Fetner and Hartigan
Michael J. Fetner, D.M.D., M.S.

The following questions are the most commonly asked.  There are major developments in our knowledge of the relationship between periodontics and general health that we feel our patients should know about.  Click on these links to learn more about periodontal disease and:

Heart Disease and Stroke    Low Birth Weight Babies    Diabetes    Osteoporosis 

FAQ's about Periodontal Disease:

 

At Fetner and Hartigan, we welcome questions and we always take the time to help you understand your concerns. The more you understand WHY recommended treatments will help you, the more likely you are to follow through with the therapy you need. We also want you to be knowledgeable about options so that you can be proactive about your oral health. With all the technological developments in periodontics, things can get very complicated, so our office is dedicated to shepherding you through this maze using human terms and compassion.

 

1. What causes periodontal disease?

           Plaque, a sticky, colorless mass of bacteria and debris on your teeth, is the culprit, but there are other factors that can speed up bone loss such as smoking, your overall health, your stress level, your bite, hormones and so on. If you have diabetes or an immune disease such as rheumatoid arthritis, or are on certain medications, you are particularly at risk. The number one risk factor for periodontal disease is smoking. Over 50% of the people with periodontal disease would not have it if they had never smoked.

 

2. My mouth doesn't hurt, so how can I tell if I have gum disease?

           Like high blood pressure, periodontal disease is often symptomless. Most people do not have any signs such as loose or drifting teeth, abscesses and pain until the very end stages of the disease. Even at this point, a periodontist may still be able to help you keep your teeth for many years. A correct diagnosis using measurements in your mouth and radiographs (x-rays) is essential. We also have sophisticated laboratory tests such as DNA probes and salivary analysis, if necessary. Periodontal disease is the number one reason for tooth loss in adults so early detection and treatment are essential.

 

3. Does periodontal treatment hurt?

           No! Through a combination of better technology, medication and our years of experience, we can assure you that you will be comfortable thorough your treatments.  "The Wand" has revolutionized giving local anesthesia. We treat a lot of children and they do very well, and so will you! Newer techniques in surgery such as LANAP and other laser procedures have made periodontal surgery as comfortable as getting a cleaning. We offer nitrous oxide ("laughing gas"), conscious sedation, TV's in the ceiling, and even I.V. sedation for our really nervous and special needs patients. Most importantly, we have learned much from our patients over the years and use techniques, technology and medication to keep you comfortable throughout your treatment and post-operative period. The door is never shut at Fetner and Hartigan; we make ourselves available 24/7 should you ever need us. 

 

4. How much work will I miss for the treatments?

           Through our experience we have learned to minimize "downtime" in the recovery phase. Even the most involved procedures such as sinus grafts can be done with local anesthetic and you can return to work the next day. Implants and periodontal surgery can often be done using minimally invasive techniques so some people have these procedures done on their lunch hour and return to work!

          

5. Will my insurance cover my treatment?

           Most procedures are covered by your insurance and our office team is expert in helping you navigate the insurance maze. We never want cost to come between you and needed therapy, so we offer multiple flexible payment methods. We are also sensitive to your particular needs and will discuss all treatment options so you can make decisions that work best for you.