Posts for tag: loose teeth

By Dr. Manson
March 24, 2014
Category: Oral Health
Tags: gum disease   loose teeth  
TreatingLooseTeethandtheUnderlyingCauses

Adult teeth aren’t meant to be loose — it’s a sign that something is wrong. And while there are treatments, time is of the essence before permanent tooth or bone loss occurs.

Loose teeth can occur for many different reasons. Bite-related problems are fairly common, referred to as occlusal trauma (“occlusal” – bite; “trauma” – injury). This could be the result of excessive force placed on otherwise normal teeth and jaws — chronic clenching or grinding habits, for example. On the other hand, even normal biting or chewing can cause teeth to loosen if bone loss from gum disease has become excessive, reducing the remaining attachment to bone to inadequate levels. In some cases it can be a result of both excessive force and weakened bone levels.

Of these reasons, the most common cause is the weakened attachment of the teeth to the bone due to gum disease. If this is the case, it’s important first to treat the gum disease by an appropriate strategy for the disease present and then implement an effective dental hygiene program to inhibit reoccurrence.

As for the problem of loose teeth, there are measures to address it. Occlusal bite adjustment reduces the degree of force when biting or chewing by reshaping the biting surfaces through selective grinding. Splinting is another technique in which the teeth are joined together to make them more rigid and to redistribute the biting force among several teeth. This can be done with material bonded across the outside of several teeth or with a metal splint affixed within a pre-cut channel across the teeth. A more permanent option is to create a series of crowns to affix to the teeth and then fuse them together.

Although more complex, orthodontics to correct misaligned teeth is another option. Not only will it improve the bite and potentially reduce bite forces, it may also improve the health of the supporting periodontal attachment.

Before undertaking any treatment, you should first undergo a thorough exam to determine the true cause of your loose teeth and any underlying conditions. From there we can recommend the best approach for treating and preserving your teeth.

If you would like more information on treatments for loose teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Treatment for Loose Teeth.”

By Dr. Manson
May 30, 2013
Category: Oral Health
Tags: loose teeth  
TreatmentforLooseTeeth

There is nothing pleasant about having a loose tooth. It can be very unsettling to feel your tooth move around, and you may be worried about losing the tooth entirely. If you notice any looseness in your teeth, you should make an appointment with our office immediately, so that we can determine the underlying cause.

There are two reasons for loose teeth, and most often, this looseness is actually a late symptom of gum (periodontal) disease. If left untreated, this disease destroys the supporting structure of your teeth, including the bone. As bone loss progresses, teeth gradually become looser, and if you do not seek treatment, this can ultimately result in tooth loss.

Another less common reason for loose teeth is excessive biting forces, including clenching or grinding of the teeth. These biting forces are outside the normal range of functional pressures and can stretch the periodontal ligaments that join the teeth to the supporting bone, resulting in loose teeth.

In both cases, this condition can be classified as “occlusal (bite) trauma.” When we examine you, we will determine the type of occlusal trauma that you have.

  • If the amount of bone supporting your teeth is normal and excessive force is causing your loose teeth, it then is referred to as primary occlusal trauma. Our treatment approach will focus on reducing the biting forces. We may recommend minor bite adjustments and/or custom mouthguards.
  • Secondary occlusal trauma occurs when gum disease has caused excessive bone loss. In this instance, even normal biting forces can be damaging. We will work with you to treat the gum disease and improve your oral hygiene efficiency to heal your gums. Once the gum tissue heals and the inflammation is reduced, it is likely that there will be some tightening of the teeth. We will then adjust the biting surfaces of your teeth. This is accomplished by carefully reshaping (by drilling) small amounts of your tooth's surface enamel to change the way upper and lower teeth contact each other, thus redirecting forces. Secondary occlusal trauma may also require splinting or joining teeth together, so that they can handle biting pressures. The need for this additional procedure will be determined by your response to treatment and how much mobility of the teeth remains after the inflammation is resolved.

If you would like more information about loose teeth, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Loose Teeth: Biting Forces Can Loosen Teeth.”



Contact Us

Steven B. Manson, DDS, FAGD

Long Island City, NY General Dentist
36-01 31st Street
Astoria, NY 11106
(718) 729-8383
Manhattan, NY General Dentist
136 East 57th Street
         Suite 1604
New York, NY 10022