Margaret was told by her dentist and periodontist that she needed full mouth periodontal surgery and that her front tooth (#10) needed to be extracted due to the advanced bone loss and severe periodontal abscess present. Her front tooth was very loose. She was understandably very scared and shocked by the diagnosis and treatment recommendation. She was also overwhelmed with the cost involved.

Margaret decided to seek out a second opinion and found PerioPeak Innovations. She decided to undergo a more advanced treatment option called Restorative Periodontal Endoscopy - or RPE.

Four weeks later she showed amazing results! Her pockets reduced from a depth of 5-10mm generalized, with three periodontal abscesses present, to just 2-4mm generalized probe measurements with no bleeding. She now has 'abscess free' tight and healthy gums.

Only three months after RPE an x-ray was taken of her front tooth (#10). Incredibly it showed rapid bone regeneration occurring and was no longer loose. Margaret was thrilled with her result! She experienced no pain or discomfort during or after her procedure.

Margaret's Experience In Her Own Words:

In October of 2005, a loose front tooth and abscess forced an emergency appointment with my dentist. I was told, 'Of course, you will have to lose that tooth; and we'll have to schedule you for periodontal surgery in two weeks.' My pockets were from 5 to 10 mm.

WHOA!! What that meant was cutting all my gums down to the roots, the final cost was overwhelming! I was so scared. No dentist had EVER told me that my periodontal disease was THAT bad!

So . . . I figured, there must be something else between having a reasonably healthy mouth and 'filleting' my gums. I went on-line and found Judy Carroll of PerioPeak Innovations. She told me what 'perioscopy' and RPE was all about, so I decided to go to her for the procedure.

I am in awe of what Judy does! Since having RPE in November, my gums have not been puffy, sore, or bleeding. I have no pockets. While still somewhat sensitive, my once-loose tooth is firmly in place, and the x-rays show new bone growing around this tooth and many others.

I had a post-perioscopy three-month cleaning (02/06) with no soreness or bleeding! I can't wait to show my dentist the evidence: 'See? This is what can result from an alternative, less-invasive procedure!

This patient traveled in from Oregon to undergo an advanced perioscope procedure called RPE – Regenerative Periodontal Endoscopy, utilizing periodontal endoscopy technology and amelogenin proteins (Emdogain®). She had many teeth considered "hopeless" by the periodontist. She was treatment planned for extraction of the bridge anchor tooth #31 due to the advanced bone loss seen on the x-ray.

Only three months after undergoing RPE at PerioPeak Innovations, rapid bone fill can be seen in the x-ray taken by her general dentist. Her pockets went from 10mm to 3mm in all areas. Her dentist and hygienist were so stunned by the result they rechecked the data several times. This patient's result is a good example of how extractions and implants may be avoided with an advanced economical alternative called RPE.

Case 4: Gums of Heavy Smoker Restored to Health

This patient had been a heavy smoker for over 30 years, which leads to an inappropriate immune response with pus oozing from the gums.   Due to the advanced periodontal bone loss and infection in her gums she was told by her dentist that she would be better off having all of her teeth extracted. She found PerioPeak Innovations and decided to undergo non invasive RPE instead of the traditional approach of extractions and implants or dentures.  Below is an example of the results achieved on all of her teeth.

Only 3 months after RPE

Rapid bone fill 3 month's after RPE

This patient was able to avoid full mouth extractions of her teeth and the enormous expenses, pain, and time involved.  She saved thousands of dollars in treatment costs and she was able to keep all of her own teeth – priceless.

Advanced bone loss with cemental tear #9

This patient had suffered trauma to her front tooth as a child, the resulting cemental tear and advanced bone loss are obvious.

Tooth #9 was considered hopeless by the periodontist due to the deep pockets, mobility, and what is called a cemental tear (which typically cannot be treated without surgery or an extraction of the tooth) - tooth #9 was treatment planned for extraction, bone graft and implant by several professionals.  She found RPE as an alternative and traveled from NY to undergo treatment with PerioPeak Innovations.

One year later this patient returned for her reevaluation of tooth #9, the x-ray revealed excellent bone fill, and the tissue is now tight and healthy.

This patient was thrilled with her result. She continues to do very well and her tooth has tightened up nicely, with less than class I mobility at her one-year reevaluation.  She was able to avoid a tooth extraction, bone graft, and implant.  This result has been maintained for over 10 years.

This patient had undergone a full mouth deep cleaning for her advanced periodontal disease, characterized by very deep pockets and heavy tartar (calculus) under the gums.  She did not respond due to the limitations of root planing, or deep cleanings, in advanced cases. She was given the option for full mouth pocket reduction surgery with the periodontist (osseous periodontal surgery), or a non-invasive endoscope regeneration technique called RPE – Regenerative Periodontal Endoscopy.  She chose RPE - her results were remarkable.  This case was documented with over 40 photographs and x-rays, below are some of them.

X-rays and pics of advanced bone loss around the lower posterior teeth:

Nice result after only 10 months

This patient had deep periodontal pockets around the majority of her teeth, a generalized advanced periodontal case. Following RPE, she now has tight healthy tissue with no periodontal pockets – health has been restored. We continue to follow her progress every 3 months. Note carefully that this patient did not experience recession of the gums as her pockets reattached and regenerated. Had she undergone osseous periodontal surgery she would not have experienced this nice aesthetic result, and would most certainly have suffered a severe loss of tissue (due to surgically cutting out the pockets), resulting in large gaps and recession of the gums. In addition, she saved thousands of dollars in treatment costs.

This patient was treatment planned for full mouth osseous surgery and an extraction of her front tooth - #8. Upon examination of the x-ray, an endodontic lesion (root tip abscess) was diagnosed. We performed a root canal treatment in our clinic, with the RPE procedure the same day. A very efficient and definitive, combined treatment method.

Before root canal treatment the infection is clearly seen in the x-ray

The root canal therapy was performed the same day as the RPE treatment for best results by our doctor.  This combined therapy is pioneering work in saving teeth deemed hopeless due to severe infection to the root apex, as well as to surrounding bone.  The traditional approach for a tooth this advanced infection would be extraction of the tooth, bone graft, implant and crown.  Note the nice aesthetic result achieved for this patient.

Her thoughts in her own words:

01-26-11

Judy,
It's probably not relevant to your questions, but what I have not told you is that my father was a dentist. He taught me from the time that I was 0 that I wanted to die with my own teeth in my mouth, and he loved what he did. He died a few years ago. Without his voice in my head, maybe I would have "done as I was told" and had my tooth pulled . . . but I just could not. And, luckily, I was fortunate enough to find you. I am extraordinarily grateful to you and your relentless energy, knowledge, and wisdom.

This thankyou comes from the deepest part of me. My front tooth loves you too! Well, hey, all my teeth and gums are telling me to say they are equally grateful!

- Linda