Stability before restoration
Reconstruction begun on unstable bone fails on a predictable schedule. The order is not negotiable.
Periodontal treatment
Gum and bone are not a separate department from cosmetic and implant work. They are what everything else is built on, which is why a periodontist sits on this bench.
Dr. John R. Varoscak, DDS took his periodontal certificate at Columbia in 1971, has held faculty positions at VCU, Columbia and Harvard, and was Section Chief of Periodontics at Beth Israel in New York.
Reconstruction begun on unstable bone fails on a predictable schedule. The order is not negotiable.
Loose does not mean lost. Whether a tooth can be stabilised is a diagnosis, not a guess.
Dr. Kurpis is a founding member of the American Academy of Oral and Systemic Health. Gum disease does not stay in the mouth.
Worth a second opinion
Teeth that move can often be connected and stabilised rather than removed. That assessment is part of the reconstruction protocol, and it is the step most often skipped.
Questions
Frequently. Whether a tooth can be stabilised depends on the bone remaining and the forces reaching it, both of which are measurable.
The association is well documented, which is why Dr. Kurpis was a founding member of the American Academy of Oral and Systemic Health.
If the foundation is unstable, yes. Placing implants into untreated disease is how implants fail.
No obligation
The preliminary consultation is free and includes a 2‑D panoramic scan. If the plan you were given was the right one, you will be told so.