

A loose permanent tooth is not a good thing—and not something you should put off having examined. That’s because a loose tooth could soon become a lost tooth.
How we treat it depends on its underlying cause, which could be one of two types. One is primary occlusal trauma, meaning the affected tooth has experienced accidental trauma or higher biting forces than it normally encounters. This usually happens because of teeth grinding habits.
It could also be secondary occlusal trauma. Unlike primary trauma where the supporting gums and bone may be reasonably healthy, secondary trauma occurs because these structures have been severely damaged by periodontal (gum) disease. As the gums begin to detach from a tooth and its underlying bone deteriorates, even normal biting forces can loosen it.
If gum disease is present, our first priority is to bring it under control. We do this primarily by removing all dental plaque (a thin film of bacteria and food particles that triggers the infection and sustains it) and calculus or tartar (calcified plaque). This can take several sessions and, in the case of deep infection, may require a surgical procedure.
On the other hand, if teeth grinding is the primary cause, we’ll focus on minimizing the habit and its effects. One way is to create a custom-fitted guard worn to prevent upper and lower teeth from making solid contact. You may also need to improve your management of stress—another factor in teeth grinding—through medication, therapy or biofeedback.
In either case, improved periodontal health will help the gums naturally regain their strong attachment with help, if necessary, from gum tissue or bone grafting surgery. But this healing process can take time, so we may need to secure a loose tooth in the interim by splinting it to neighboring stable teeth. This usually requires bonding rigid material or metal across the back of all involved teeth or in a channel cut along the teeth’s biting surfaces. In this way the more stable teeth support the loose one.
Splinting may be temporary as the mouth heals from disease or trauma and the teeth regain their stability. In some cases, though, it may be permanent. Either way, dealing promptly with a loose tooth can help ensure it’ll survive—so see your dentist as soon as possible.
If you would like more information on treating 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.”
Comments:
Our Office
Gina Piccioni, D.M.D. and John G. Hartmann, D.D.S.
River Forest, IL Dentist
River Forest Dental StudioOur Blog
Archive:
- 2021
- 2020
- November (5)
- What Constitutes a Dental Emergency?
- The Different Types of Cosmetic Dentistry
- That Energy Drink You Take for a Boost Might Be Hurting Your Dental Health
- A Mild NSAID May Be All You Need To Manage Discomfort After Dental Work
- You Don't Need to Pass a Football Like Patrick Mahomes to Remove a Loose Baby Tooth
- 2019
- 2018
- 2017
- 2016
- 2015
- 2013
- 2012
- 2011
- 2010
Tags
- wisdom teeth (5)
- cosmetic dentistry (40)
- smile makeover (11)
- pediatric dentistry (15)
- thumb sucking (3)
- sinus surgery (1)
- dental implants (19)
- teeth whitening (11)
- veneers (20)
- oral health (58)
- root canal (6)
- baby teeth (2)
- crowns (5)
- oral hygiene (33)
- bad breath (6)
- common symptoms (8)
- tooth decay (19)
- sports dentistry (4)
- mouthguards (12)
- dental injuries (7)
- brushing (1)
- missing tooth (3)
- replacing teeth (3)
- dental implant (7)
- oral sedation (1)
- sedation dentistry (3)
- dental anxiety (3)
- snoring and sleep apnea (1)
- bonding (2)
- chipped tooth (5)
- tooth colored fillings (2)
- fillings (3)
- tmd (3)
- tmj (3)
- chewing gum (2)
- xylitol (1)
- celebrity smiles (64)
- nightguard (1)
- grinding teeth (1)
- sealants (2)
- sensitive teeth (3)
- dentures (8)
- periodontal (gum) disease (2)
- dental injury (7)
- dental emergency (3)
- sleep apnea (2)
- snoring (2)
- prepless veneers (1)
- tooth loss (2)
- bone grafting (4)
- tongue scraper (1)
- dental health tips (1)
- dental emergencies (4)
- dental hygienist (1)
- dental hygiene (3)
- periodontal disease (4)
- gum disease (14)
- diabetic (1)
- oral cancer (1)
- heart disease (2)
- tooth decay quiz (1)
- cambra (1)
- fun dental facts (1)
- nutrition (7)
- sugar (1)
- power bleaching (1)
- pediatric care (2)
- pregnancy (1)
- tooth wear (1)
- grinding (1)
- loose dentures (2)
- overdenture (2)
- crown (1)
- teeth grinding (3)
- cracked tooth syndrome (1)
- tooth sensitivity (1)
- invisalign (1)
- clear aligners (3)
- orthodontics (4)
- braces (9)
- orthodontic treatment (18)
- dental specialists (1)
- athletic mouthguards (1)
- tooth grinding (1)
- partial dentures (1)
- ulcers (1)
- canker sores (1)
- Dental Implant Restoration (1)
- First Dental Visit (1)
- cosmetic gum surgery (2)
- x-rays (1)
- retainers (3)
- Whiter (1)
- tooth extraction (2)
- abscessed tooth (1)
- mouth sores (2)
- dental bonding (2)
- reshaping (1)
- contouring (1)
- gummy smile (2)
- tmj disorders (1)
- root canal treatment (7)
- laser dentistry (1)
- bacteria (1)
- fluoride (2)
- flossing (1)
- chipped teeth (1)
- toothpaste (1)
- dental crowns (2)
- restorative dentistry (1)
- tooth contouring (1)
- tooth reshaping (1)
- diabetes (1)
- antibiotics (1)
- topical fluoride (1)
- tooth pain (3)
- porcelain veneers (4)
- cancer treatment (1)
- toothbrush (2)
- extractions (3)
- retainer (1)
- loose tooth (3)
- Removable Dentures (1)
- Missing Teeth (2)
- shingles (1)
- Emergency Dentist (1)
- gum surgery (1)
- teeth wear (1)
- lingual braces (2)
- gum recession (2)
- dry mouth (2)
- bridge (2)
- gerd (1)
- removable partial denture (1)
- smoking (1)
- dental care (1)
- partial denture (1)
- Dental Visits (1)
- Dental Check-up (1)