Can Loose Teeth from Periodontal Disease Be Saved with Surgery? - Dentistry

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Tooth mobility caused by periodontal disease?


If tooth mobility is caused by periodontal disease, can the tooth be saved by surgically opening the gums and thoroughly removing the calculus from the root? If this procedure is not performed, what will happen to the tooth? How long does it take for the wound to heal after such surgery, and when can one eat normally? Do dental clinics perform this type of surgery? Thank you.

so, 50~59 year old female. Ask Date: 2019/11/12

Dr. Huang Tingfang reply Dentistry


Dear Mr.
So: After periodontal surgery, the infection in the teeth decreases, and the teeth will be more stable; however, it still depends on the extent of the damage! The wound will generally stabilize in about 2 weeks! Sometimes, teeth need to be stabilized to increase bite force! Take care! Wishing you all the best! Sincerely, Dr.
Huang Ting-Fang, Dentistry.

Reply Date: 2019/11/12

More Info


Loose teeth caused by periodontal disease can often be salvaged through surgical intervention, particularly if the underlying issues are addressed promptly and effectively. Periodontal disease, characterized by inflammation and infection of the gums and supporting structures of the teeth, can lead to the loosening of teeth due to the destruction of the bone and soft tissue that hold the teeth in place.
When a tooth becomes loose due to periodontal disease, one common surgical approach is to perform a periodontal flap surgery. This procedure involves lifting the gums away from the teeth to gain access to the roots and the underlying bone. During this surgery, any calculus (tartar) or plaque that has accumulated on the roots can be thoroughly cleaned. This cleaning is crucial because it helps to reduce the bacterial load and inflammation, which can stabilize the affected teeth. Additionally, if there is significant bone loss, procedures such as bone grafting may be considered to help regenerate the lost bone and provide better support for the teeth.

If you do not undergo this surgical intervention, the condition of the loose teeth is likely to worsen. The continued presence of infection and inflammation can lead to further bone loss, increased mobility of the teeth, and ultimately, tooth loss. Therefore, timely surgical treatment is essential to improve the prognosis of loose teeth due to periodontal disease.

Regarding recovery from such a procedure, the healing time can vary depending on the extent of the surgery and the individual’s overall health. Typically, the initial healing of the surgical site may take about one to two weeks, during which time you may experience some swelling and discomfort. Most patients can return to a normal diet within a few days, but it is advisable to stick to softer foods initially to avoid putting excessive pressure on the healing gums. Your dentist will provide specific post-operative care instructions to ensure optimal healing.

As for whether dental offices perform such surgeries, most dental practices that specialize in periodontics will offer these surgical options. It is essential to consult with a periodontist, a specialist in gum diseases, who can evaluate your specific situation and recommend the best course of action. They will assess the severity of your periodontal disease, the extent of tooth mobility, and any other factors that may influence the treatment plan.

In summary, loose teeth from periodontal disease can often be saved through surgical intervention, specifically through procedures that clean the roots and address any underlying bone loss. If left untreated, the condition of the teeth is likely to deteriorate further. Recovery typically takes a couple of weeks, and most dental practices equipped to handle periodontal issues can perform the necessary surgeries. Always consult with a qualified dental professional to explore your options and develop a tailored treatment plan.

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