Several years ago I was told I had minor bone loss in my lower back jaw. The pain went away with increased dental regimen. However, recently I have noticed the tooth becoming looser. I am guessing the dentist will suggest that I remove the tooth. Will this cause my other teeth to space out and will the missing tooth affect my overall bite? It is the very last tooth next to the wisdom tooth I had removed as a teen. Do I HAVE to visit a periodontist?
I Have One Back Tooth That is Loose. I Suspect Bone Disease. If I Have It Removed, Will my Other Teeth Space Out? If So How Soon
Doctor Answers (3)
Do I have to see a periodontist?
Generally I tell my patients in this situation that if they want to do everything they can to keep their teeth they should see a specialist. It is impossible to diagnose your situation without seeing you. Having said that, I sounds like you will be loosing the second molar and possibly more teeth. Your first priority is getting the disease under control and focus on the teeth you can save while getting rid of those you can't. Once this is done a thorough evaluation of your bite and what it will take to stabilize it is needed. When we loose posterior teeth is can cause opposing teeth to supra erupt, adjacent teeth to drift, and/or a posterior collapse of the bite. This collapse places inordinate amounts of force and strain on the anterior teeth resulting in excessive wear, crowding, splaying of upper anteriors, fracturing etc etc... . One thing to remember, just because you don't have pain does not mean you can't have active periodontal disease.
Will Removing A Molar Tooth Cause Spacing
If you have incresing mobility with this molar there is a good chance that it will need to be extrated, but it should not cause any spacing of the other teeth. I would see your general dentist first, allow them to examine the tooth, then see a periodontist if they feel that is necessary. A 3D CT scan of that area will determine quanity of bone, whether an extraction is nessecary, and whether or not it could be replaced with a dental implant. Hope this helps.
Loose Back Tooth
If your back teeth are beginning to loosen, you should definitely visit a periodontist to obtain an opinion on course of treatment. There might be surgery to help prolong the life of your teeth. Or, if there is a localized infection, perhaps the extraction of a single tooth will preserve the bone around the adjacent teeth.
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