I have a history of issues in this bottom front teeth area — over the last 6 years I’ve had a frenectomy, 3 gum grafts, and several deep cleanings (scaling/planing). A few years back (2021?) I was told I had some bone loss and my teeth were slightly mobile so I had a splint put in. That plus the low gum line has made it hard to keep clean, plus I admit I haven’t been as vigilant with my dental hygiene as I should. 

Today I saw my dentist for the first time in a year or two. I’d been nervous to come in because in the last 6 months that gum area has become sensitive with visible buildup, and I was expecting I might be told I have to do another gum graft. 

However, after doing x-rays the dentist said the bone loss has gotten worse since 2021 and he didn’t think the bottom two could be saved, and at least those plus possibly a third would need to be extracted. He’s suggesting the extraction, then Invisalign to make more space before putting in a bridge. 

The pictures I attached are x-rays of the bottom front teeth to show the bone loss and the current state of my gums. 

What I’m wondering is if these teeth really can’t be saved?? With the treatment plan they recommended, I’m looking at least a few months where I’m visibly toothless, not to mention an out of pocket cost of like $10k. This was a huge shock and far worse than the worst case scenario I was expecting. I’m going to my perio for a second opinion because I really trust them, but I’d like to get some other perspectives. Either to calm my fears or to give me a reality check and help me accept the truth. Lol :-(

Bone loss + severe gum recession/inflammation = teeth are beyond saving??