Hello friends, so if you have reached this page it means that you either have advised to remove one or many teeth. Or may be your are scared about your teeth fall-off. If you don’t have the time or the willingness for multiple dental visits then this article for you. In any case there are ways you and your dentist can save your tooth. Most of these dental procedures can done on the same day itself to save your natural teeth.
Save Your Moving Tooth Today!
One of the most common complaint after decay is moving teeth. There are various stages of moving teeth and your dentist is in the best position to judge if a tooth can be saved or not. The most common causes of moving tooth are:
- Trauma: In a child, fall while playing is the most common reason of the tooth to move or even avulse. In such cases the tooth should saved. The tooth can placed in the mouth or in milk. It is advisable to seek professional help immediately.
- Gum Condition: As we age the health of the gums deteriorates. For some faster than others. There are many reasons for the poor gum health. It could be due to genetic predisposition or also due to negligence. As the gum health worsens, the tooth loses its support and starts to shake. The basic treatment of cleaning called oral prophylaxis goes a long way in saving such teeth.
- Missing teeth: As we lose a tooth there a space created in the mouth. That space causes the neighboring and the opposite tooth to migrate into. This migration called as pathologic migration of teeth. As the good teeth start to move they lose their support and eventually start to shake. This can prevented by replacing the missing tooth.
- Occlusal interferences: Although a more complex concept but one of the most important factors in dentistry is the occlusion. Occlusion is the balance between the teeth of the upper jaw and lower jaw. When this balance changes due to wear and tear or habits, abnormal contacts arise. Due to these abnormal contacts, there is uneven loading on the teeth which may lead to mobility.
How Does The Tooth Move?
The tooth not firmly fixed into the jaw bone. Rather it suspended into the bone with the help of small ligaments called as the periodontal ligaments. Hence when there are abnormalities this ligament swells up. And this swelling causes the bone destruction and the physical movement of the tooth. If its not controlled then the destruction becomes irreversible and eventually the tooth lost.
Can Royal Dental Save Your Moving Tooth?
The first and the most important step to save a moving tooth is prevention. Prevention would include regular brushing and flossing habits, having a rich diet of fluorides and fibres, limiting the sugar exposures to 4 in a day and regular visit to the dentist. A 6-monthly visit to the dentist recommended. The dentist would usually perform a through cleaning with ultrasonic instrumentation. All of this would strengthen the support of the gums and the periodontal ligaments of the tooth and prevent it from moving.
Suppose if you have a tooth which is moving. Then, a radiological investigation done. The best modality is the CBCT to check for the bone abnormality in 3D. In such cases, various treatment options can employed, such as:
Intentional Pulp Therapy: To manage pain during movement.
Crown Root Ratio Improvement: To reduce the effects of over eruption.
Splinting: After cleaning all the infection and the cause the mobility, the moving tooth joined to the neighboring stable teeth. This gives time for the bone to heal and also wont allow the tooth to move into an abnormal position.
Crown or capping: If the tooth is in the aesthetic zone then instead of splinting, capping can also be done. It works as a functional support and also as a esthetic restoration.
In case you have many teeth, which are moving then the above treatment options are still valid. The only addition is the need to balance both the upper and lower jaw. Such procedures require experience and expertise which, we at Royal Dental Clinics have been practicing since the past 3+ decades. At Royal Dental Clinics, such treatments can completed in one to two sittings only.
Save Decayed Tooth or natural teeth
If you can see a brown or black spot on the tooth then it is probably a decay or the stain. it filled in time then the progress of the decay stops. If the filling not done on time then the it can result in the fracture of the crown portion of the tooth. Usually in such circumstances the root of the tooth intact and the crown structure lost. At this point of time we have the following options:
- Extraction with dental implants: The root of the tooth submerged into the gums. In such cases of severe decay the tooth can saved by doing a combination of procedures which collectively take about 15 to 45 mins to perform.
- Pulp Therapy: Pulp Therapy cleans all the infection in the tooth surface and seals the tooth to avoid spread of infection from the root.
- Crown length procedure to save tooth: A minor procedure done, to steal the root and convert it into the crown structure. This structure would then hold the cap in position.
- Post and core buildup: A biocompatible metal support attached to the root canal. This acts like a pillar support of the cap.
- Pin support: To provide additional support, with the post thin pins can attached to the remaining tooth structure. This aids in the retention of the tooth surface.
These procedures can performed simultaneously and also on multiple teeth together. The usual treatment duration with cap for these procedures few hours, and can completed in one or two visits.
Save Broken Tooth or natural teeth
A tooth may break because on many factors. Two of the most important factors discussed above. Another important factor is the tooth breaks with the artificial crown. As the awareness of dentistry is increasing every year, hence we have also started to observe an increased incidence of prosthetic failure. Many of these failures due to the tooth structure being broken and the cap being dislodged.
Traditionally, the caps built from metal alloy of chromium and cobalt. But as the need for more aesthetic crowns arise so the metal was covered with tooth colored ceramics. But there used to, a shadow of the metal. Then instead of chromium and cobalt, zirconia used as the inner layer. Although aesthetic but these materials were very hard for the mouth. So, we started observing that the prosthesis used to dislodged and the tooth structure also damaged.
What we do now is to use for physiological prosthesis. These called as SAPTeeth just like natural teeth. These crowns are light weight, high aesthetic and act as shock absorbers. Their wear and tear time is upto 9 years as per the research data. The major advantage is that they do not damage the truth structure and even in case of failure the repair can be done easily in the oral cavity.