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Dr. George McKee
Dr. George McKee, Dentist
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Experience:  Licensed dentist with 30 years clinical experience in general practice and cosmetic reconstruction.
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Can a front loose tooth fall out on its own or are

Customer Question

Can a front loose tooth fall out on it''s own or are their many roots holding it in. This is an adult front tooth.
Submitted: 6 years ago.
Category: Dental
Expert:  Dr. George McKee replied 6 years ago.
DearCustomer

Thank you for your question.

Front teeth all have a single root.

The most common reason teeth become loose is from periodontal disease. Periodontal disease (gum disease) is a chronic, low grade infection of the gums surrounding the teeth. It is caused by bacterial plaque which lives in your mouth and attaches to the surface of the teeth both above and below the gum. If enough plaque accumulates under the gum, and remains for enough time, an infection will start. This infection starts in the small spaces between your teeth and gums. The gums react to this process by swelling up and loosening their grip around the individual teeth. This loosening opens up deeper spaces between the gum and tooth allowing for more debris, plaque and food to work their way into the spaces. As the disease progresses, it slowly dissolves the bone around your teeth and, as it shrinks away, the gums may follow. Many times, the patient is unaware of this disease because there is no pain involved until it gets to the advanced stage. Other symptoms of periodontal disease are bleeding gums (when brushing, or spontaneously), bad breath and receding gums. Many times, by the time an individual notices these symptoms, the disease has been active for quite some time, even years. Periodontal disease can be treated and many of the symptoms can be reversed. You need to go to a dentist that specializes in this disease, namely a Periodontist. He will diagnosis the severity of your condition and recommend treatment. Many times this disease can be treated with a thorough dental cleaning and root debridement. Once the plaque, infection and inflammatory toxins are removed from between your teeth and gums, the looseness should improve. Keep in mind that periodontal disease can not be cured; only treated. After the initial treatment from the Periodontist, you will need to return a few times a year to him/her or to your regular dentist for regular dental cleanings. This will keep the disease at bay and prevent it from escalating to the degree that causes bone loss and looseness.

If the periodontal disease advances to the point that no bone remains around the tooth, it is merely held in by a weak gum attachment. At this point, the loose tooth starts drifting out of the socket and, if the patient has not already sought the help of a dentist by this time, can fall out. Normally there is sufficient pain, swelling and infection well before this final stage that motivates the patient to seek the services of a dentist.

I hope you find this information helpful. If you have any concerns regarding this issue that I have not addressed, please let me know and I will get back to you with more information.

Sincerely,

George McKee DDS

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Dr. George McKee
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Licensed dentist with 30 years clinical experience in general practice and cosmetic reconstruction.