Posts for: February, 2020
A loose primary (“baby”) tooth is often a cause for celebration. A loose permanent tooth, however, is a cause for concern. A permanent tooth shouldn't even wiggle.
If you have a loose tooth, it's likely you have a deeper dental problem. Here are the top underlying causes for loose teeth.
Gum disease. Teeth are held in place by an elastic tissue called the periodontal ligament. But advanced periodontal (gum) disease, a bacterial infection usually caused by film buildup on teeth called dental plaque, can damage the ligament and cause it to detach. If it's not treated, it could lead to tooth loss.
Bite-related trauma. A normal bite helps balance out the forces generated when we chew so they don't damage the teeth. But if a misaligned tooth protrudes higher from the jaw, the opposing tooth will likely create more downward pressure on it while chewing. This can stress the tooth's supporting ligament to the point of looseness.
Self-inflicted trauma. While they may be trendy, tongue jewelry can cause dental damage. A wearer who clicks the “barbell” of a tongue stud against their teeth could be creating conditions conducive for gum damage and bone loss, which can cause tooth looseness. Similarly, taking orthodontics into your own hands could also damage your teeth, especially if you have undiagnosed gum disease.
Genetics. Although you can't prevent it, the type of resistance or susceptibility you inherited from your parents (as well as your dental anatomy) can cause you dental problems. Thinner gum tissues, especially around the roots, can make you more susceptible to gum disease or dental trauma, which in turn could contribute to tooth looseness.
There are things you can do to lessen your chance of loose teeth. Brush and floss every day to remove disease-causing bacterial plaque and see a dentist regularly for cleanings to reduce your risk of gum disease. If you have any misaligned teeth, consult with an orthodontist about possible treatment. And avoid oral jewelry and DIY orthodontics.
If you do notice a loose tooth, see us as soon as possible. We'll need to diagnose the underlying cause and create a treatment plan for it. We may also need to splint the tooth to its neighbors to stabilize it and reduce your risk of losing it permanently.
If you would like more information on tooth mobility, 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 “When Permanent Teeth Become Loose.”
Even though teeth are resilient, they're not indestructible. An accidental collision involving the face could damage teeth, even knocking a tooth completely out of its socket.
At first, it might seem like the end of the line for that particular tooth. But it doesn't have to be—if you know what to do. But you'll have to act quickly: The longer the tooth is out of its socket, the less chance it will survive long-term.
Here are the steps you should take to save a knocked-out tooth.
Find the tooth. It's important that you locate the missing tooth quickly. When you do, don't handle it by the root end: It still contains delicate periodontal cells that are essential if the tooth is going to rejoin with the ligaments and bone. Use clean water to rinse off any dirt or debris.
Reinsert the tooth. Holding it by the crown and not the root, reinsert the tooth into its empty socket, hopefully within an hour (the faster the better). You want to make sure it's good and snug, so apply a little force when you do this. Place some clean gauze or cloth between the tooth and its opposite on the other jaw, then have the person bite down and hold it in place.
Get immediate dental care. It's preferable to find a dentist as soon as possible (if not, then the nearest emergency medical facility). The dentist will x-ray the tooth to make sure it's positioned properly, and may adjust it further if necessary. They may also splint the tooth to adjacent teeth to help stabilize it until it fully reattaches with the jaw.
Again, time is of the essence—the quicker you can perform the above steps, the better the tooth's chances. Any delay could jeopardize the tooth's ability to reattach, or it could shorten its lifespan.
You can also get guidance on treating a knocked-out tooth and other dental emergencies with a free mobile app developed by the International Association of Dental Traumatology (IADT). Just look in your Android or IOS app store for ToothSOS.
If you would like more information on what to do during a dental emergency, 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 “When a Tooth is Knocked Out.”
Holistic medicine aims to provide healthcare for the “whole” person. While it's a worthy approach, the term has also been used to advance ideas, including in dentistry, at odds with solid scientific evidence.
Here are 4 “holistic” oral health claims and why you should be wary of them.
Root canals are dangerous. It might be shocking to learn that some claim this routine tooth-saving procedure increases the risk of disease. The claim comes from an early 20th Century belief that leaving a “dead” organ like a root-canaled tooth in the body damages the immune system. The idea, though, has been thoroughly disproved, most recently by a 2013 oral cancer study that found not only no evidence of increased cancer, but an actual decrease in cancer risk following root canal treatment.
X-rays are hazardous. X-rays have improved tooth decay treatment by allowing dentists to detect it at earlier stages. Even so, many advise avoiding X-rays because, as a form of radiation, high levels could damage health. But dentists take great care when x-raying patients, performing them only as needed and at the lowest possible exposure. In fact, people receive less radiation through dental X-rays than from their normal background environment.
Silver fillings are toxic. Known for their strength and stability, dentists have used silver fillings for generations. But now many people are leery of them because it includes mercury, which has been linked to several health problems. Research concludes that there's no cause for alarm, or any need to remove existing fillings: The type of mercury used in amalgam is different from the toxic kind and doesn't pose a health danger.
Fluoride contributes to disease. Nothing has been more beneficial in dental care or more controversial than fluoride. A proven weapon against tooth decay, fluoride has nonetheless been associated with ailments like cancer or Alzheimer's disease. But numerous studies have failed to find any substantial disease link with fluoride except fluorosis, heavy tooth staining due to excess fluoride. Fluorosis, though, doesn't harm the teeth otherwise and is easily prevented by keeping fluoride consumption within acceptable limits.
Each of these supposed “dangers” plays a prominent role in preventing or minimizing dental disease. If you have a concern, please talk with your dentist to get the true facts about them.
If you would like more information on best dental practices, 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 “Holistic Dentistry: Fads vs. Evidence-Based Practices.”