collapsed bite. Cumulative conditions of an older adult who practiced patchwork or crisis oriented dentistry... which can be fairly common.

Treatment recommendations could include treatment for halting active disease process, multiple extractions, bone grafting, dentures, partials, implant supported prosthetics, mini implant supported dentures, multiple individual implants.

Cumulative Damage
Cumulative Damage - Periodontitis
Ara Nazarian, DDS, Troy Michigan


Gum disease, poor oral health habits, food preferences, long term avoidance of routine dental care, tooth chipping, breakage, collapsing bite. Cumulative conditions of a fairly young female adult.

Treatment recommendations could include treatment for halting active disease process, multiple extractions, bone grafting, dentures, partials, implant supported prosthetics, mini implant supported dentures, multiple individual implants.

Severe Disease
Cumulative Damage - Poor Oral Health Habits
Ara Nazarian, DDS, Troy Michigan






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