Dental Conditions > Loose Tooth
While a loose tooth is a typical occurrence for a child, a loose adult tooth generally indicates an issue with your oral health. In adults, teeth become loose when they no longer have sufficient support from gums and other underlying structures. Instability can stem from a variety of conditions, including gum disease, osteoporosis, or a traumatic force, such as clenching or grinding your teeth. Typically, loose teeth are accompanied by sore or receding gums, or inflammation. In some cases, early treatment of a loose tooth can save it from otherwise necessary extraction. The optimal treatment option for you will depend on the cause of the instability and how long it has gone untreated.
Loose teeth do not behave the same in adults as in children. When a child has a loose tooth, they can generally wiggle it and are sure which tooth is causing the issue. Most adult patients with a loose tooth recognize that something does not feel right, but they are not sure exactly what it is. If you have a loose tooth, you may have other symptoms as well, such as:
- Sore, swollen, or discolored gums
- Bleeding during brushing and flossing
- Gum recession
- Pus around the tooth
- Food buildup between teeth or under gums
You should speak to your dentist right away if you experience looseness of a tooth or any of the associated symptoms. Early treatment is the best way to prevent tooth loss.
In general, the causes of loosening teeth are split into two categories:
- Primary occlusal trauma
- Secondary occlusal trauma
Occlusal is a term that refers to your bite, and trauma is anything that can damage or injure the supporting structures of your teeth. A primary occlusal trauma can occur as a result of force exerted by your bite, such as clenching or grinding your teeth, and affects only the teeth themselves. At this point, there has been no loss of periodontal attachment. A secondary occlusal trauma occurs after tooth has already lost support from the bone or ligaments due to another condition. Loose teeth are typically caused by secondary trauma, such as gum disease.
Periodontal disease, a chronic infection that affects your gums, is one of the most common causes of loose and shifting teeth.
Periodontal disease, a chronic infection that affects your gums, is one of the most common causes of loose and shifting teeth. Most often attributed to poor oral hygiene, this condition occurs when bacteria forms around the gum line and begins to affect the bone and connective tissues of your teeth. The longer gum disease is left untreated, the more likely it is you will have serious oral health issues. Advanced stages of this condition can cause tooth loss.
Occlusal trauma can come from a variety of sources. Whenever extreme force is placed on teeth, the ligaments and connective tissues that hold your teeth in place can become stretched and lose their strength. If you regularly grind your teeth or clench your jaw, you are placing excessive pressure on your teeth.
In addition, misalignment in your teeth can cause extra force to affect certain teeth over others. External trauma from a fall or accident can also damage the ligaments and bone and loosen your teeth. You should visit your dentist right away after any injury to your mouth.
Osteoporosis is a condition that diminishes the natural density of bones and causes them to weaken. This disorder can affect both men and women. When the density of the bone is lowered by osteoporosis, teeth can become loose.
During menopause, your body produces less estrogen, which can cause the bone supporting your teeth to weaken. Jawbone loss can result in tooth loss.
If you are missing multiple teeth, every bite exerts a greater amount of pressure on your remaining teeth than it normally would. In addition, tooth loss leaves gaps in your smile, allowing space for other teeth to shift and increasing the chance of loose teeth.
Infections or Abscesses
Infection below the gum line or abscesses around a tooth can affect the bone and connective soft tissues of your teeth. Loss of bone and periodontal ligament can result from an abscess, reducing the amount of support your teeth have.
Your treatment options will depend on the underlying cause of your loose tooth. For example, performing a soft tissue graft may not help if the cause of your tooth mobility is clenching your teeth. Your dentist can examine your overall oral health and recommend the optimal treatment for your specific needs.
Treatment for Periodontal Disease
If the cause of your tooth mobility is gum disease, a treatment to control the infection and restore the health of your gums will likely improve the situation. A variety of periodontal treatments exist, including:
- Scaling and root planing: Also known as a deep cleaning, a scaling and root planing procedure involves the removal of bacteria from below the gum line. Your hygienist can also smooth your dental roots to prevent bacteria from returning.
- Flap surgery: When a deep cleaning is not sufficient, your dentist can perform a flap surgery. During this procedure, they will create a small flap in the affected gum tissue to better access the bacteria underneath.
- Antibiotic therapy: Certain antibiotics, such as Arestin®, can help destroy bacteria and encourage your gums to heal more quickly.
- Gingivectomy: During this treatment, your dentist can remove damaged soft tissue and reattach the gums more securely to tooth roots. Many dentists will perform this procedure using soft diode lasers.
- Grafting: A soft tissue graft or bone graft can restore lost tissue and prevent further recession.
In many cases, clearing the infection allows gums to heal and as they do so, the tissue tightens around the loose tooth for a more stable and secure bite.
For patients with bruxism, also known as clenching or grinding, wearing a mouthguard while they sleep can reduce the pressure exerted on their teeth. By removing the source of the traumatic forces, your teeth can heal, which can reduce or eliminate tooth mobility.
Another method of reducing traumatic force is splinting. If your teeth are very loose, your dentist can place a temporary or permanent splint to join the teeth together. This treatment distributes the biting force more evenly across a group of teeth, putting less pressure on individual loosened teeth.
Since loose teeth often stem from periodontal disease, maintaining good oral hygiene is an effective way to prevent teeth from loosening.
For some patients, the source of tooth mobility is misalignment in their bite. By reshaping the biting surface, your dentist can reduce the pressure placed on the affected tooth and allow it to heal. During a bite adjustment, your dentist will remove a small amount of enamel or place a dental crown to redistribute the force of your bite.
Extraction and Replacement
In cases of severely loosened teeth, tooth extraction may be the only option to protect your smile. Generally, dentists will only use extraction as a last resort when other methods have failed. Certain patients may qualify for immediate placement of a dental implant after an extraction. Replacing a single missing tooth with a dental implant can provide significant benefits for the long-term health and stability of your smile.
Since loose teeth often stem from periodontal disease, maintaining good oral hygiene is an effective way to prevent teeth from loosening. A consistent home care routine combined with regular professional cleanings at your dentist’s office can help protect the health of your gums. Improved gum health can keep your teeth secure.
Treating other health concerns, especially systemic issues such as diabetes, can also prevent tooth mobility. Your dentist may also recommend a mouth guard to wear while sleeping or playing sports to protect your smile from traumatic forces. In general, healthy eating and regular exercise can improve your oral health as well. Talk to your doctor today to learn more about your options.
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