1. If the tooth is slightly loosened due to periodontal disease, it will return to normal through effective periodontal treatment; If it is moderately loose, the loose teeth should be ligated and fixed with the adjacent teeth while treating periodontal disease, so as to reduce the load of the loose teeth and prevent the loose teeth from aggravating. At this point, most of the loose teeth cannot be recovered; If it is severely loose, it means that the teeth are loose III ",which means that the teeth are obviously loose from top to bottom, left and right. At this time, the method of extracting the affected teeth is often used to avoid adding unnecessary burden to the adjacent teeth.
2. When the teeth are loosened due to trauma, if they are slightly loosened, you can take anti-inflammatory drugs (spiramycin, lincomycin, etc. ). Once the inflammation subsides, the teeth can automatically return to a stable state; If there is serious loosening, dislocation or displacement, the teeth should be reset, then ligated and fixed on the adjacent teeth, and anti-inflammatory drugs should be taken to maintain oral hygiene, and teeth should be banned in a short time. 1 ~ 2 months later, the teeth can return to normal.
3. The treatment of tooth loosening during acute attack of periodontitis or periapical periodontitis is mainly to control inflammation. Once acute inflammation is relieved, tooth loosening can also be alleviated or disappeared.
4. When the bite force of individual teeth is too large or the occlusal relationship is abnormal, the occlusal trauma can be eliminated after the doctor adjusts the occlusion, the alveolar bone can be repaired by itself, and the teeth can be restored to a stable state.
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In the periodontal clinic, there are some patients who come to see a doctor because of loose teeth every day. After investigation, most of them are caused by periodontitis. Patients have two misunderstandings about loose teeth. One is that all loose teeth should be pulled out, and the other is that loose teeth would rather fall off themselves than be pulled out. Both of the above viewpoints are biased. Tooth loosening caused by periodontitis can be fixed as long as it meets the indications, and with the continuous progress of materials and technology, more and more loose teeth can be preserved and continue to function; On the other hand, not all loose teeth are suitable for fixation, and loose teeth have certain indications, such as requiring the alveolar bone absorption of the affected teeth to be less than 2/3 of the root length and so on.
At present, the most commonly used method to fix the anterior teeth is the periodontal splint method with ligature wire combined with light-cured resin, that is, the diseased teeth are continuously ligated with adjacent healthy teeth with ligature wire, and then nylon wire is fixed with light-cured resin veneer to restore the appearance of the anterior teeth. After fixing by this method, the affected tooth is not only fixed, but also more beautiful in appearance and color than before. The loose posterior teeth are fixed by restoration methods, such as casting continuous clasp splint, or continuous crown and continuous inlay. After the restoration method is fixed, the affected teeth can bear greater resultant force and recover their functions well. In addition, individual loose teeth can be implanted into root canals without relying on adjacent healthy teeth, and good fixation effect can also be achieved.
Of course, the fixation of loose teeth can only be carried out on the premise of systematic treatment and control of inflammation. As long as the treatment measures are timely and reasonable, the fixation of loose teeth will achieve satisfactory results.