Loose Teeth: Causes, Treatments, and Dental Care Tips

Q: Loose Teeth: Causes, Treatments, and Dental Care Tips

Hello： 1. <br>The examination for periodontal disease must be conducted using a special periodontal probe. <br>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. <br>2. <br>C

Loose teeth

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 my tongue or when eating.
I went to see a doctor and had X-rays taken, and the dentist said that the periodontal ligaments are being eroded, which is causing the looseness.
He advised me to undergo orthodontic treatment (as my teeth are very crowded and misaligned).
I asked if this is periodontal disease, and he just mentioned that it is a periodontal issue and that I need orthodontics.
However, after researching online, I found that many people undergo periodontal treatment before starting orthodontics.
Therefore, I would like to ask the following questions:
1.
I have experienced gingivitis 2-3 times this year.
After my dental cleaning two days ago, I am currently not experiencing bleeding while brushing, and there is no swelling in my gums, but a few of my teeth are loose.
Do I have periodontal disease?
2.
Should I first consult a periodontist for treatment, or should I go directly for orthodontics?
3.
Can I use dental floss on the loose teeth? Will it make the looseness worse?
4.
Will the teeth that are loose due to erosion recover? Are there any treatment options to help stabilize them? (Although the looseness is currently mild, I can feel it when eating, and it's uncomfortable.
I worry that even with good cleaning, they might still fall out.)
5.
I just learned to use dental floss two days ago, but because my teeth are crowded, the floss often gets stuck, and I have to pull it out forcefully or rub it hard to get it out.
Could this damage my teeth? Is it possible that this could worsen the looseness of my teeth? If so, what should I do?
6.
Recently, I have also been experiencing sensitivity in my other teeth when eating.
What should I do?
7.
How many times a day should I use dental floss? Will using it too many times harm my gums?
8.
Should I use an "extra soft toothbrush" or a "regular soft toothbrush"?
9.
Should I use fluoride toothpaste or salt-containing toothpaste?
I apologize for having so many questions, but I am really scared.
I am worried that at such a young age, I might lose all my teeth.
I am currently making a strong effort to use dental floss and a toothbrush, but this morning I felt that even more of my teeth are loose.
Dentists are very busy, and I can't ask many questions at once, so I apologize for bothering you!

Xiao Ye, 20~29 year old female. Ask Date: 2009/09/04

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 periodontal treatment before proceeding with orthodontics.
3.
Dental floss and interdental brushes are essential tools; otherwise, inadequate dental cleaning can exacerbate periodontal disease.
4.
After treatment, there will be less mobility, but some movement may still be present; generally, normal teeth can also exhibit slight, imperceptible mobility.
5.
Proper use of dental floss can improve periodontal conditions, as it helps prevent debris from remaining, thereby enhancing periodontal health.
6.
Mild gum recession or cavities may cause sensitivity and should be further investigated for underlying causes.
7.
When eating, use proper techniques to avoid injuring the gums.
8.
Generally, a soft-bristled toothbrush is sufficient; it is recommended to use a softer bristle type.
9.
Fluoride toothpaste has its benefits and is generally recommended.
Dr.
Yang Chih-Jen, Director of Dentistry, Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2009/09/04

More Info

Understanding loose teeth can be a source of anxiety, especially when it comes to dental health. Based on your concerns, let’s break down the issues you’re facing and provide some clarity on the causes, treatments, and dental care tips.

1. Understanding Your Condition
From your description, it seems you have experienced multiple episodes of gingivitis, which is inflammation of the gums. The fact that you have noticed some teeth becoming loose could indicate a potential periodontal issue. Periodontal disease can lead to the destruction of the supporting structures of the teeth, including the bone and ligaments, which may cause teeth to feel loose.

2. Diagnosis and Treatment
You mentioned that your dentist noted the presence of periodontal problems and suggested orthodontic treatment due to crowded teeth. It is common for dentists to recommend orthodontics to correct alignment issues, but it’s crucial to address any underlying periodontal disease first.
Questions to Consider:
- Do you have periodontal disease? The presence of loose teeth and previous episodes of gingivitis suggests that you may have some form of periodontal disease, even if your gums are currently not bleeding or swollen.

- Should you see a periodontist first? Yes, it would be advisable to consult a periodontist for a thorough evaluation and treatment plan before proceeding with orthodontics. They can provide specialized care to manage gum health and ensure that your teeth are stable enough for braces.

3. Dental Care Practices
- Using Dental Floss: If your teeth are loose, you should be cautious when using dental floss. Gentle use is recommended, as aggressive flossing can exacerbate the looseness. If the floss gets stuck, avoid pulling hard; instead, try to gently wiggle it out.

- Can loose teeth recover? Depending on the severity of the periodontal disease, there may be treatments available that can help stabilize loose teeth. This may include deep cleaning (scaling and root planing), antibiotics, or even surgical interventions in more severe cases.

4. Additional Concerns
- Sensitivity and Pain: If you are experiencing sensitivity or pain in other teeth, this could be due to gum inflammation or the effects of teeth shifting. It’s essential to communicate these symptoms to your dentist.

- Frequency of Flossing: Ideally, you should floss once a day. Over-flossing can irritate the gums, especially if they are already inflamed.

- Toothbrush Selection: A soft-bristled toothbrush is generally recommended. An "extra soft" toothbrush may be beneficial if you have sensitive gums.

- Toothpaste Choice: Fluoride toothpaste is recommended for its cavity-fighting properties. Avoid salt-based toothpaste unless specifically advised by a dental professional.

5. Managing Anxiety
It’s understandable to feel anxious about your dental health, especially with the fear of losing teeth at a young age. Regular dental visits, maintaining good oral hygiene, and following your dentist's recommendations are crucial steps in managing your dental health.

Conclusion
In summary, it is essential to address the periodontal issues before considering orthodontic treatment. Consult a periodontist for a comprehensive evaluation and treatment plan. Maintain gentle oral hygiene practices, and don’t hesitate to reach out to your dentist with any concerns. Your proactive approach to dental care is commendable, and with the right guidance, you can work towards maintaining a healthy smile.

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