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Periodontics/gum inflammation

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Question
please see tooth 10
please see tooth 10  
I have gum inflammation above tooth 10 (the tooth left of the implant.) From the attached x-ray, please tell me what you think may be causing this inflammation? Can it be due to a poor fitting crown?

Answer
Yes,you are quite right. The problems with the tooth and the surrounding gum are caused by the poorly fitting crown. It has too bulky and probably also leaking margins. However, there is also an infection in the bone around the root, not only in the gum. The nerve tissue inside the tooth seems to have died and the tooth urgently needs root canal treatment. The crown margins must be evened out and sealed or a new crown must be made. There is also a slight problem caused by the implant next to tooth 10. The implant has been placed so close to the tooth, that there is only a very thin layer of bone left on the side of the tooth. If the treatment of the infection around tooth 10 is delayed, the thin bone layer might be lost very rapidly.
I advice you to book an appointment with a periodontist as soon as possible.

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Marketta Hormia, DDS, PhD

Expertise

I am a periodontist living and working in Helsinki, the capital of Finland, where I have my private dental practice. I am an international member of the American Academy of Periodontology. I have a Ph.D degree and a long background in research and teaching at the University of Helsinki and at the University of Turku, Finland. I function as an adjunct Professor at these Universities. I have also worked as a visiting scientist at the Scripps Clinic and research Foundation, la Jolla, CA. I can answer any question in the fields of dentistry and periodontics.

Experience

Private practitioner in Helsinki, Finland over 20 years. Former researcher and teacher at two Finnish Universities.

Organizations
The Finnish Society of Dentists, Division of Periodontology, American academy of Periodontology

Publications
Over 30 scientific research articles published in peer-reviewed international scientific journals (can be found on PubMed)

Education/Credentials
D.D.S., Ph.D, Specialist in Periodontology. Adjunct Professor.

Awards and Honors
Visiting Scientist at the Scripps Research Foundation, San Diego, California, 1992-1994. NIH grant

Past/Present Clients
Dental patients, national and international. All kinds of dental, oral and temporomandibular joint problems

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