Online Dental Education Library
Our team of dental specialists and staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us.
Teeth Whitening - Brighter, whiter...
The subconscious impact of a white smile is radiant health, happiness, warmth and invitation. This phenomenon has been reinforced with the spread of American culture worldwide, where an especially white smile has even been coined a "Hollywood smile". Today brighter, lighter, whiter teeth have become a norm. Tooth whitening by bleaching is a successful, conservative, relatively inexpensive and safe alternative... Read Article
Smile Design with Porcelain Veneers
In part two of the series on Smile Design, Dear Doctor takes an in-depth look at Porcelain Veneers, a superior yet minimally invasive technique for smile enhancement. We'll explain not only when they're appropriate, but also when they're not... Read Article
Porcelain Veneers – Without A Drill
No drilling — reality or ridiculous? A no-drill technique requires a second look, as new materials and concepts have created new esthetic possibilities. Reactions and opinions among dentists have ranged from absolute disbelief to moderate acceptance. This article gives hope and reasons for patients to get excited about this conservative drill-free cosmetic technique... Read Article
Cosmetic Dentistry - A Time For Change
Join us as we review the myriad of possibilities available to you for cosmetic dental change. But the biggest part is not just how your smile looks, it's how you feel when you show it... Read Article
Dental Implants - Your Third Set of Teeth
A discovery fifty years ago paved the way for one of dentistry's most exciting, natural looking and successful tooth replacement systems. Learn how dental implants might just possibly change your life... Read Article
What is Tooth Decay?
Tooth Decay is an infection, and many people don't realize that it is preventable. This article is the first in a series about tooth decay, perhaps the number one reason children and adults lose teeth during their lifetime. Explore the causes of tooth decay, its prevention and the relationship to bacteria, sugars and acids... Read Article
Don't wait for cavities to occur and then have them fixed — stop them before they start. Modern dentistry is moving towards an approach to managing tooth decay that is evidence-based — on years of accumulated, systematic, and valid scientific research. This article discusses what you need to know to assess your risk and change the conditions that lead to decay... Read Article
The Beauty of Tooth Colored Fillings
The public's demand for aesthetic tooth colored (metal free) restorations (fillings) together with the dental profession's desire to preserve as much natural tooth structure as possible, has led to the development of special "adhesive" tooth colored restorations... Read Article
Wisdom Teeth – To Be Or Not To Be
Facts you need to know about these curiously named teeth. They are so-called because a moderate amount of wisdom is supposedly achieved at about the same time these teeth typically make their appearance. This article will review the problems associated with wisdom teeth and whether or not they should be removed... Read Article
Oral Hygiene - Dental Health for Life
The best tools for maintaining your oral health and minimizing dental problems are a quality toothbrush, toothpaste, a roll of dental floss, approved mouthwash and good diet. This article cuts through the confusion with a winning game plan for oral health... Read Article
Understanding Gum Disease
Have your gums ever bled when you brushed or flossed? This most commonly overlooked simple sign may be the start of silent (periodontal) disease leading to tooth loss. Learn what you can do to prevent this problem and keep your teeth for life... Read Article
The Impact of a Smile Makeover
Americans are catching on to the emotional and social importance of a healthy, beautiful smile, and they're seeking out ways to improve their smiles. Learn why and what a change could mean for you...Read Article
The orthodontic treatment using clear aligners consists of a series of aligners that you change about every two weeks over a course of treatment lasting six to eighteen months depending on how much movement is needed... Read Article
This article may just save your life. Learn how to notice any unusual lesions (sores or ulcers) anywhere in your mouth that do not heal within two-three weeks. Early detection is key... Read Article
Implant overdentures represent a major change for the dental profession and the public. The lower jaw two-implant overdenture may be considered a more appropriate starting point over regular dentures... Read Article
TMD – The Great Impostor
This “chameleon” of dental disorders manifests in a variety of ways, including joint pain, sinusitus, ear pain, tooth and headaches. The causes of TMD, its signs and symptoms and what can be done to treat this common disorder... Read Article
Lasers Shine a Light on Dentistry
Lasers have revolutionized medicine and now they're beginning to blaze a new trail in dentistry. Today, at the dawn of the 21st century there are a variety of dental uses for lasers, from diagnosing cavities and the removal of gum and tooth structure to the treatment of disease... Read Article
Oral Sedation Dentistry
Step out from under the shadow of fear and into the calm of sedation dentistry. There are safe and time-tested options available to ensure that you have a positive and painless dental experience. Your apprehension and hypersensitivity to pain melt away, yet you remain awake and in control... Read Article
Sleep Disorders and Dentistry
If my partner snores loudly, should I be concerned and what can be done to alleviate the problem? Why does my sleeping partner have lapses in breathing while sleeping and is it dangerous? Why do I wake up exhausted even though I get up to 10 hours sleep at night? The answers to these and more questions and how dentistry can help all revealed within... Read Article
About Dear Doctor Dentistry Magazine
Dear Doctor - Dentistry & Oral Health is a dental magazine written for the education of the general public. Dear Doctor provides information that is accurate, authoritative, and trustworthy on all aspects of dentistry and oral health including teeth whitening, porcelain veneers, dental implants, cosmetic dentistry, smile makeovers and more.
Copyright © 2012 Dear Doctor, Inc. All rights reserved. Copying or reproducing any text or graphics is strictly prohibited.
When you are a child, your first loose tooth can be cause for celebration; when you are an adult, it definitely is not. Biting and chewing with a tooth that is not securely attached in its socket can be difficult or even painful — and any tooth that becomes loose is at risk of needing to be removed or, at worst, falling out. It's often possible to prevent that from happening, but quick action is required.
The most common reason for tooth looseness is periodontal disease — a bacterial infection of the gum and/or bone tissues that surround and support your teeth. The infection results from bacterial plaque that sits on your teeth in the absence of effective oral hygiene. Over time, periodontal disease will cause gum tissue to detach from the teeth as plaque and tartar formation increases and tooth-supporting bone is lost. As more bone is lost, teeth gradually become loose and are unable to withstand normal biting forces. If severe periodontal disease remains untreated, loose teeth will eventually fall out.
Another common contributor to the loosening of teeth is a clenching or grinding habit that generates too much biting force. This force can stretch the periodontal ligaments that join the teeth to the supporting bone, making your teeth looser. These habits can accelerate bone loss and also cause jaw pain and excessive tooth wear.
Just as the causes of loose teeth can be biological (disease) or mechanical (too much force) — or both — so, too, are the treatments. Let's first take a look at the biological approach.
To control gum disease, a dental professional must thoroughly clean the teeth of plaque and harder deposits (tartar or calculus) in which bacteria thrive; this includes the tooth-root surfaces beneath the gum line. At the same visit, you will be instructed on effective oral hygiene techniques and products to use at home. Often this type of deep cleaning, combined with improved oral hygiene, will reduce inflammation and heal the gums enough to cause some tightening of the teeth.
The mechanical approach involves modifying the forces that are applied to the teeth. This can be achieved in a number of ways. For example, an occlusal (bite) adjustment can be performed by carefully reshaping minute amounts of tooth surface enamel. This changes the way upper and lower teeth contact each other, redirecting and lessening the force. Replacing broken fillings and restoring worn teeth is also sometimes needed to create a more balanced bite, even when teeth are not loose.
It is also possible to reduce stresses on teeth by temporarily or permanently splinting them together like fence pickets so that any biting force is distributed among groups of teeth rather than individual loosened teeth. The splint is a very small metal bracket bonded to the backs of or tops of the teeth.
If clenching or grinding habits are a problem, a custom-made bite guard (also called an occlusal splint) can be worn when needed. Placed in the mouth at night or in times of stress, it can protect the teeth from the consequences of too much biting force. This can also be helpful in preventing excessive tooth wear, and sometimes in relieving jaw pain.
Loose teeth can be successfully treated with both biological and mechanical techniques. A thorough examination will be needed to determine the best approach. So if you are experiencing tooth looseness, don't wait — the sooner this problem is addressed, the more likely you are to keep your natural teeth.
Loose Teeth Tooth looseness is a complex but treatable problem. More often than not, it is a fairly late sign of periodontal (gum) disease. If you are experiencing this, it's important to act fast to try and save your teeth... Read Article
Treatment for Loose Teeth Sometimes very loose teeth can be splinted or joined together like pickets in a fence so that any biting force is distributed among groups of teeth rather than individual loosened teeth. However, before deciding upon a treatment, the long-term prognosis of the teeth must be considered... Read Article