Friday, December 7

The Periodontist...

Or... Why I'm So Confused.

I met with the Periodontist yesterday. The one recommended by our current dentist's office. (Until further notice, I shall refer to the two dentists in that office as Dr. Jekyl and Mr. Hyde. I'm fairly certain neither one knows the other one exists.) I went braced for the Apocalyptic news I'd been prepared to hear. I struggled with presenting myself in a confident, capable manner without having to resort to Ernie's suggestion (which was, by the way, infinitely comforting, and made me smile a lot during the morning).

He made a chart, updated the information from the x-rays I had with me, and then probed my gums with the little measure-o-meter stick. The numbers sounded different than the numbers I'd been quoted at the awful visit I referenced in my last post. They sounded significantly different. There was one bad-bad number (a pocket of 7mm between the two front teeth - but back at the last visit, the hygienist had said she'd bottomed out her poker thing and never hit solid ground, so she marked it as an 11 on my chart), but everything else was mostly 2's, with a few 3's. Only two fours, and one five. Nothing like the 8's and up I'd been told before.

We talked about pregnancy hormones, and how these numbers will likely actually improve after the baby is born. He said even if they didn't, he doesn't see anything that warrants a surgical solution. He is a little worried about that spot between the two front teeth, and would like to wrap his mind around it. The teeth are healthy, and there's no gum recession. So why the deep pockets there? What caused this? (That is, also, incidentally, where there is identifiable bone loss on the x-rays.) He asked if I'd experienced any trauma to that region - car wreck, head bonk by a child, kick in the head, bar fight... anything? There hasn't been anything, so I don't know what could have caused it. I can only guess, but we know what that's worth. Miss Cleo, I'm not.

His recommendation: wait until April, then come in for a regular old cleaning and another probe. Let's see, then, but also take into account that nursing keeps your body in a pregnancy-like state, as far as hormones go, and a good portion of gum condition is directly tied to hormones. (OK, can I just interject here that it is SO refreshing to find a health care professional who has a clue how pregnancy affects the body? Truly, deeply refreshing.) If I experience any obvious changes, call him immediately and he'll see me to make sure nothing bad is going on in there. In the meantime, though, keep doing whatever I'm doing at home, and have a good pregnancy.

I'm... relieved. I'm... cautiously optimistic. Obviously, I'd like to believe what this man is saying. Nobody would opt for a full frontal flaying if it's not actually necessary. However, I just don't know who to trust or what to do, and a part of me (the pessimistic, Eyore-like part) is terrified to go with the best-case-scenario, for fear that I'll wake up one morning to find my mouth has exploded, I'm choking to death on abcesses, and my teeth are embedded in the ceiling and headboard. Lovely image, no? No. Yeah, I know.

*phew* I don't know. What would you do? I'm at an absolute loss, but at least for now, I think we're going to wait until April to make any further decisions. That will allow us to enjoy the holidays, get more done on the Forever Home, and enjoy welcoming BabyFive to the family. Tomorrow's worries can wait. (Or, they will explode while I sleep. Either way, I'm not going to sweat it for now. *grin*)

Thanks for listening!
Kiss those babies!
~Dy

8 comments:

momanna98 said...

I would trust the guy who is telling you not to give him a ton of money to fix something. I dunno, I lump people in the medical field with car mechanics.... they are always finding something wrong that isn't really wrong..

Sheila said...

I'd stick with this last guy and get him to do any and all work you need from here on out. If he can't do the crown replacement, ask him who *he* would go to for that sort of thing.
Oh I feel for you. I can't even articulate how bad I feel for you.

I hate dentists. I've had one bad one, one crazy one, and one crooked one.
Then I let ZD pick one and he picked a winner.

Jennie C. said...

I'm having a scary teeth moment myself. Actually, I'm relieved to find out that nursing may be affecting that. And stress. I know stress is killing me, too.

melissa said...

Definitely I would trust the specialist. So often it's,"yeah you'd better go ahead and spend those thousands of dollars now..." Relax. I would have been doing cartwheels out of that office!! Woo-hoo!!

Emily (Laundry and Lullabies) said...

I would definitely agree with momanna98. Trust the guy who isn't telling you to mortgage the farm to pay him. There really are unscrupulous dentists out there, and they are the ones telling you to pay them lots of money. The guy who says it isn't that bad doesn't have much in it for him, you know? He's just telling it like he sees it. So if I were you, I'd go ahead and be optimistic.

Emily said...

Stick with the last guy!! He sounds a more honest than the other one.

hornblower said...

Dy, I guess it comes down to is there a reason to not trust this guy? He is a specialist, no? I would either trust him or go get another opinion from a periodontist. If you're really obsessing I'd call the state qualifying boards just to confirm that your good news dentist is in good standing & doesn't have pending litigation for failing to diagnose rampant disease which requires surgical treatment asap
:-)

Oh & maybe consider ditching your other dentist? Is that the one that is good with your kids? In that case maybe you could continue to bring them there but move your adult teeth somewhere else?

I think you can let yourself think good thoughts. Optimism doesn't hurt and you may well turn out to be right!

Anonymous said...

hi,
tooth and gum formula from dr. schulze at herbdoc.com. that guys stuff is great! safe for the baby too!