By Medicover Hospitals / 27 March 2021

Loose Teeth

A loose tooth in a child usually shows an exciting rite of passage. Once a person reaches adolescence, however, a detached tooth is no longer a normal occurrence.

Adults can be concerned when they notice loose teeth. Adult teeth are permanent and designed to last a lifelong.

Some causes of loose teeth in adults are harmless. Others need the help of a dentist to save the tooth, remove it, or replace it with an implant or bridge.

A loose tooth in a child usually marks an exciting rite of passage. Once a person reaches adolescence, however, a loose tooth is no longer normal.Adults can be concerned when they notice loose teeth.The teeth that are intended to last a lifetime are permanent.Adults may experience loose teeth for harmless reasons. Some require the assistance of a dentist in order to remove it or replace the tooth with a bridge or implant.


What are Loose Teeth?

Loose Teeth that are common in children. Their permanent teeth are gradually being replaced by milky ones. Adults with loose teeth, however, should be taken seriously. This could indicate an oral health issue or an underlying illness. The loose tooth in adults needs to be fixed quickly before it becomes a major issue. Adults with loose teeth typically exhibit symptoms like these:

  • Redness around the gums
  • Tooth or gum pain
  • Swollen gums
  • Bleeding gums
  • Gum recession, etc.

Also, these signs can show dental disease, so it is necessary to consult a dentist for the same. Evaluating the cause will help your doctor to treat it appropriately.


Causes of Loose teeth

The following factors are common cause of one or more teeth coming loose:

Gum disease

  • Gum disease is also known as periodontitis, this disease involves sensitivity and infection of the gums. Poor dental hygiene habits generally cause it.
  • The Centers for Disease Control and Prevention (CDC) in the United States reports that half of the adults in the country aged 30 or older have gum disease.
  • When brushing and flossing, do not remove the plaque; gum disease may develop. Dental plaque contains bacteria. It sticks to the teeth and becomes hardens over time until only a dental professional can remove it.
  • Hardened plaque, known as tartar, causes the gums to pull away from the teeth, creating spaces that can become infected.
  • The teeth may droop as a result of this process, which over time may weaken the tissues and bones supporting the teeth.
  • Other signs of gum disease include:
  • tender, red, sore, or swollen gums
  • bleeding gums when brushing your teeth
  • Changes in the way teeth fit together
  • Any sign of gum disease should be checked out by a dentist as soon as possible.Treatment and early detection can stop tooth loss.

Symptoms of Loose Teeth

Recognizing the symptoms of loose teeth early can help in seeking timely treatment. Common signs include:

  • Sensation that your teeth are changing or moving from their usual position is known as tooth mobility.
  • The gums may pull away from the teeth, exposing the roots and making the teeth appear longer.
  • Sensitivity or discomfort experienced when biting or chewing.
  • Gum bleeding, especially during brushing or flossing.
  • Bad breath that persists over time could be a sign of gum disease that is causing teeth to come loose.

Pregnancy

  • Pregnancy related elevated levels of progesterone and estrogen can have an impact on oral tissues and bones.
  • The tissues that support and hold teeth in place is called the periodontium, and it can be impacted by having high levels of these hormones. One or more teeth may appear loose when there is damage to the periodontium.
  • After pregnancy, changes in this area of your body will go away and shouldn't worry you. In order to rule out gum disease and other oral health concerns, anybody experiencing pain or loose teeth during pregnancy should visit a dentist.
  • Pregnant women can safely have dental checkups, cleanings, and x-rays, according to the American Dental Association and the American Congress of Obstetricians and Gynecologists.
  • Pregnant women are advised to visit the dentist on a regular basis due to a possible connection between gum disease and early birth.

Tooth Injury

  • Healthy teeth are strong, but an impact from a blow to the face or a car accident, for example, can damage the teeth and surrounding tissue. The result can be chipped or loose teeth.
  • Similarly, grinding your teeth at night or clenching them under pressure can cause tissue deterioration and tooth sensitivity.
  • Many people clench or squeak without realizing it until they have jaw pain. If caught early enough, a dentist might be able to save the teeth from irreversible harm.
  • Anyone who suspects that an injury has damaged their teeth should see a dentist as soon as possible.For instance, dental injury can result from falls, accidents, and sports-related injuries.

Osteoporosis

  • Osteoporosis is a disease that weakens bones and makes them porous. Because of this, fractures can happen from even little shocks and impacts.
  • Although osteoporosis normally affects the spine, hips, and wrists, it can also damage the jaw bones that support the teeth.
  • The teeth may grow loose and eventually fall out if the jaw bones become thinner. Additionally, there may be a connection between bone loss and a higher risk of gum disease, according to the National Institutes of Health (NIH) in the US.
  • Although it is uncommon, some osteoporosis drugs can lead to tooth health issues. Rarely, medications known as bisphosphonates—which aid in treating bone loss—can cause teeth to come loose. We refer to this as mandibular osteonecrosis.
  • The authors of one study suggest that osteonecrosis rarely occurs in people who take bisphosphonates in pill form,individuals who receive the medication intravenously may develop the condition.
  • Additionally, trauma and surgical treatments including tooth extractions might result in osteonecrosis.

Diagnosis of Loose Teeth

To decide if you have periodontitis and its severity, your dentist may:

  • Review your medical history to find any factors (such as smoking or using specific medications that cause dry mouth) that might be causing your symptoms.
  • Examine your mouth for plaque and tartar buildup and see if the bleeding is easy.
  • Measure the depth of the pocket between your gums and your teeth by placing a dental probe next to your tooth below your gum line, usually in several places in your mouth. In a healthy mouth, the pocket depth is generally between 1 and 3 millimeters. Pockets deeper than 4mm may indicate periodontitis. Pockets deeper than 5mm cannot be cleaned well.
  • Take dental X-rays to check for bone loss in areas where your dentist sees deeper pocket depths.
  • Your dentist can assign a stage and grade to periodontitis based on the severity of the disease, the complexity of the treatment, your risk factors, and your condition.

Treatment oF Loose Teeth

  • Preventing further damage to the gums and jaw tissue is crucial in stopping the course of periodontal disease. To ensure if the condition is worsening, a dentist will first examine the entire mouth. Once a diagnosis has been made, the dentist may treat the bacterial infection with antibiotics in conjunction with nonsurgical or surgical treatment or both.
  • Scaling and root planing is a technique that can be used to fully remove material from under the gums of teeth in cases of moderate periodontal disease. After that, antibiotics can be added to the bags to help with healing and eradicate any germs that may still be present.
  • Severe periodontitis can be treated in several different ways, such as:
  • Tissue and bone grafting
  • The dentist may decide to use tissue transplantation, which involves inserting a membrane to promote tissue growth, in cases when a significant portion of bone or gum line has been lost.

Bone surgery

In order to immediately reduce the size of the gum pockets, the dentist could decide to do "flap surgery."


Prevention of Loose Teeth

  • A loose tooth may advance to the point where it separates from its gums and bones entirely. Severe gum diseases or untreated teeth grinding might cause this. On the other hand, treatment can help your bones and gums stay healthier. Additionally, it strengthens teeth and aids in healing.
  • Your doctor can advise removing the tooth and using a bridge or dental implant in its place if there is significant loosening.
  • While there may be no way to stop a trauma-related loose tooth, using mouthguards when participating in sports helps lessen the chance of damage.
  • Maintaining proper dental care can stop gum disease from causing a loose tooth. This entails flossing daily and brushing your teeth at least twice or three times a day. Additionally, you should see your dentist if you experience any changes, including foul breath, painful gums, or bleeding gums, and arrange for regular cleanings of the teeth twice a year.

Citations

https://search.proquest.com/openview/a78e38876f4366203491a7f42e458104/1?pq-origsite=gscholar&cbl=226517
https://onlinelibrary.wiley.com/doi/abs/10.1002/ajpa.22475

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Frequently Asked Questions

1. Is it possible to save a lost tooth?

Teeth can become loose in their sockets as a result of periodontal disease. Tooth displacement may result from bruxism, or grinding of the teeth. Teeth can also become loose or even fall out due to trauma form contact sports or unintentional accidents. Fortunately, most loose teeth can be restored with prompt treatment.

2. At what age do adults start losing teeth?

By age 50, Americans have lost an average of 12 teeth (including wisdom teeth). Among adults aged 65 to 74, 26% have lost all of their teeth. Anyone who is missing one or more teeth due to injury, disease, or tooth decay may be a candidate for dental implants.

3. Is a loose tooth a dental emergency?

A tooth that has come loose is a serious dental issue that has to be treated seriously. Seek therapy as soon as possible—usually within 12 to 24 hours.

4. How to fix loose teeth from gum disease?

Treatment for loose teeth from gum disease typically involves deep cleaning procedures such as scaling and root planing to remove plaque and tartar buildup, along with gum surgery if necessary to repair and regenerate gum tissue.

5. How to tighten gums?

Regular brushing and flossing, along with professional dental cleanings, can help tighten gums by reducing plaque and preventing gum disease. Additionally, using an antiseptic mouthwash may aid in promoting gum health.

6. What to do if a permanent tooth is loose?

If a permanent tooth is loose, seek immediate dental attention to determine the underlying cause and appropriate treatment, which may include splinting, orthodontic intervention, or other dental procedures to stabilize the tooth.

7. My front tooth is loose. What can i do?

If your front tooth is loose, seek immediate dental care to evaluate the cause and determine the best course of action to stabilize the tooth and prevent further damage.

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