Guo Hongmei, a medical doctor with a PhD in Periodontology from Shandong Stomatological Hospital, specializes in the diagnosis and prevention of various periodontal diseases. She is skilled at formulating reasonable treatment plans for patients.
Journalist: Many people suddenly discover that their teeth are slightly loose. What's the reason for this? Should they go to the hospital immediately for treatment?
Guo Hongmei: Adult teeth have one or more roots that are firmly fixed in the surrounding bone, which we call the alveolar bone. When the connection between the tooth root and the alveolar bone is damaged, it can lead to tooth loosening. The main culprit behind adult tooth loosening is periodontal disease, and the initial factor causing periodontal disease is dental plaque. When a large amount of dental plaque, soft deposits, and tartar accumulate on the surface of the teeth over a long period, the bacteria and toxins produced by the bacteria will irritate the gums, leading to gingivitis. At this stage, the symptoms may only be occasional bleeding during brushing or when biting hard objects. If not treated promptly, and the inflammation is not controlled, it will spread deeper, destroying the connection between the tooth root and the alveolar bone, and causing the absorption of the alveolar bone around the tooth root. At this point, it is called periodontal disease. When the destruction of the connection between the tooth root and the alveolar bone exceeds half, the tooth becomes loose and chewing feels weak. Over time, the looseness worsens, eventually leading to tooth loss.
Periodontitis usually develops slowly, and timely treatment at a proper hospital is an important means to prevent and treat tooth loosening. Relying solely on oral antibiotics cannot solve the problem of loose teeth. For teeth loosened due to periodontal disease, if the loosening is mild, effective periodontal treatment often restores normalcy; if the loosening is severe, meaning the tooth is clearly loose in all directions, extraction is often the adopted method.
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