I regret neglecting my teeth because they have all become loose. What do I do now?

Teeth can become loose over time due to neglect and periodontal disease. Ignoring the problem can lead to further complications, such as additional jawbone loss, making it even more challenging and costly to replace the teeth down the road. Addressing loose teeth promptly is crucial to prevent these severe consequences and restore your oral health.

For cases of mild looseness, deep cleaning (professionally known as root surface debridement, or root planing) can be an effective treatment. This procedure involves cleaning the roots of the teeth to remove bacteria and tartar, helping to reduce inflammation and promote healing. With proper care and regular maintenance, which typically includes gum reviews and cleanings up to four times a year, it is possible to stabilise and retain these teeth.

When dealing with moderate-to-severe looseness, the jawbone has deteriorated to the point deep cleaning or any other treatment is rendered unreasonable or futile. That usually would mean that the tooth has got to go. Thankfully there are several treatment options that can restore function and aesthetics, subject to promptness of receiving treatment.

Complete Denture: A complete denture is a removable appliance that replaces all missing teeth in a jaw. Think of it as a plate of plastic gums and teeth that sit on your toothless jawbone. While it is cost-effective and offers immediate restoration, it often loses out in stability and comfort compared to other more permanent options. Dentures can shift while eating and speaking and may need frequent adjustments; further down the road the dentures will likely even need replacement, causing the cost to add up in the end.

Implant Overdenture: An implant overdenture is a denture stabilised in place by dental implants placed in the jawbone. This option provides better stability and comfort compared to traditional dentures especially in the lower jaw because the implants help secure the denture, reducing movement during daily activities such as chewing and speaking where the tongue pushes against and dislodges the denture. Overdentures offer a good balance between cost and durability.

The implant overdenture needs to be inserted and removed daily.

Implant-supported Fixed Prosthetic Teeth: Full-arch implant treatment involves strategically placing multiple implants to support a full span of teeth. These implants serve as anchors, providing a secure foundation for a fixed set of replacement teeth that feel and function like your natural teeth. Think of it as building a sturdy foundation for a house on a solid base. This method offers exceptional stability, comfort, and functionality; you can enjoy the confidence of a complete, stable smile without the hassles of removable appliances. It’s a long-term investment in your oral health that delivers remarkable durability and a natural feel, making it an excellent choice for those seeking a comprehensive solution to loose teeth.

Implant-supported fixed prosthetic teeth are secured in place permanently.

Choosing the right treatment option involves careful consideration of several factors, each tailored to your unique needs and circumstances. Your dental professional will evaluate the extent of your tooth loosening, your overall oral health, and your personal preferences to guide you through this decision. It is important to think about your lifestyle and how each option will fit into your daily routine. For instance, if you prefer a fixed solution without the hassle of removing any appliances daily, fixed implant-supported options may be the most suitable. On the other hand, if cost is a primary concern, traditional dentures might be a more budget-friendly option. Ultimately, finding the right solution is about striking the balance between your needs, preferences, and financial considerations to achieve the best possible outcome for your oral health.

At the end of the day, if you're struggling with loose teeth, get assessed promptly to explore your best options for a stable, functional smile and improved oral health.