Bone loss is the result of periodontal disease, which is an inflammatory disease that affects the soft and hard structures that support the teeth. People with diabetes are more likely to have periodontal disease than people without diabetes. In fact, periodontal disease is often considered a complication of diabetes. Those people who don't have their diabetes under control are especially at risk. In order to control the progression of periodontal disease, you may want to work with your doctor in getting your
diabetes under control.
Non-surgical treatments such as scaling and root planing, localized antibiotic and laser treatment are typically used to treat early stage of periodontal disease. For more advanced periodontal disease, regenerative procedures are often used for treatment. During this procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria. Membranes, bone grafts or tissue-stimulating proteins can be used to encourage your body's natural ability to regenerate bone and tissue. With a combination of daily oral hygiene and professional maintenance care, you will have an increased chance to combat periodontal disease.
Please let me know if you have further questions.
Kathleen Young, DDS
I first must apologize for my late reply to your question, but I have been sick for the past couple of days.
Now, on to your question. There are two types of bone in your jaw. The first type is called cancellous bone. This is the type
of bone that makes up your jaw and is never lost. The second type of bone is called alveolar bone, and the sole function of
this type of bone is to hold in your teeth. Once you lose your teeth you also lose your alveolar bone. This is the type of bone
that is affected when we talk about periodontal disease, or what is also referred to as bone loss.
There are many factors that can cause bone loss, getting older is definitely one of them, as well as certain diseases such as
diabetes, which you stated you had. However, the number one reason for bone loss is attributed to either poor or improper
oral hygiene. This will lead to the accumulation of plaque which is colonies of bacteria, and if left long enough will become
hard and bond to the teeth and gums, and this is known as tarter. If left on the teeth or gums, these colonies of bacteria
will begin to eat away at the alveolar bone, and in advanced cases can lead to tooth loss.
General bone loss is irreversible, however by doing a general cleaning followed by a deep cleaning at the next visit, which is
when the patient is anesthisized, in order that we may go underneath the gums as far as possible with our instruments and clean
out all the tarter that has built up underneath the gums. The patient must then be instructed on proper oral hygiene to be done at home.
The patient must also be aware that unless he does his part at home, what the doctor does in the office will not be successful.
The last phase of treatment should be that the patient returns at least every 3-4 months for a regular cleaning, so that the plaque and
tarter is continually removed before it can do damage.
I hope I have helped.
Hope this helps.
MJ Waroich, DDS