Orthodontic Issues: Why Is My Tooth Loose After Treatment? - Dentistry

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Orthodontics


Hello, doctor.
My orthodontic treatment was mostly completed, and I was only wearing a retainer to maintain the results.
However, a month ago, the doctor mentioned that some of my teeth on the left side had shifted, so they reattached the last three teeth on both the upper and lower arches and used rubber bands to pull them.
The rest of my teeth still have the retainer.
About a week ago, the first tooth on the upper left that had the braces reattached suddenly started to feel loose.
When I press it with my finger, I experience a painful sensation, and the rubber bands frequently come off, even while I’m sleeping (they're not breaking).
What could be causing this? Is it necessary for me to return to the doctor for an evaluation?

Lye, 10~19 year old female. Ask Date: 2009/03/23

Dr. Yang Zhiren reply Dentistry


Hello: Tooth mobility is caused by the force exerted by the orthodontic wire, and it is more pronounced during the initial phase of treatment.
When the rubber bands are released, the effectiveness of the orthodontic wire is lost.
Therefore, it is recommended to return to the original orthodontist for adjustments.
As for the sensitivity and discomfort experienced when pressure is applied to the teeth, further examination is needed to differentiate between pulpitis and sensitive teeth.
Please return to your original dentist for an evaluation as soon as possible.
Dr.
Yang Zhiren, Chief of Dentistry, Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2009/03/23

More Info


Hello! Thank you for reaching out with your concerns regarding your orthodontic treatment. It sounds like you are experiencing some issues with your teeth after having braces and additional orthodontic appliances placed. Let's break down your situation and discuss possible reasons for your tooth becoming loose, as well as what steps you should take next.

Firstly, it’s important to understand that during orthodontic treatment, teeth are intentionally moved to achieve proper alignment. This process involves applying controlled forces to the teeth through braces, wires, and rubber bands (like the ones you mentioned). While this is a necessary part of treatment, it can sometimes lead to temporary looseness in the teeth, especially when adjustments are made or when new appliances are added.

In your case, the fact that your orthodontist added brackets to the last three teeth and used rubber bands to exert additional force could be contributing to the looseness you are feeling. When teeth are moved, they go through a biological process called remodeling, where the bone surrounding the teeth is broken down and rebuilt. This process can cause temporary mobility, especially if the teeth are being moved more aggressively or if the forces applied are significant.

The soreness you are experiencing when you press on the tooth is also not uncommon. It indicates that the periodontal ligaments (the tissues that hold the tooth in place) are adjusting to the new position of the tooth. However, if the tooth feels excessively loose or if the discomfort increases, it could be a sign that something is amiss.

The frequent popping of the rubber bands could also indicate that they are not being applied correctly or that the tension is not adequate. Rubber bands are meant to maintain a specific force on the teeth, and if they are frequently coming off, it may hinder the effectiveness of your treatment and contribute to the issues you are experiencing.

Given these factors, it is advisable to return to your orthodontist for an evaluation. They can assess the mobility of the tooth, check the placement of the brackets and rubber bands, and ensure that everything is functioning as it should. It’s essential to address these concerns promptly, as prolonged looseness or discomfort could lead to complications, such as the potential for the tooth to shift out of alignment or even become more mobile than desired.

In summary, while some looseness can be expected during orthodontic treatment, especially after adjustments, it is crucial to monitor the situation closely. If the tooth continues to feel loose, painful, or if you notice any changes in your bite or alignment, do not hesitate to reach out to your orthodontist. They are best equipped to provide you with the necessary care and adjustments to ensure your treatment progresses smoothly. Remember, open communication with your orthodontist is key to achieving the best results from your orthodontic treatment.

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