Dental Health: Concerns About Teeth, Braces, and Periodontal Issues - Dentistry

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Periodontal disease..?


Hello, doctor.
I am fifteen years old.
After all my cavities are filled, I will undergo orthodontic treatment because I have protruding teeth.
I have a few questions:
1.
How many times can teeth be repaired before they become damaged?
2.
My front teeth have been repaired 2-3 times already, and there is a "slight" mobility, but it is not very noticeable.
3.
Will they fall out? Is there a way to save them?
4.
Is this related to my protruding teeth?
5.
How can I prevent the mobility? My dad, who is a doctor, mentioned that it could be due to excessive heat in the body, nutritional deficiencies, or ischemia.
What do you think?

Chen Liwen, 10~19 year old female. Ask Date: 2012/06/12

Dr. Zhuang Suhui reply Dentistry


Hello: The number of times a tooth needs to be filled does not necessarily guarantee improvement; it depends on the specific situation.
Since you are considering orthodontics, it is advisable to consult with a specialist first and seek their opinion on these issues.

Reply Date: 2012/06/12

More Info


Hello! It's great that you're taking an interest in your dental health at such a young age. Let's address your concerns one by one.

1. How many times can teeth be repaired before they fail?
Teeth can be repaired multiple times, but each repair (like fillings) can weaken the tooth structure over time. The longevity of a filling depends on various factors, including the size of the cavity, the material used for the filling, and your oral hygiene practices. Generally, a well-maintained filling can last several years, but if a tooth has been filled multiple times, it may become more susceptible to fractures or decay. Regular dental check-ups are crucial to monitor the condition of your teeth and fillings.

2. I have repaired my front teeth 2-3 times, and they feel a bit loose. Is this normal?
It's not uncommon for teeth that have undergone multiple repairs to feel slightly loose, especially if the repairs have compromised the tooth's structure. However, noticeable looseness is a concern and should be evaluated by a dentist. Loose teeth can indicate underlying issues, such as periodontal disease or significant structural damage.
3. Will my teeth fall out? Can they be saved?
Whether a tooth can be saved depends on the extent of the damage and the health of the surrounding gum tissue. If the tooth is loose but still has healthy bone and gum support, there may be treatment options available, such as splinting the tooth or performing a root canal if the pulp is affected. It's essential to consult with a dentist who can assess the situation and recommend the best course of action.

4. Is this related to my overbite (protruding teeth)?
An overbite can contribute to uneven wear on your teeth, which may lead to issues like fractures or increased susceptibility to cavities. Additionally, if your teeth are misaligned, it can affect how you bite and chew, potentially leading to additional stress on certain teeth. Orthodontic treatment can help correct these issues and improve your overall dental health.

5. How can I prevent my teeth from becoming loose?
Maintaining good oral hygiene is crucial. This includes brushing twice a day with fluoride toothpaste, flossing daily, and visiting your dentist regularly for check-ups and cleanings. Avoiding hard foods that can crack teeth and managing habits like teeth grinding (if applicable) can also help. Your father's suggestion about diet and health is valid; a balanced diet rich in vitamins and minerals supports overall dental health. If you have concerns about your nutrition, consider discussing them with a healthcare provider.

In summary, it's essential to keep an open line of communication with your dentist about your concerns. They can provide personalized advice based on your specific situation. If you're experiencing looseness in your teeth, it's crucial to seek professional evaluation as soon as possible to determine the best treatment options. Remember, taking proactive steps now can help ensure a healthier smile in the future!

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