Loose Teeth After Tooth Extraction: Causes and Solutions - Dentistry

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Loosening of adjacent teeth after tooth extraction?


A few days ago, I had a crooked molar extracted.
During the extraction, the dentist mentioned that the surrounding teeth were also loose, and it took a long time to remove the tooth.
After the extraction, the dentist asked if I wanted to pay out of pocket for collagen placement, otherwise I would need an implant in the future.
Now, the adjacent teeth still hurt and biting down is even more painful.

1.
Should the adjacent teeth eventually be extracted (they have no cavities or periodontal disease)?
2.
The dentist did not use extraction forceps and pushed for a long time; is there a connection between this and the looseness of the neighboring teeth after the extraction?

Niming, 30~39 year old female. Ask Date: 2022/09/16

Dr. Lin Jiayong reply Dentistry


Hello: I cannot provide an opinion on the adjacent teeth without seeing the actual condition.
Regarding the out-of-pocket collagen, if your financial situation allows, it may be worth considering, as it does have benefits.
Even if the effects are not very noticeable, there are generally not many downsides or side effects.

Reply Date: 2022/09/16

More Info


When it comes to dental health, experiencing loose teeth after an extraction can be concerning. Let's delve into your questions regarding the potential causes and solutions for this issue.

1. Will the adjacent teeth need to be extracted?
The fact that the adjacent teeth are not exhibiting signs of decay or periodontal disease is a positive indicator. However, the trauma from the extraction process can sometimes lead to temporary mobility in nearby teeth. If the teeth are still loose after a few weeks, it may be necessary to consult with your dentist for a thorough examination. They may perform X-rays to assess the health of the surrounding bone and periodontal ligaments. If the teeth are stable and healthy, they may not need to be extracted. However, if there is significant mobility or pain, further intervention may be required.

2. Could the method of extraction cause adjacent teeth to loosen?
Yes, the technique used during the extraction can impact the stability of adjacent teeth. If the extraction was particularly difficult or if excessive force was applied, it could lead to trauma in the surrounding area, causing adjacent teeth to become loose. This is especially true if the extraction involved pushing or rocking the tooth rather than using a traditional extraction forceps. The surrounding bone and gum tissue may also be affected, leading to inflammation and discomfort.
Possible Solutions and Recommendations:
- Follow-Up Appointment: It is crucial to have a follow-up appointment with your dentist to evaluate the condition of the adjacent teeth. They can determine if the mobility is temporary or if there is a more serious underlying issue.

- Bone and Tissue Healing: After an extraction, the bone and soft tissues need time to heal. Maintaining good oral hygiene is essential to prevent infection, which can exacerbate mobility issues. Rinsing with warm salt water can help soothe the area and promote healing.

- Avoiding Pressure: Try to avoid putting pressure on the loose teeth when chewing. Stick to soft foods and avoid hard or sticky items that could exacerbate the problem.

- Consideration for Future Treatment: If the adjacent teeth remain loose and painful, your dentist may discuss options such as splinting the teeth to stabilize them or, in severe cases, extraction if they cannot be saved.
- Implant Consideration: If the adjacent teeth are ultimately deemed non-viable, your dentist may recommend dental implants as a long-term solution. This involves placing a titanium post into the jawbone to serve as a replacement root for a crown.

In conclusion, while it is not uncommon for adjacent teeth to feel loose after an extraction, it is essential to monitor their condition closely. Regular dental check-ups and open communication with your dentist will help ensure that any issues are addressed promptly. If you experience increased pain, swelling, or prolonged mobility, do not hesitate to seek professional advice. Your oral health is paramount, and timely intervention can prevent further complications.

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