I'm sorry you're dealing with perio problems, but I'm glad to hear that I'm not alone! I hope QKate sees this post and chimes in.
I had to have osseous surgery, but no IPR. I did lose a large molar during the surgery, so that was a bummer. My periodontist wants to put in an implant, but I'm not comfortable with that given my degree of bone loss. Apparently my case is a bit weird. I have a long history of good dental hygiene, so they think I have a genetic tendency for perio. Since the cause of my problems can't be addressed, I'm afraid that an implant isn't a good idea for me. The bigger bummer is that my lower front teeth have 50% bone loss, and were loose before I got braces. My dentist tells me it's not a question of if, but of when, I will lose them. Again, they want to put in implants and I'm not seeing that as a good plan for a person whose jawbone is mysteriously dissolving...
But my braces journey has been a good one so far. I really like my ortho, and he has endless patience with my questions. My lower front teeth moved really fast, but I wasn't too surprised since they aren't anchored all that well. I've had minimal discomfort with the braces. They flare up when I have to talk a lot (which happened at a recent conference where I was catching up with old acquaintances), but that simmers down after a few days.
I am unable to bite into anything though, no matter how soft, because of my loose lower front teeth. That poses a bit of a problem when I go out to eat with people. Deli's are a nightmare, and I'm getting really tired of soup! I can't eat artichokes anymore, either.