Trying to determine the prognosis starts with the assumption that after treatment the
patient will at the least use the Sonicare Diamond Clean tooth brush and clean in
between their teeth twice daily and present for supportive care every 3 months.
Following the tenants of the anti-inflammatory diet to improve their immune system
function would help immensely, but 95% of people don’t even read the materials I
In a recent article in the Journal of Periodontology,
(February, 2014), researchers followed patients for 25years and looked at their
treatment outcomes. They found that
smokers had a 246% greater chance of loosing their teeth compared to
a patient smokes, the results are never as good and the longevity of the
dentition is shorter.
Prognosis: Should be updated yearly
Good: Teeth that have pocket depths of 4-5mm and no mobility. These teeth should
respond well to therapy and expect them to last a lifetime. They are good candidates
for any needed restorative care (fillings, crowns, bridges, etc).
Fair: Teeth with pocket depths in the 5-7mm range with limited mobility. These teeth
usually respond well to therapy and get back into a maintainable state and could be
restored as desired.
Questionable: These teeth have a questionable outlook beyond 5-7 years because the
pocket depths are in a 7-8 mm range, the breakdown extends into the furcation regions,
class II mobility, and there are usually significant occlusal problems at this point. Only
restore these teeth with clear and written expectations about longevity, costs, benefits,
Hopeless: These teeth have Pd’s greater than 8mm, advanced furcation involvement,
class II & III mobility, and are generally having routine abscesses. We usually
recommend extracting these teeth, but in some cases will try laser assisted therapy as a
last resort and plan to extract them if they continue to be infected. We do not
recommend they be restored except for caries control during the first year after