@tmtm4 I don't have periodontal disease, but because of gun recession, my gums have thinned and the roots of my teeth are exposed a bit. Stress affects this a lot. This is likely from tension in my neck and jaw and it has been going on for years. It started when I was younger and dentists would ask if I was brushing too hard or using a hard toothbrush. Well, maybe I did. I was quite upset as a child getting cavities and didn't want it to happen again. The gums have to seal around the teeth roots, and if you have tension pulling on the gums through the jaw (as can happen with grinding teeth and stress), it can affect it. Even grinding teeth, or having a tooth that is "taller" than the others puts stress on that tooth and can start blunting the roots of the tooth from pressure and can loosen that tooth leading to possible loss. My dentist showed me an x-ray demonstrating this, and had me have my bite adjusted by filing down (very slightly), the teeth that were "too tall", so that it evened out the pressure of biting over the whole mouth.

For grinding at night, having a bite guard made and wearing it helps with the pressure. I had one for awhile, but after my implants and new bridge and bite adjustment, it no longer fits, and they say I don't need it now.

My mom has similar issues with her feet and deformity due to arthritis along with severe osteoporosis. It is good that you are treating the thin bones. My mom had a spontaneous compression fracture in her spine because of the severe osteoporosis because she had a problem with a parathyroid gland that was malfunctioning and causing calcium to be pulled out of her bones. If that is the situation, it's best to be seen by an endocrinologist because some medications for osteoporosis don't help enough in that situation. My mom was on Fosamax for 10 years before the spine fracture happened, and now is receiving injections of Evenity instead.

What brings you joy? You may wonder why I asked this, but you can find ways to distract yourself from the stress and health problems that you live with. Fear increases pain a lot, and finding something creative to do can take your mind away from it all. This is a lesson I had to learn myself because I was very fearful of pain and surgeries, and when I needed to choose between surgery for cervical stenosis and loosing the coordination of my arms, I decided to face my fear and embrace the surgery that changed my life. I had the voice of a small powerless child inside influencing me who had not resolved the past fearful issues. I worked through all of that, and left that fear behind. I realize your experience is different, but you can control the voice in your head and how it talks to you about your life. You can choose to occupy your mind with something that brings you joy. I say these words with kindness, not criticism. Mayo Clinic does have a pain management program that teaches people how to re-frame their thinking about pain, and all the artwork everywhere at Mayo speaks to this need to be inspired by beauty as part of healing. There is also a great discussion on Art and healing here on Connect.
https://connect.mayoclinic.org/discussion/art-for-healing/