periodontal disease and mobile teeth

I have some bone loss and despite going regularly to the dentist have just been told I have periodontal gum disease. I have been to the hygienist for cleaning and she said my gums should improve now and the teeth should firm up. I have been tepeing and brushing religiously as told. One of my central incisors is mobile and I am worried that it will get worse and fall out. What are the chances of it firming up, and can they give me an implant or denture for one front tooth if it does fall out? I don't want a gap, and don't know if you can have an implant with bone loss. The hygienist said they can't be splinted or bridged if the other teeth aren't absolutely secure.

Chances of it firming up - is wait and see.
Yes single implant possible to fill a front gap.
If not enough bone you can have a bone graft.

On the NHS all that would be covered would be a false tooth or a bridge involving the two adjacent teeth.

Good luck hope it works out. BTW I am not a dentist.

I had my three front teeth splinted because they weren't secure- they were mobile. I'd double check her facts.

rp

I've had gum disease for a number of years now with my lower front teeth very loose - two fell out (well, one was knocked out by the dog giving me a paw when I tried to see what was irritating his ear and the other two were very mobile). Other teeth were starting to go the same way so two weeks ago I had seven teeth removed and got partial dentures. I was also missing several molars from years ago so no teeth on the upper left and no teeth on the bottom right. Made eating very difficult and smiling an embarrassment.

I got immediate dentures and what a difference that has made. My teeth actually look nice now - and I can eat again properly.

A partial denture could be the answer for you. BTW my partials are NHS and they are really quite good. I've only had them two weeks and can eat meat and most things already.

One treatment to maintain periodontally involved ft. teeth is to splint them. If the bone loss is severe then not a good option but if moderate it may be considered.
If you are considering implants then prior to implant placement a COMPREHENSIVE plan should be undertaken. It is a mistake to just place one in where there is active periodontal disease or adjacent rather mobile teeth.
I am assuming that you don't smoke.

After a thorough deep cleaning and regular maintenance cleanings, its possible for mobility to be reduced. Also, your dentist can check your bite to make sure you're not biting especially hard on your front teeth, because sometimes that can be the cause of the mobility. Yes, you can get a partial denture to replace that tooth. Depending on the pattern of bone loss a bone graft may be possible so an implant is not out of the question.

comfortdentist said:

One treatment to maintain periodontally involved ft. teeth is to splint them. If the bone loss is severe then not a good option but if moderate it may be considered.
If you are considering implants then prior to implant placement a COMPREHENSIVE plan should be undertaken. It is a mistake to just place one in where there is active periodontal disease or adjacent rather mobile teeth.
I am assuming that you don't smoke.

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Not meaning to hijack the thread but can periodontal disease be hereditary? I'm asking this as my late mother lost all her teeth at the age of 41 due to periodontal disease. She did not smoke and she didn't drink alcohol either (hated both). She was very strict on dental hygiene and making sure all the family, including herself went every 6 months to the dentist.

I admit I smoke (don't drink) but at least I've still got some natural teeth left and I'm 54 now.

Thank you everyone for your replies.
I smoked more before I had the children, and 3/4 a day after, but gave up 3 years ago. This has caused some bone loss I believe. However, up to 9 months ago the dentist was saying she was quite happy with my mouth, they have never suggested hygienist or any treatment.
However this year we have had a lot of stress from work and elderly parents, also type 2 diabetes and menopause and I believe that these can all be contributing factors. I am hoping it will improve with regular maintenance - however, this front bottom incisor is quite mobile and I couldn't see how a partial denture would be fitted and stay secure.
I have been frightened of the dentist all my life, was just starting to gain a bit of confidence and now this has knocked me for six.
Jane

EJaneF said:

Thank you everyone for your replies.
I smoked more before I had the children, and 3/4 a day after, but gave up 3 years ago. This has caused some bone loss I believe. However, up to 9 months ago the dentist was saying she was quite happy with my mouth, they have never suggested hygienist or any treatment.
However this year we have had a lot of stress from work and elderly parents, also type 2 diabetes and menopause and I believe that these can all be contributing factors. I am hoping it will improve with regular maintenance - however, this front bottom incisor is quite mobile and I couldn't see how a partial denture would be fitted and stay secure.
I have been frightened of the dentist all my life, was just starting to gain a bit of confidence and now this has knocked me for six.
Jane

Click to expand...

I was terrified of the dentist too, thanks to a really bad experience almost 16 years ago. Thankfully I found a really gentle, kind dentist recently. I had 7 teeth extracted and I can honestly say, I didn't feel them coming out. How he took them out without me realising they were gone I don't know. Whatever technique he used, it's a good one. I have one more tooth to come out in a few months time and I'm not at all worried about it.

Stress can knock eight bells out of your system. I know this only too well. Interestingly you mention Type II Diabetes. Thankfully, that's one disease that's not in my family. However, my late husband was Type II. He also had serious heart disease. His teeth just seemed to go all at once. First, his four screw in crowns at the front fell out, then his molars went loose. His whole mouth was a mess, yet he also didn't smoke and very seldom drank.

I think there are many factors to gum disease. One very interesting thing I learned a few years ago was that fluoride toothpaste, although preserving the enamel on teeth, destroys the connective tissue between the gums and teeth, forming little pockets and ultimately, mobile teeth. There's quite a bit about the downside of fluoride on the internet.

I still use fluoride toothpaste for my natural teeth - one of the ones made specifically for smokers.

The other thing I've noticed, at least for me, is that only certain teeth/parts of the gum have been affected. I still have several teeth that are very firm and showing no signs of becoming loose or the gum receding. Why this is, I don't know because I would have thought if one was affected, they all would be. Perhaps one of our lovely dentists here might have an answer to that.

A single tooth denture is an option and would be quite stable as they are precision made, often with little clasps that fit to your other teeth and your adjacent teeth would hold them in. My lower denture has 3 teeth in the front (the middle ones), space for my 2 two teeth on one side and 3 on the other then I have some nice plastic molars each side. I don't need to use any denture adhesive on the lower as it is a really good fit. Took me a while to learn how to take it out as once it was in, it wanted to stay there I've got it down to a fine art taking it out now

If you look at partial dentures on the internet, there are some really good sites that show you the different types available.

One thing I have found since my teeth went mobile a few years ago was that, I tended to brush very gently - too gently incase I knocked them out which meant that my teeth were not getting the proper cleaning they should have. Now that the loose teeth are gone, my remaining natural teeth get treated to a good clean at least twice a day. Too much tartar build up also loosens teeth so that's one thing I'm trying to avoid.

Please don't let this knock your confidence too much.