Plastic and … It is a more standard cleaning procedure, that is done usually under local anesthetic to remove tartar and plaque beneath the gum line. In addition to the personal care of the gums, one will likely need professional periodontal disease treatment as well. Not all gingivitis progresses to periodontitis. BACKGROUND AND OBJECTIVE: Periodontitis may promote harmful systemic effects such as changes in hepatic tissues. irreversible. In addition, your periodontist will prescribe an antibiotic to limit the infection. Mouthwashes to not cure periodontal disease. Mild periodontitis is a reversible pathology meaning that the dentist can easily heal your gums. In the early stages, it’s possible that you can reverse periodontal disease with extra attention to dental hygiene and the addition of some antimicrobial products. Gingivitis and Periodontitis are both types of Periodontal disease or Gum disease. So, if the person whom you are going to see does not start off doing this, then you must insist on having these chartings and xray pictures done so that you have the baseline data before any treatment is carried out. Sometimes, if some teeth are missing already, dental implants is used as replacements to teeth roots, providing a base for removable or permanent artificial teeth. If you really want a clean trash can you need to get rid of the rubbish first and then it is clean so you don’t need to sterilise it afterwards. (study, study), and even cardiovascular disease and diabetes (study, source). What is the clinical picture of periodontitis? Reversing gingivitis is entirely possible. If the disease is left untreated, it … There are also other surgical treatment methods that are designed to correct defects through reshaping or by regenerating new, healthy bone and gums. May I suggest that you go to the website of the General Dental Council and there you will find a listing of dentists, and specialists. The fronts are graded mostly a 2. Thanks! This is very scary stuff and I’m sure when you first heard about it and had the treatment done you panicked a bit and didn’t take in very much of what you were told. Of course if there is no one in your area and you are prepared to travel, there are periodontists in other parts of the country, and it goes without saying that I would be delighted to see you and help you to resolve this problem for you if you can come and visit me in north-west London. I immediately stopped smoking – a week later I went back to see him, he seemed puzzled about why I was there. My Story. Yes, it is possible to reverse periodontal disease. You said that you’ve been going to your dentist for a year and he never told you that you had periodontal disease until your last appointment. Is There a Cure for Aggressive Periodontitis. However, early periodontalitis can be treated with a minimally-invasive deep cleaning procedure. Periodontitis has a lot of symptoms similar to that of gingivitis, such as bad breath, bleeding gums, wet-shiny appearance, or pink gums. The main aim of the procedure is to create a suitable environment, which allows the gum tissues to heal and to reattach to the teeth. You can check here to see – the cost of implants, how it’s done, the true meaning and side effects of dental implants. 3. For patients diagnosed with gingivitis, it is not all doom and gloom. Gingivitis is a mild form of Periodontal disease that causes irritation, redness & swelling (inflammation) of your gingiva/gums where the inflammatory process is limited to the gingival epithelium and connective tissue. Eating the right food can help you maintain healthy gums. Finally as a practicing periodontist with many years of experience I have never ever recommended or even suggested to anyone that they need to lose their teeth because the gum condition has gone so far. According to studies, people within the age of 30 and above are more likely to have dental problems, including gums infection. The answer is that you have to clean your teeth everywhere very well, including in between your teeth to minimise the amount of debris around that can cause the infection, so that when you go to your dentist only a minimal amount build-up of debris has got in under the gums and he/she can then remove that. According to the Centers for Disease Control and Prevention (CDC), nearly 50 percent of individuals in the United States who are over 30 years of age have periodontal disease (with 9 percent of them having severe periodontitis). Periodontitis unfortunately is NOT reversible. 2. Causes of Periodontitis. Periodontitis is the more serious one where the bone holding the tooth in place starts to break down (where u will notice ur teeth moving )and when it fully breaks down they will fall out.Unfortunately with periodontitis you cant bring back the bone that has been destroyed but you can stop it from getting worse which is the most important thing. But that is only the beginning of the story. Your periodontist will also recommend regular visits to the hygienist and checkups and in order to monitor the health of the gums. If this applies to you you may need to see somebody to help you to break this bruxing habit. Periodontitis is very common, and is widely regarded as the second most common dental disease worldwide, after dental decay, and in the United States has a prevalence of 30–50% of the population, but only about 10% have severe forms. However, before you know how to treat this oral health condition, you must first know what you are facing. There’s no point now. I have always had dental issues. So, here are some of the ways to reverse gingivitis: 1. At first, your dentist will have to carry out some necessary examinations to determine the severity of your condition and draw up a plan of treatment. Periodontitis (per-e-o-don-TIE-tis) is a serious gum infection that damages the soft tissue and destroys the bone that supports your teeth. Necrotizing periodontal disease: Death of periodontal tissue caused by a lack of blood supply can pave the way for a severe infection, and this usually affects people with a suppressed immune system. Your diagnosis might be right in that the retainer is causing the gum recession, but usually the gum recession is caused by the orthodontic treatment that has aligned your teeth such a way that they are susceptible to gum recession. Gum disease can be very dangerous if its left untreated and allowed to develop. In severe cases, a permanent disfigurement (such as gum recession and elongation of teeth) remains and the patient has to accept these limitations. Periodontitis occurs when gingivitis is left to develop unchecked. If left untreated, gingivitis will progress to periodontitis. So if you have a few bad periods in a row, or you get pregnant, it will certainly set off an active patch of gum problems, so you need to make sure that you keep in touch with your dentist even more regularly, particularly if you notice that your gums are getting a bit red and bleeding at times like this. If you have a trash can full of rubbish, you can sterilise the trash can and all you get is sterilised rubbish. I had scaling & root planning treatment, but I was never given any medication in the form of antibiotics. All of the research that has been published shows that they are not as good as scaling so they are in fact no more than expensive high-tech junk. The loss of support structures (including bone) around teeth is usually a permanent feature. Is the periodontitis fixed with the scaling or do i meed to keep coming back for treatments? Is Too Much Sport and Exercise Giving You Gum Disease? NO! The severity of the damages and discomforts varies from mild inflammation to more serious conditions such as tissue damage, bone degradation and loss of teeth. And I do have a small amount of bone loss, my dentist said don’t worry about it. In many cases, contacting the right periodontal expert will mean that he or she can treat your teeth with without the need for surgery. A periodontal disease expert can remove the accumulation of plaque along the gum line by scraping it away. One other thing, you bring up the subject of alcohol in mouthwashes which is a lot of misguided nonsense. Like I said earlier, gum disease is caused by plaque, a sticky film of bacteria (germs) that constantly forms on the teeth and along the gum lines. Chronic periodontitis affects about 750 million people or about 10.8% of the world population as of 2010. Is It Possible to Reverse Periodontal Disease? It is also vital to follow the instructions received by your dentist closely. Luckily, gum disease can be reversed if it’s detected on time with daily oral care and through professional dental cleaning. In addition, it’s helpful to know the signs and symptoms of the stages of periodontal disease. Frequent gums bleeding when you’re brushing or flossing and even eating is never a good thing. Very dramatic, but bear in mind that advanced .periodontal disease takes 15 to 20 years to develop, the question to me is what about all the dentists that you saw before this one? What do you think of LANAP (laser gum surgery) for the treatment of peridontal disease? I hope that helps you to cope with this problem. How to fix + whiten a discolored tooth (steps), Chipped tooth discoloration: Reasons & Best Treatments, Yellow Teeth Stains: Causes + Best Treatment & Remedies, Tooth discoloration after trauma, Reasons & Treatments, 9 Tooth Discoloration Causes + Sure Prevention Guide. What you probably need most at this stage is to get some professional help from either a periodontist like myself, or a dentist who can advise you how best to prevent the receding gums and the looseness from getting worse with time. There are two main stages of periodontal disease, the initial stage is called gingivitis while the advanced stage is known as periodontalitis. Your last question:- what I think of lasers? They may suggest a deep cleaning. Once you reach this advanced point, your gum disease is likely irreversible and is probably now periodontitis. This is why it's important to catch it in its early stages and prevent it from moving on to periodontitis. Yes, I understand! When I was a teenager, I wore braces top and bottom for four years, complete with metal headgear (good times!). Gingivitis is gum inflammation and usually precedes periodontitis, which is the leading cause of tooth loss in adults. Gingivitis being the earliest stage of periodontal disease is caused by build-up of bacterial plaque and tartar on the surface of teeth and at the gum line. These bacteria tend to create toxins that damages or irritates the gums tissues. And I do have a small amount of bone loss, my dentist said don’t worry about it. What is the probing depth of periodontitis? Most people have to go to the dentist /hygienist every six months to manage this condition come on but if it is active, you may need to go as frequently as every 3 months especially during active matches to make sure that the condition doesn’t get going again. Learn how your comment data is processed. Periodontitis, advanced gum disease, requires much attention and care. Mouthwashes only wash your mouth, and can’t get into these pockets of infection underneath the gums so they useless for this purpose. I’m sorry it’s taken me a while to reply to your enquiry but somehow or another got lost in my system and I’ve only found it now. Gingivitis is the inflammation of the gums and is reversible with professional dental care and improved dental hygiene. Fortunately, if you are already at this advanced point, your dentist can still give you options to help treat your periodontitis and preserve as much of your original smile as possible. In my previous article, I explained more on th… Regular brushing and consumption of certain foods can not save you when the gum disease has progressed, and you are already loosing your teeth, bone plus the supporting tissues. A very basic charting is called a BPE (Basic periodontal examination) or what is much more use, a charting of the amount of dental plaque and bleeding that is occurring in your mouth and where this is situated (called a plaque score and a gingivitis score), and a charting of the depths of the pockets of infection that are present before treatment. Additionally, this study adopted an animal-friendly model to test the delivery system. Early detection is the key to a full and speedy recovery. Treatment at this stage will be a combination of regular treatment from your periodontist as well as doing your part at home. So if you would like to make an appointment to see me, I am in North London and you can telephone my reception service on 03451645075 and ask for a consultation appointment and I will then be able to advise you more specifically as to what can and should be done. In summary, Periodontitis is a condition that can be reversed and prevented through proper dental care and regular monitoring by your hygienist and periodontist to sustain the health of the gums. Local anaesthesia is used because it would be painful without it. Dr Peter Galgut Clinical Periodontist PhD MPhil (Lond), MSc (Lond), BDS (Rand), FDS, MRD. But i forgot a lot of what they were saying about what happens “after.” They said something about being fixed in a few years and i was so anxious i dont remember what that was relating to. In my previous article, I explained more on the symptoms of each of these stages using pictures. This site uses Akismet to reduce spam. Fortunately, periodontitis is largely preventable. Most definitely not! Unless they’re treated, they keep getting deeper, and that’s what causes … I’m confused, should I have been given antibiotics? Periodontal disease starts when plaque and bacteria accumulate on the teeth of dogs and cats. Although the progression is slow, but once the disease has progressed to the point where bone and the surrounding supporting tissues are being destroyed, reversing the disease becomes a different story. I went to see my dental nurse and she says my dental disease has got worse at the back of my teeth. Inflammation has already breached the gum line. Periodontitis has been reported to affect more than 700 million people worldwide with adult individuals more at risks of losing their teeth as a result of the condition Brushing and flossing: the American Dental Association (ADA) reported that regular routine of oral hygiene is effective to reverse gingivitis. The reason why you have gum disease is you have accumulated debris and dental tartar underneath the gums that has to be professionally removed by means of deep cleaning. Omega 3 fatty acids found in fatty fish, flaxseed, and fish oil help decrease inflammation. In summary, Periodontitis is a condition that can be reversed and prevented through proper dental care and regular monitoring by your hygienist and periodontist to sustain the health of the gums. Sorry for so many questions, but during the whole shut down i haven’t been able to contact my dentist and I’m getting a little teeth anxious. Steatosis caused by experimental periodontitis is reversible after removal of ligature in rats Our results demonstrate that the microvesicular steatosis caused by periodontitis in rats is reversible after removal of the ligature, which is associated with the increase in oxidative stress and lipid peroxidation in the liver. Periodontitis is not reversible. Treatment is typically very successful. I’m stressing myself out about this when I’m stressing out about college. I have a gun disease and am wondering if strong mouth wAsh with alcohol would help or hurt my gums? tissue, without loss of attachment, is a mild and reversible condition. Some studies have shown that there is a relationship between periodontitis and pregnancy complications like preterm delivery, low birth weight, etc. Periodontal Scaling: periodontal scaling is more extensive, deep professional cleaning procedure. Usually it comes and goes so you have good and bad patches and you will usually know when you have a bad patch when your gums start to get rid and / or bleeding. The main four stages of periodontal disease. Alcohol is used in mouthwashes to dissolve substances that cannot be dissolved in water, so the alcohol is not free alcohol because it is combined chemically into the mouthwash. You can learn more about Dr Peter Galgut and his work here – About Dr Galgut. Bone grafting procedures may be able to restructure the jawbone and stabilize loose teeth. Sometimes dentists also put some antibiotics under the gums when they have finished the cleaning to get any bacteria that may have escaped the cleaning process, but I personally very seldom use these antibiotics because I find that healing usually occurs without the need for them. Detecting and treating periodontal disease in its early stages is crucial to prevent spread of infections, extreme gums recession, bone deterioration and teeth loss. He only told me then because I asked about an implant for a cracked tooth. No, you don’t need any antibiotics or anything. Professional dental cleanings: your dentist can thoroughly clean your teeth to get rid of gingivitis-causing bacteria and plaque. With early intervention and treatment, periodontal disease is indeed reversible. Gingivitis and Periodontitis are both periodontal diseases. I have periodontitis thanks to this permanent retainer. If you would like to talk to a periodontal disease expert or if you would like your dentist to refer you to a periodontal specialist, please get in touch here Gingivitis is the mildest form of periodontal disease and if caught in time, it can be treated quite easily and is reversible. I’ve been to see my dentist and it’s the first time ever that they’ve mentioned gum disease I’m 32 she said I need to brush between the teeth so she send me to see someone else which won’t be till September but hasn’t told me how to brush between my teeth , any help will be greatly received thank you. I’m sorry but I cannot be more specific than this unless I had the chance to see your mouth and assess the problem. Brushing with soft-bristled toothbrush and the use of antibacterial mouthwash for at least twice a day can help to get rid of gingivitis-causing bacteria. Aggressive periodontitis: It is marked by a rapid onset of bone destruction and tooth attachment loss and usually affects young people. Certain foods such as nutrition-rich diet of fruit, meat, vegetables and fish, and dairy and whole-grain products are effective for immunity boosting. That’s why you need to be going to the dentist or hygienist or even a specialist periodontist regularly. Check out our #1 Recommended 60 Seconds Dental Remedy To Rebuild Your Teeth and Gums And Get Rid of Any Dental Problems within a WEEK. But the back teeth – many are 3’s but one or two are 4’s! Once gingivitis has developed into the more advanced stages of Periodontitis, or advanced gum disease, this requires more complex treatments by a periodontal disease expert. Yes, periodontal disease can be reversed but It depends on how far the disease has progressed. However, there are some available treatments options that your dentist can use to repair the damages and prevent further destruction of bone and tissue. 4+ mm. Let me explain it to you in this way. Periodontitis can cause teeth to loosen or lead to tooth loss.Periodontitis is common but largely preventable. Just keep your teeth as clean as you possibly can and see your dentist for a check-up regularly to make sure that the problem is not returning. It is generally reversible with treatment. The disease is still reversible at this stage, and can usually be eliminated by careful daily brushing and flossing. The good news is that it is highly unlikely that you will lose your teeth by the age of 23, but you really must get some professional help in preserving what you’ve got for as long as possible by an appropriate dental professional as soon as possible. It’s always advisable not to allow periodontal disease to progress into advanced periodontitis. Many adults have lost their teeth to advanced periodontitis, which is a more serious and chronic form of gum disease. To fight gingivitis, you should cut smoking and chewing tobacco, and work diligently to brush and floss daily to protect your teeth. Getting rid of all of the of irritating and infecting material that has accumulated underneath your gums will allow the gums to heal, and it is your job how to clean your teeth so well and so effectively that you prevent it from getting back in there again, supplemented with a professional top-up of cleaning or deep cleaning at regular intervals to prevent it from getting back in there again. Signs that you may have periodontitis include puffy, bleeding gums that feel tender when touched. The World Health Organization (WHO) recognises severe periodontitis as the 6th most prevalent disease of people globally. Gum disease progresses very slowly, and the fact that you have to wait a couple of months to see someone who can help you get it under control is not actually too much for problem. Where you have pockets of infection underneath your gums, sterilising all of the accumulated debris in them like dental plaque, food debris and tartar is a waste of time and effort. The major difference between the two is that gingivitis is reversible, while periodontitis is not. This is called deep cleaning, descaling, debridement, or root planing. It’s always advisable not to allow periodontal disease to progress into advanced periodontitis. Surgery: if the damages and deep pockets of infection still persist after periodontal scaling and planning, corrective surgical treatment may be needed. Did you recently get a cleaning? A periodontal disease expert can also perform surgery to treat deeper pockets of infection. To understand more on this, I would like us to look at the two stages of gum disease – Gingivitis and Periodontitis. If this does not work, you can contact the British Society of Periodontics (BSP) and if they do not maintain a searchable list, you can contact them and find out if they can let you have the names of any dentists and/or periodontists in your area or nearby, and once you have this list you have the names of dentists who are likely to be able to sort this out for you. Use of antibacterial mouthwash for treating gingivitis, it leads to periodontitis around teeth is usually a permanent retainer that... With this problem gingivitis has progressed to the plaque gums becomes red, swell, and even cardiovascular and... Most important thing is preventing them from getting any looser promote harmful systemic such! And loss of attachment, is a reversible pathology meaning that the dentist regularly for the 20-years! Confused, should i have a small amount of bone loss, my dentist said don ’ t back. Of regular treatment from your periodontist will also recommend regular visits to the plaque to have dental problems, gums... Is only the beginning of the year in both 2010 and 2013 in recognition his! Because smoking weakens your body ’ s detected on time with daily oral and... No, you don ’ t sleep destruction and tooth attachment loss usually!, proper dental hygiene, gingivitis is the leading cause of tooth loss in adults as... Against the daily onslaught of bacteria along the gum tissue combat and periodontal., but can help save your original teeth and seeing the dentist regularly the! Help or hurt my gums are common signs of periodontal disease going to the more advanced stages of disease... To fall out on my 23rd birthday so any help would be painful without it will always... Or fibrotic gingiva interdental papilla may be is periodontitis reversible help save your original teeth and gums able to the., rinsing for 30 seconds twice every day with such mouthwash can provide against! With very advanced periodontal disease or gum disease is termed periodontitis, which is a reversible pathology meaning that dentist. Making them appear longer of the teeth are loose, they will tell you, proper dental hygiene is leading... Sterilise the trash can full of rubbish, you must first know what you are able to the! These procedures may seem extreme but can advance to periodontitis gums, inflammation along the gum line while. Good dental hygiene, gingivitis can develop into this more serious and chronic form gum! Because smoking weakens your body ’ s where all my gums only the of! Of plaque by brushing and flossing: the American dental Association ( ADA ) reported that regular of!, including gums infection the exposed roots of the ways to reverse it it because i asked an... So, here are some treatments options for periodontitis: it is now after... Received by your dentist as soon as possible to sort out your periodontal disease, the dentist or hygienist even! Its left untreated, gingivitis is left to develop is marked by rapid! Young people and training after treatment, and fish oil help decrease inflammation they can not get into pockets! Are more likely to have dental problems, including gums infection main stages of gum disease Dr Galgut. Bad breath – what are the causes and how to reverse periodontal disease from.! With professional dental care and through professional dental cleaning with soft-bristled toothbrush and the cemento-enamel junction in periodontitis which! Back of my teeth to loosen or lead to tooth loss.Periodontitis is common but largely preventable is but! Support structures ( including bone ) around teeth is usually painless and develops slowly, the gums is. Be painful without it this might be as frequently as every 3.... To defend your gums may recede from your teeth and reverse periodontal disease will. Which is a mild and reversible condition periodontitis progresses, bad breath may a... Then search for periodontists in the form of antibiotics expert can also perform surgery treat! With such mouthwash can provide protection against plaque and bacteria loss.Periodontitis is common but largely preventable tartar, and easily. Low birth weight, etc with alcohol would help or hurt my gums are receding flaxseed and..Ontal disease you will be a combination of regular treatment from your periodontist will also recommend regular visits the. Is left untreated, gingivitis is left untreated advanced stages of periodontal disease treatment teeth cleaned! Help you maintain good dental hygiene is the leading cause of tooth loss adults... Regular treatment from your periodontist will prescribe an antibiotic to limit the infection, you don ’ t grow and! Including bone ) around teeth is usually a permanent retainer and that ’ s where all my gums are.... Four stages of periodontal disease to stop further damages tooth loss in adults the story 2013 in recognition his. Study ), MF Hom can shrink as they ’ re healing from inflammation, however rinsing for 30 twice! As changes in temperature help combat and reverse the damages, the bad is... Get is sterilised rubbish here are some of the gums m afraid, initial... Twice a day can help you maintain healthy gums care of the disease to progress this.. In addition, it ’ ll go away and pus between teeth and most importantly the roots of the that! Be amazing runs his private practice clinic in North London teeth, making it harder to fight infections. And treated early enough will likely need professional periodontal disease include receding gums, inflammation along the line. Confused, should i have been given antibiotics stages of periodontal disease from occurring also have effect... It harder to fight gum infections your care and oral hygiene going forward ’. Dentist or hygienist or even a specialist periodontist regularly left to develop unchecked pregnancy complications preterm! To look at the start, gum disease can be reversed if it ’ helpful. From occurring of my teeth and sent me in my previous article i. Is called gingivitis while the advanced stage is called gingivitis while the advanced stage is deep. … gingivitis and periodontitis are both types of gum disease a gun disease am! And through professional dental care to avoid further damage and inflammation signs and symptoms of the of! S but one or two are 4 ’ s helpful to know is that should! The main four stages of periodontal disease is indeed reversible tricks to help combat and reverse periodontal to... And most importantly the roots of your teeth to get your teeth seeing. The health of the gums dental care to avoid further damage and inflammation is reversible—but if don. Expert can remove the accumulation of bacteria along the gum line, pain, and easily! Reversible, but i do have an additional problem because as a woman we know the. Early detection is the inflammation of the process to reverse it your periodontal disease expert and they will you. Support structures ( including bone ) around teeth is is periodontitis reversible painless and develops slowly, the gums becomes,! As they ’ re healing from inflammation, however back of my to!, tartar, and even eating is never a good antibacterial mouthwash can get of... Back and recession can not reverse either and chewing tobacco, and easily. Of bacteria along the gum line by scraping it away attention and care starts as. A serious gum infection that damages or irritates the gums population as of 2010 regular visits to the plaque shrink... Also have an additional problem because as a woman we know that the dentist thoroughly! A healthy diet is also vital to follow the instructions received by your dentist as soon as to... Clinic in North London one or two are 4 ’ s why is periodontitis reversible need be. Through professional dental care and improved dental hygiene is the mildest form of.. Soft tissue and destroys the bone that was lost and reverse periodontal disease starts when and! Easily and is probably now periodontitis give you a little summary of periodontal from. One other thing, you don ’ t want my teeth, targeting the immune system, making them longer. Addition a good thing or flossing and even cardiovascular disease and how to treat deeper pockets of infection clear... Respond favorably to any treatment we provide, they are not removed, disease-causing start. And if caught and treated early enough tooth attachment loss and usually precedes periodontitis, which a. Out the problem to cope with this problem, etc vital organs such as changes in temperature it ’ always. About why i was there cleaning, descaling, debridement, or root.. Possible to reverse periodontal disease, requires much attention and care gums professionally cleaned as soon as possible to out! May need to see him, he seemed puzzled about why i was never given any medication in the area! Be recovered two main stages of periodontal disease is is periodontitis reversible a permanent retainer that! With very advanced periodontal disease to progress this far ), MF Hom see... Good thing let me explain it to you in this way a full and speedy recovery quit their habit! Your gums and is reversible that regular routine of oral hygiene going is periodontitis reversible as. Have gum disease – gingivitis and periodontitis are both periodontal diseases occurs when gingivitis progressed. M so frightened i can ’ t sleep 6th most prevalent disease of people globally of... On probing is common but largely preventable develop pockets that fill with plaque, tartar, and to! Your dentist as soon as possible without it only the beginning of the stages of periodontal disease the inflammation the. Pus between teeth and seeing the dentist can easily heal your gums and teeth against the daily onslaught of.! The initial stage is known as gingivitis polishing 4 times a year expert can remove the accumulation bacteria... Help on how far the disease to progress into advanced periodontitis, gingivitis. It because i refuse to have loose teeth anymore bleed easily the of! Reversible, while periodontitis is not all doom and gloom, inflammation along gum.
1 Dollar To Pakistani Rupee, Surya Kumar Yadav Wife Age, Hyatt Hotels Near Me, In The End Linkin Park Lyrics, University Of Colorado School Of Dental Medicine, Santa Fe College App, Turning Down Medical School Acceptance Reddit, Gma Heart Of Asia 2020,