In clinical practice, there are often patients with loose teeth who strongly require the preservation of the affected tooth and are not willing to extract the tooth. As everyone knows, tooth loosening is often a manifestation of periodontitis in the late stages of development.

Why do our teeth loose?

To answer the question of loose teeth, we need to first understand what causes loose teeth. Every tooth grows inside the alveolar bone. The outside of the alveolar bone is wrapped in gum tissue, also known as "tooth meat".

It is like a tree growing in the soil, and the soil around the roots is like the alveolar bone around the roots of the teeth.

When the tissues around the teeth are not well controlled due to inflammation, the damaging factors of inflammation will invade the underlying alveolar bone, resulting in the absorption of the alveolar bone.

In this way, the alveolar bone will become less and less, and the tooth will gradually lose its supporting tissue, so it will inevitably loosen. When the alveolar bone is completely absorbed and gone, the tooth falls out.

Therefore, the reduction of alveolar bone is the root cause of tooth loosening.

At present, although the development of scientific research also provides some methods to regenerate the alveolar bone and the tissues around the teeth, but in the clinical practice, these treatments have strict indications, and no method is universally feasible.

Therefore, from this point of view, the resorption of alveolar bone is irreversible, which means that periodontitis is incurable.

Can the loose tooth still be saved?

So, do all loose teeth have to be removed without treatment? Of course not! Although periodontitis cannot be restored, it can be alleviated and controlled.

Less alveolar bone loss

The loosening of the tooth is very mild, and the doctor will retain it according to the condition. The most basic periodontal treatment in general is dental cleaning and subgingival scaling, or coupled with some minor periodontal surgery. As long as the patient can insist on review and retreatment, it can generally be controlled very well.

Moderate alveolar bone resorption

When the teeth are obviously loose, it depends on the position of the teeth and the situation of the teeth around the loose teeth. Some forward-positioned teeth, because they are easy to clean, after the basic cleaning and scaling, the doctor can help them stick together with other teeth, using the support of good teeth, loose teeth can be preserved for a long time.

Clinically, loose teeth that are still functioning for five to ten years are common.

Of course, this treatment method of loose tooth fixation must be guaranteed by good cleaning and maintenance. This is just like you buy a car needs regular maintenance, the device in the mouth also needs some special cleaning tools, such as space brush, floss use, other professional maintenance must ask a specialist dentist to help.

The alveolar bone has been completely absorbed

Loose too big, if it is still back to bear the main role of eating teeth, it can only be pulled out.

Pull it out when it's time for follow-up treatment

Whether loose teeth can be retained, please let the specialist dentist to judge, can be retained, must be active treatment, maintenance on time; Can not be saved, must be removed as soon as possible, timely dental prostheses.

It should be reminded that early removal of teeth that cannot be saved is very important for follow-up treatment. Many people think that it is better to let the teeth fall off than to pull out, but they do not know that this will lose more alveolar bone, once the teeth are gone, the missing teeth, the alveolar bone will form a big pit, which is very unfavorable to the future dental prostheses or implants.

In addition, loose teeth in the mouth for a long time, can not be properly cleaned, it will also be affected around the teeth, accelerate the destruction of periodontal tissue.

This kind of tooth will often swollen pain, and even a large abscess, very affect the quality of life. Therefore, if it is a tooth that can not be retained at all, it must be removed as soon as possible, and timely dental prostheses can not affect work and life.