r/PeriodontalDisease

Can somebody atleast school us what else can we do apart from cleaning to save our teeth? Since there’s no medication for this atleast and all we can rely on is just oral care and luck. Is there a strict diet? Or things we should avoid cos I’m starving right now cos idk what’s gonna happen next

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u/Anxious-One-6323 — 6 hours ago

New toothpaste that REMOVES calculus!

As we all know once plaque turns hard (calculus) it’s impossible to remove it at home and must be removed using special tools at a dentist office but I just found this company that has made a toothpaste using cuttlefish bone that actually dissolves and removes already harden calculus! They have ran a trial and calculus was removed a fair bit in subjects.

I did email them last night and they replied they are hoping for a Fall, 2026 launch

https://pmc.ncbi.nlm.nih.gov/articles/PMC11910395/

https://www.visionaturolab.com/about

Obviously this doesn’t replace cleanings but it’s good for people with depression or ppl who need maintenance

u/Cookie_Cutter32 — 24 hours ago

Appearance of bone loss?

Hi everyone, I posted a photo last year of my teeth and am back with an update. Nothing appears to have changed except I now have a black triangle space between my front teeth.

I brush and floss everyday day.

Would this be caused by bone loss, over flossing??Or something else. I do not have any other symptoms etc except the slight loss of gum between the front teeth.

Have been to the dentist previously for the recession above my tooth (when I posted the last picture) and they said everything was normal.

u/GabeMadeMe — 10 hours ago
▲ 2 r/PeriodontalDisease+1 crossposts

Small gaps?

is there anyway to fix these gaps? They fill up with saliva and you can't tell but it looks bad in my opinion. It another angle it's more noticeable tbh.

I had ortho work done and didn't wear my retainer and my teeth have shifted as well(I don't think you can see from this angle but I have a bad overbite). Could ortho work fix them again or is it something else?

I brush twice a day and floss at night only. I do have dry mouth and clench due to stress.

https://preview.redd.it/t2kdnt2wuhwg1.jpg?width=818&format=pjpg&auto=webp&s=2fd9f0100d4b0b42dc05e2614666a2ebfbebef21

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u/GiraffeOk2570 — 15 hours ago
▲ 1 r/PeriodontalDisease+1 crossposts

gum recession - how bad is it?

I (f/27) am dealing with some gum recession on my lower gumline. For the past two years I have definitely noticed an increase in sensitivity to cold drinks. My dentist told me a gum graft might be in my future. Generally, my teeth are pretty healthy and I am diligent about oral hygiene, though I realized that I have been brushing with a hard brush and way too rough for most of my life.

My father also has periodontal disease so I’m predisposed and pretty paranoid about getting it as well.

How bad is my gum recession? Is it time for a gum graft? Is it better to get it done sooner rather than later to prevent further recession?

For context, I am a pretty bad teeth grinder at night (which I think is the main reason for recession) but I do wear a mouth guard at night. Though it does not prevent me from pressing my teeth together anyways.

I would appreciate any advice

u/leapeaches — 1 day ago

I just found out I have early stage peridontis there was a bump on my gum line and I was pressing it with my finger this yellow stuff came out anyone have information on this

u/ArturoRapture — 1 day ago

Periodontal disease treatments with Exfloitative Chelitis

Hi Dentists,

I have periodontal disease and recently developed exfloitative chelitis (a chronic lip condition, peeling and swelling and burning etc). It has put me in a really complicated pickle that seems to have confused the heck out of my dentist.

I was going through regular periodontal cleanings, still had 3 more scheduled (had 3 done so far). But my situation was already complicated since most of the inflammation is around a 15 year old bridge in the lower front, and it hasn't responded well to the treatment at all despite both my dentists & hygenists and my best efforts. But the dentists have been avoiding changing the bridge due to how complicated that spot is and we decided that we would try to save it with these 6 round of periodontal cleanings first. But it was already looking like we have to change the bridge anyways. And then I got lucky enough to develop a chronic lip condition, damaged lip barrier with constant peeling, burning, raw lip skin, responding painfully and weirdly to everything from water to air to movement to speech. It is called exfloitative chelitis, and it is chronic, I am trying different medications with two dermatologists but since it is a very rare condition, all doctors are puzzled and not that helpful or impactful.

Moving onto my last appointment with my dentists, she was very puzzled and even reacted saying "oh my god, this is so weird, i have never seen or heard of anything like this" - which of course did not help me. But it is typical for Berlin doctors to have poor bed side manners, lol. she even went so far as to suggest I see a "healer". Both the dermatologist and the dentist think I should avoid dental treatments unless absolutely urgent or necessary. So we postponed the periodontal cleaning. But here is the thing, I had to change to a more sensitive toothpaste, more gentle brushes and brushing techniques, and combined with using steroids on lips and the general stress on the lips, my gum inflammation has gotten a lot worse. I have pain, and the gums around teeth that were never red are now red. 

 So yeah, I feel very much in a pickle since doctors seem more confused than me by this condition and situation. I don't know what to do. 

Have you ever dealt with a patient in a similar situation? How did you handle it? Maybe you have some tips and tricks I could share with my dentists and hygienist at least because they are  really uninformed (despite being in Berlin, so this is not doctors in a tiny village in some forgotten country with bad medical education). 

I would really appreciate any help, info as I feel very helpless, with no resource to find help from atm with these two conditions. They have negative impact one another, so it is like a viscious cycle and I get more inflammation both on my lips and my gums as they go. 

As a side note: I got tested for candida and bacterial infections by a dermatologist, with an inner mouth swab and they came out negative.

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u/VermicelliNew2784 — 1 day ago

Journey from 9mm to 4mm pockets

If you're anything like me, you had numerous deep cleanings but bleeding gums always returned. You brushed daily, flossed 2-3 times a week, went in for cleanings regularly. Not perfect but a lot more maintenance than others.

Turns out, you can still get severe periodontal disease. Maybe your hygienist didn't understand? Who knows.

It's not hopeless. It can be very expensive. It is largely genetic. You aren't just a flaly flosser. NO AMOUNT OF FLOSSING CAN FIX IT. The infection is much deeper than floss can affect.

Here's what I did.

Laser gum treatment (LANAP) at the best periodontist in town. Followed the recovery protocol to the letter. This got me to 4mm, with one 5.

After that: brush, floss, gum interdental picks, peridex, 3-month trips to hygienist.

I used a sonicare brush, with the most expensive heads they sell, alternating between a regular flourode toothpaste, tartarend and livfresh toothpaste. Don't eat afterwards before bed.

Floss: Dr Tungs. It's not plastic and seems good.

GUM picks: get multiple sizes since you might need it. I use both the tongue and cheek, but mostly on the cheek side.

Peridex: use a capful once a week to shock the bacteria.

I see the hygienist at my periodontist office. They know gums much better than at a dentist. This won't last forever but I'm sticking with it for at least a year (I will need to see a dentist too)

Latest trip I was down to 4mm with no 5s. I did have one area with slight bleeding but overall this is dramatically better than before. Hygienist said gums are pink and rubber band-like, which I believe is a good thing, and that plaque was very minimal.

Don't lose hope. You can turn things around.

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u/Mysterious-Title-197 — 2 days ago

If this is also somehow an auto immune disease, or something anyone could’ve gotten without realising it, how come we never heard or seen any Dentist, hygienist, periodontist diagnosed with periodontitis?

How fucked am i? Was told all these time hum recession is normal as people age. until i switched dentist. says I got periodontal disease and sheduled for scaling next 3 month. I feel like I’m dead already I can’t stop crying and lost myself. I can’t think of anything else but the worst. 39M

u/Anxious-One-6323 — 2 days ago

Day to Day Eating?

I’m newly diagnosed and clearly Aspen was not the way to go for my diagnosis and treatment but until I find a new dentist I have some questions. Because they explained very little.

I got my diagnosis, a week later they pulled one back lower molar on both sides. I’m a week and a half out from extraction and still healing. Trying to eat but it’s applesauce mostly with immediate salt rinses. Here’s my question -

Do you eat and immediately salt rinse every single time you finish eating or drinking for peri? Like, if I ate, did a salt rinse, brushed my teeth, did my chlorhexidrine (?) rinse, waited half an hour, had some coffee - would I salt rinse after the coffee?

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u/MissViciousKnits — 1 day ago

Something came out from under my gums

Gums have been inflamed for months - finally saw a periodontist and will be getting a deep clean Wednesday.

Has anyone experienced these pebble like lumps that come out of the gums? They smell too… feels better once released. Nobody has really seen this happen?

Pocket depths range from 2/3-5-7s

u/Infinite_Pickle_1692 — 2 days ago

Do I have Bone loss? Reversible?

I’d just like a second opinion if anyone can give me. I have just started to consistently brush the last month which I’m so proud of, this comes after basically my whole life (30) of neglect. I brush twice and floss daily once. I need to stop the junk and fizzy next.

Probing depths recorded:

UR: 424, 322, 223, 424, 224, 433, 323

UL: 333, 334, 333, 424, 324, 333, 322, 222, 222, 223,

222, 222, 223, 422

LR: 434, 433, 333, 333, 333, 322, 222, 222, 222, 222,

223, 322, 222, 223, 323

LL: 224, 424, 323, 222, 222, 222, 222, 222, 222, 222,

222, 223, 323, 324, 423

u/Pale-Strawberry-1361 — 2 days ago

Severe gum recession without gum disease- all on four dentures?

Anyone got gum recession without gum disease? I've suffered moderate gum recession my whole life, but since turning 37 its just accelerated out of nowhere. I use a soft toothbrush and a sonicare and floss regularly, my dentist always compliments my excellent hygiene. I eat xylitol gum several times a day. I go to the dentist 2x a year and I have no sign of gum disease or bone loss.

My gums have receded so much I have constant black triangles and I can no longer eat in public as the black triangles and thin gums end up with food stuck in it. It severely impacts my social life and self confidence. I've had to adjust my smile so it covers most of my gums and only shows a thin sliver of teeth. I've never been conventionally attractive but I always got compliments on my friendly smile, and how it lit up my face because it was so big it crinkled my eyes. I feel like I've lost a part of my identity.

I can't afford gum grafts and even if I could it would probably be a waste of money seeing as my gums recede with no cause, whats to stop the new gums receding like the old ones? Plus gum grafts don't add new gums, they just try to prevent further receding, and paying all that money to maintain a mouth that prevents me from smiling properly and eating in front of others feels like a waste.

I'm thinking that if/when my teeth start falling out it might be worth getting full dentures "all on four". I could smile big again and eat in public. Has anyone had this done? I'm mostly worried the gums would recede from the implanted bits (the "four" and somehow look even worse.

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nicotine pouches

Hello im 24 M, i have been using nicotine pouches for a whole year everyday on both top sides of my mouth and I quit about 4 months ago but i kept smoking which i eventually quit a month ago, but my gums dont seem to heal, the top left side of my mouth where there’s that whitish spot feels like im touching a bone the other right side feels smooth. Should i be worried? and what do you think of the images? Thank you !!

u/FallLegitimate7989 — 3 days ago

duolingo for oral care / 1200 downloads in 3 days

hey guys, i pretty much made a fully free oral care habit tracking app that builds and creates a dynamic routine each day based on the tools you have.

it creates activities like morning/night brush, flossing, tongue cleaning, mouthwash, retainers, and aligners that you go in and do each day. No two days are the same.

there are scores and streaks as well to help you (if you stop doing, ur score lowers so its truly a maintenance one rather than just level up).

thought i would post in here as it genuinely might help some of you guys (im currently using it for flossing) as i dont want any issues

fully free, no ads, no account required

link: https://apps.apple.com/us/app/whiten/id6761453559

u/shaansterrr — 1 day ago

Aggressive bone loss

I’ve had significant bone loss in the lower fours in the front and even after deep cleaning, the bone loss is immense. It almost feels like I will lose my teeth. One of the dentists tried bone grafting, but that didn’t stay. Vertical bone grafts don’t work apparently. I’m losing my mind trying everything to lose them at this point. I’m going to see a Perio, but what should I expect to be told? Thought about LANAP to stay in current state and not deteriorate further. Any advise or experience that would help?

u/Competitive_Gas3261 — 2 days ago

LANAP after extensive bonding?

I'm seeking a sanity check about what to ask my dentist, because I'm moving my appointment up to have him fit an athletic mouthguard and a new retainer. I want a referral to a periodontist to discuss this matter further IRL.

Basically, I smoked cigarettes and had mediocre at-home care for my entire adult life (17 years). This resulted in me getting substantial bonding fillings on most of my teeth where they meet the gums. No teeth are loose, my at-home routine is now extensive and part of my nightly winding down, and I believe any gum disease that I may have is residual. In fact, my gums got so vibrant pink that I can measure exactly how much they receded, and my teeth lack tobacco stains so their yellow color is now intrinsic due to compromised enamel.

What I'm really wondering, is if a round of LANAP potentially followed by pinhole surgery where appropriate, would be a complementary step to "close over" some $4k worth of recent fillings. I'm absolutely paranoid about the border between the bonding and the teeth, to the extent that I imported a Lumoral device from Germany specifically to target this area of my mouth.

I understand the procedure to be an extremely intense version of flossing comparable to a laser face resurfacing in dermatology, perhaps a level or two more intense than that, because your teeth can actually become dislodged if recovery is negligent.

I also understand that gums don't stick to bonding; I'm hoping this procedure would fill in the tissue between the natural tooth and human work so that a fragile interface is less susceptible to decay in the long run.

Nobody has tried to sell me this procedure, it comes from my own research. I'm in the Boston area, so it's not a problem to get the best medical expertise on earth.

I can try to take pictures if needed, or upload the treatment plan for like 20 cavities. I don't have X-rays despite occasionally asking for them.

Thanks.

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u/significant-bonding — 2 days ago