I think you meant mm not cm in the depth of those pockets. Most roots are relatively short and a 7 cm pocket would be longer than many (2.8 inches). I agree with the first two posters, except for one thing, a prosthodontist is not the type of dental specialist that you should see. They are great at replacement of things in your mouth which is their specialty sub training, but if you wanted to try and salvage the situation, which would be a worthwhile first try before you do something more radical, for a deep pocket, and dealing with it I would want to see a periodontist, and an oral medicine specialist. The second might be harder to find since they are mostly at dental schools and not in private practice. But if you have one close to you they really have the big picture on this issue.

Cleaning out a deep pocket can be done, and a manual cleaning with local application of peridex can get you on the right track. Also you want you generalist to confirm that you have no fillings or anything near these problem areas that is creating a "food trap" that keeps this situation chronic. This kinds of things can be easily repaired making it easier for you to maintain this area once it is back in line. Of course once that is taken care of you have a daily battle to keep it healthy. But in the end I would rather fight to keep the teeth that I have, see my hygienist every month, since I can't get to everything, than run the risk of a non healing wound n my mouth.

As you have read before this post there are some serious downsides if that extraction socket does not heal. Also you didn't appear to have the highest number of grays of radiation possible, and you MAY heal nicely after some 02 dives and an extraction. Other factors were if you had IMRT radiation, did this particular area end up right in the main field of the radiated area or was it outlying, If it was away from the main targets, it could have gotten even less radiation, sparring you some of the loss of the micro vascularization in the cancellous bone that is one of the main reasons for poor osseous healing after radiation and ORN. It can be a complex idea, and you have lots of choices.


Brian, stage 4 oral cancer survivor. OCF Founder and Director. The first responsibility of a leader is to define reality. The last is to say thank you. In between, the leader is a servant.