For kids, as long as their “baby teeth” are only affected, loose teeth are very normal and are no cause for concern. However, if you are suffering from a loose tooth or one of your children has a loose adult tooth, dental care may be needed to save it. Opt loose tooth treatment.
A wide range of issues can cause loose adult teeth. In their sockets, periodontal disease may cause teeth to loosen. Teeth grinding (bruxism) may cause teeth to move. And traumatic injuries can loosen or even knock out teeth from contact sports or accidental falls.
As a consequence of bacterial plaque-induced periodontal disease, looseness of teeth is often affected by secondary trauma. The solution to managing loose teeth is biological as well as mechanical. The biological solution requires gum disease treatment that must first be addressed to establish an atmosphere in which periodontal attachment can recover.
The mechanical approach consists of adjusting the forces on the teeth, treating their effects on the periodontal ligament (mechanism of attachment of the teeth to the osseous), and also changing the amount of biting strength created in the jaw’s muscles and obtained while biting the teeth. This can be done in a number of ways according to the degree of looseness of the teeth. The current approaches are listed here:
Occlusal (Bite) Adjustment: the bite or occlusion (as the teeth meet together) may be adjusted first by a slight restoration of the biting surfaces of the teeth in order to absorb less strength. This technique is known as selective occlusal grinding adaptation and requires knowledge and expertise on how bites act and function.
Splinting: They may be disturbed or mixed in a fence like pickets, when the teeth are extremely loose and any biting force spreads between groups of teeth and not individual loosened teeth.
Temporary division can be accomplished by connecting the teeth to:
Extra-coronal splints: splinting materials are typically used for this process by the bonding of the enamel to a group of teeth, making them stronger. (“extra-coronal” crown)
Splits intra-coronal (“intra”) – Splits include the cutting into the teeth of a narrow channel, the insertion and bonding or the cementation of a rigid custom metal splint to stabilize the teeth.
Permanent or fixed splints: this “fixes” procedure virtually (and permanently) together the loose teeth by crowning the damaged teeth and forming a shield through which the crowns are joined or fused.
Occlusal splints or watches: A removable splint or bite ward can help protect the teeth from too much biting strength during para-functional tightening or grinding behaviour. These removable guards may be used during anxiety, stress, or when certain bad behaviors are apparent because they seem stress-related to parafunctional forces and habits.
Another method that is often used to treat loose teeth is to reposition teeth by orthodontic treatment so that they receive strength more uniformly and correctly. It may, however, be a complex process, especially if there is an underlying periodontal condition that must be managed before effective orthodontic treatment can be achieved.
If correctly applied, the controlled forces used to shift the teeth in orthodontics will potentially be used to rebuild missing bone and build new periodontal attachments.
Before deciding upon treatment choices, the long-term outlook or prognosis of the teeth must be considered. Although temporary splinting options might buy you some time, if the damage to the periodontal structures is serious, the teeth themselves will need to be replaced. For a full evaluation and consultation, see your dentist or a periodontist to discover all of your choices. Opt for full dental implants.