Teeth are anchored to the jaw bones firmly by a thin elastic tissue called the periodontal ligament. Factors which affect the ligament and the supporting bone can loosen the teeth resulting in mobility of varying degrees or thus weakening the teeth. This situation may be acute, temporary and reversible, chronic, long-standing or manageable. The former is invariable painful and may or may not have infection while the latter may be painless and is usually accompanied with some amount of infection. Teeth loosening in some cases may be so bad the teeth may be exfoliated.
There are systemic, genetic and local factors which may cause mobility of teeth and the treatment is planned after understanding all the factors involved and with the information obtained by necessary x-rays. We may see a combination of various aspects in a single patient.
Smoking, alcohol consumption and diabetes mellitus seem to affect people more commonly but also included are those caused by drugs and hormonal problems. However, the most common reason would be plain neglect and bad oral hygiene due to lack of information and regular maintenance.
The facilities available to a dentist to manage such problems are in a wide range but essentially boils down to the fact of removing all the plaque, tartar formations, performing gum surgery (via laser included) where needed, removing all the infection and thereby reducing all inflammation of the supporting structures of the teeth.
Proper management of periodontal disease will help control and improve the surrounding tissues and thus provide and environment to strengthen the teeth.
Synthetic bone grafting is possible in special locations to strengthen the supporting bone and teeth. These are available in various types. Splinting teeth together (joining them up or tying them) will strengthen them to the extent that they are in a better position to resist masticatory forces. This will help to prolong the life and retention of natural teeth. With splinting, smaller individual teeth will function as one larger unit, offering better resistance to the chewing forces. There are several methods to achieve this and each situation needs to be assessed properly, and a proper treatment plan evolved.
No matter what sophisticated methods and plans are adopted, without proper follow-ups, patient education and day-to-day care, the situation may relapse or fail earlier than the expected time.
Note:
In case your teeth are weak and little loose, please used a paste of Haldi (turmeric) and Honey to the tooth/teeth for 5 minutes before brushing them at night before sleeping. The base will become strong and the looseness will soon vanish.
Contributed by: harinag49 @ yahoo.co.in
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