Loose and falling teeth

Introduction It refers to the loosening of teeth caused by external impact, periodontal disease, gum atrophy, and nutritional atrophy of old gums. The teeth have a certain degree of activity in a healthy state, mainly in the horizontal direction, and the vertical direction is very small, not exceeding 0.02 mm, and is not easily noticeable. When the activity of the tooth is larger than this range due to certain disease factors or other factors, the teeth are loose, and the teeth are severely degraded. Maintaining oral hygiene, regular oral examinations, and avoiding external damage to the teeth are important measures to prevent loosening and falling off of the teeth.

Cause

Causes of tooth loosening and shedding

The cause of tooth loosening may be caused by external force impact, periodontal disease caused by atrophy of the gums, nutrient atrophy of the old gums caused by loosening of the teeth, and severe tooth loss. The former is caused by external force and loosening. The latter two cases belong to There is a problem with the gums. This is medically a nutritional atrophy of the gums or atrophy caused by severe periodontal disease, but ultimately it is rooted in the fact that the gum itself does not have a nutrient supply and causes atrophy and tooth loosening.

an examination

Related inspection

Oral endoscopic oral X-ray examination

Examination of looseness and shedding of teeth

Periodontal disease, nutritional aging of old gingiva, etc., most adults have periodontal disease, most periodontal disease progresses slowly, mostly gingivitis at the onset, except for occasional brushing bleeding, there are not many symptoms. So it doesn't attract attention. The development of gingivitis to a certain extent is periodontitis. At this time, severe oral odor can occur, the abscess is repeated in the periodontal period, the teeth are loose, the teeth are getting bigger and bigger, and the teeth are getting sparse. If the patient is seen at this stage, the doctor can control the deterioration of inflammation, but the damaged periodontal tissues (including gum atrophy) are irreversible and difficult to recover completely.

Senile gingival atrophy, which only occurs in the elderly, is due to age. It is a physiological phenomenon, which is the performance of human dysfunction in the gingival system as people age with age. This atrophy is the atrophy of the gums and alveolar bone of most or full-mouth teeth.

Differential diagnosis

Symptoms of loose and loose teeth:

Exposed roots: mainly refers to the phenomenon of atrophy of the gums, while the teeth become larger, the teeth become longer and the teeth are loose. The roots of the teeth are exposed, and the atrophy of the gums often makes the exposed teeth extremely sensitive to temperature changes and acidic foods, and often causes irritation.

Tooth dislocation type dislocation, tooth displacement can be seen that the teeth are elongated, tilted or displaced, loosening II0-III0, there may be sulcus oozing, the crown is not broken and the defect, the temperature test response is different, the tooth displacement can be accompanied by Alveolar fracture.

Dental embedding dislocation: the clinical crown of the affected tooth becomes shorter or disappears, may be accompanied by displacement, torsion or anti-jaw relationship, sulcus sulcus, sputum pain (+++), may be associated with alveolar fracture.

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