If the tooth is loose, what should I do and what method should I fix it?

** Methods of tooth loosening include:

1. Periodontitis: Regular cleaning of teeth to reduce inflammation around teeth.

2. Acute apical periodontitis: drainage of pus through the root canal**, combined with antibiotics**.

3. Jaw trauma: straighten teeth, reduce the height of teeth, and reduce pressure.

4. Trauma: Mild loose teeth can be fixed, and the pressure can be reduced after fixation, and it can be healed after 3 months.

If the tooth is loose, what should I do and what method should I fix it?

The main culprit of loose teeth is periodontal disease.

The tooth is fixed by the root being buried deep in the gum. The gums are the bones that hold the root of the tooth (also known as alveolar bone), so the strength of the tooth is determined by the gums. The pulp in the tooth is connected to the alveolar bone marrow, and the gums are rich in blood vessels that provide nutrients to themselves and their teeth.

The gums (the junction between the tooth and the gum) are susceptible to bacterial erosion and gradually spread to the root and gum, resulting in chronic periodontitis. When bacteria enter the alveolar bone, they will destroy the capillaries, block the supply of nutrients, and reduce the activity of osteoblasts, and these "damaging factors" will eventually lead to alveolar bone atrophy and bone loss. The result is lowered gums, exposed roots, loose teeth and falling out.

For loose teeth, do not speak lightly of extraction, but should be identified, properly zhiliao. With zhiliao, most loose teeth can be preserved, and the earlier the visit, the better the efficacy.

1. For the teeth caused by periodontal disease, if they are mildly loose, they will mostly return to normal through effective periodontal disease; If the tooth is moderately loose, the loose tooth can be fixed to the healthy and stable adjacent tooth to form a whole with the adjacent tooth, and the force of the loose tooth can be transferred to the adjacent stable tooth when chewing, so as to reduce the burden of easy tooth movement and enable it to perform normal functions. Third-degree loosening is generally only considered for extraction, and the tooth is prosthesized after the alveolar bone resorption is stabilized.

2. When the tooth loosening is caused by trauma, if it is mildly loose, you can take anti-inflammatory drugs, once the inflammation subsides, the tooth can automatically return to a stable state; If the loosening is severe or dislocated or displaced, the tooth should be realigned, and then ligated and fixed on the adjacent tooth, and take anti-inflammatory drugs, maintain oral hygiene, prohibit the tooth in a short period of time, etc., and the tooth can return to normal after 2 months.

3. The loosening of teeth during the acute attack of periodontitis or apical periodontitis is mainly to control the inflammation, and once the acute inflammation is relieved, the loosening of the teeth can also be reduced or disappeared.

4. If the teeth are loose when the occlusal force of individual teeth is too large or the occlusal relationship is abnormal, the occlusal trauma can be eliminated after the doctor adjusts the occlusion, the alveolar bone can be repaired by itself, and the teeth can also be restored to a stable state.