Bacterial effect on dental/oral health?

Posted by dispatchpat @dispatchpat, Apr 3, 2023

I’m newly diagnosed MAC and Bronchiectasis and am vigorously practicing airway clearance, exercise and am now starting to consider dietary changes. I am extremely productive in my sputum production and wake up in the mornings with a coated throat and mouth. I have upped my game on my regular at home dental hygiene practices, feeling as though the bacteria I am living with, could be very detrimental to my gum health. Has anyone felt it necessary to Request three or four times a year dental cleanings? And if so, have you had any luck having the additional cleanings covered by your dental insurance? Thanks all for your generous contributions to these discussions.

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@dispatchpat Hi - When I was on antibiotic therapy, I upped my cleanings to 3 per year because my teeth felt "coated", but never even thought to ask about insurance coverage - just paid it. Now, over 3 years later, I feel like I still need the extra cleanings to keep my mouth happy.
Sue

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I also have an autoimmune condition, lichen planus, and it exhibited mostly in my gums. It was very important to keep my dental hygiene in the best condition possible. Because my gums were so tender it was hard for me to do on my own. I go for cleanings and examinations every four months. My insurance pays for two and I pay out of pocket for the third. I felt all was well and I was doing the right thing. Then, last week I felt one of my teeth in the back was ?loose. My regular dentist was out of town and his partner was "too busy" to take a look at my tooth. I spent a couple of hours calling around to find a dentist to see me on an emergency basis. The results of the visit was SHOCKING. My crown for the loose tooth came off with the x-ray film and broke the tooth off at the gum line. When the dentist took a look he said you've got a lot of decay in your teeth. He asked, "Has your dentist not said anything about this decay?" He even asked his assistant to look so he would have a witness. They could easily see the decay with the naked eye. I was crushed to hear this news. He also said you are going to loose several teeth because of the advanced damage. I went home totally disappointed with a dental practice that I put my care into their hands for many years. I was referred to an oral surgeon. They could not schedule me for two weeks just for a consultation. Two days after my first visit with the new dentist I felt another area that felt "loose". I went in and the dentist very easily removed a bridge and the two anchor teeth--both crowned. He said the area under the crowns was "mush." I go tomorrow to sit down with him to go over an extensive treatment plan. He said I'll probably loose six teeth and will have to have partials. Now, what does this have to do with anything, other than the incompetency of my old dentist. I've been inhaling Toby, off and on, for over four years. Has anyone ever heard of Toby causing any damage like this? I can't imagine my twice daily nebbing sod chloride would be a problem. I see my pulmonary doc April 18 and will ask him at that time. Any thoughts from our MAC soldiers? Thanks.

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I have 23 👑 crowns, so I know my way around the dentist office. Imho, your old dentist was negligent. I don't think nebulizing would cause that many issues.

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@miloandlisa

I have 23 👑 crowns, so I know my way around the dentist office. Imho, your old dentist was negligent. I don't think nebulizing would cause that many issues.

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miloandlisa. I see the oral surgeon on Wednesday and will ask him what he thinks about nebulizing Toby and teeth problems. Thanks.

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