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.
Similar Q&A
Understanding Tooth Mobility During Orthodontic Treatment: Causes and Solutions
I have been undergoing orthodontic treatment for two years, and recently I have noticed that my lower right first molar feels loose, with a mobility of about 0.1 to 0.2 cm. It has been wobbly for almost a month. Today, I had an adjustment appointment, and the doctor mentioned tha...
Dr. Lin Jiayong reply Dentistry
Hello: It is common for teeth to have slight mobility or looseness during orthodontic treatment. Root resorption is also not an uncommon occurrence. However, if the teeth remain loose after the removal of the braces, further treatment may be necessary. Since you are still in the ...[Read More] Understanding Tooth Mobility During Orthodontic Treatment: Causes and Solutions
Addressing Loose Teeth: Orthodontic Solutions and Treatment Options
Hello, I had orthodontic treatment when I was younger. Recently, my front teeth have been slightly loose, but there is no pain. I feel like my upper and lower teeth are not aligning properly, and it seems like my front teeth are about to fall out. An X-ray showed that the roots o...
Dr. Huang Zhicheng reply Dentistry
Hello, if there is root resorption, it is recommended that you visit the clinic for further treatment. Wishing you safety and health. Sincerely, Dr. Huang Chih-Cheng, Director of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Addressing Loose Teeth: Orthodontic Solutions and Treatment Options
Understanding Loose Teeth: Causes, Treatments, and Dental Care Tips
I would like to ask the doctor a few questions. Two days ago, after my dental cleaning, the dentist diagnosed me with gingivitis. Over the past few days, I have noticed that a few of my teeth are loose. The dentist couldn't feel the looseness by hand, but I can feel it with ...
Dr. Yang Zhiren reply Dentistry
Hello: 1. The examination for periodontal disease must be conducted using a special periodontal probe. If the teeth exhibit mobility, it indicates that the supporting alveolar bone around the teeth has been compromised, which is a sign of periodontal disease. 2. Complete periodon...[Read More] Understanding Loose Teeth: Causes, Treatments, and Dental Care Tips
Dealing with Loose Teeth After Root Canal Treatment: What to Do?
Hello doctor, I previously had a root canal treatment on my second to last tooth in the lower left jaw, and it's been almost six months. Recently, I noticed that the tooth that underwent root canal treatment is slightly loose. What should I do? (The clinic I originally went ...
Dr. Huang Tingfang reply Dentistry
Dear Mr. Afu: Hello! You still need to go to a dental clinic for an X-ray to confirm the diagnosis (which may be periodontal disease or a fracture) before treatment. Take care! Wishing you peace and smoothness in everything! Sincerely, Dr. Huang Ting-Fang, Dentistry.[Read More] Dealing with Loose Teeth After Root Canal Treatment: What to Do?
Related FAQ
(Dentistry)
Post-Extraction(Dentistry)
Malocclusion(Dentistry)
Retained Tooth(Dentistry)
Occlusal Splint(Dentistry)
Tooth Alignment(Dentistry)
Lost Filling(Dentistry)
Toothache(Dentistry)
Tooth Gap(Dentistry)
Tmj(Dentistry)