According to the doctor, the degree of tooth shaking can be divided into 4 series. Among them, the degree of tooth shaking is greater than 1mm, and it can easily shake both horizontally and vertically. It is possible to face tooth extraction at the moment; the picture shows the situation.

(picture taken from freepik)

[Health Channel/Comprehensive Report] Under what circumstances will a tooth be pulled out if you have periodontal disease?

The doctor said that the degree of tooth shaking can be divided into 4 series. Among them, the degree of tooth shaking is greater than 1mm. If the degree of tooth shaking can be easily shaken horizontally and vertically, it is possible to face tooth extraction, especially for bedridden elderly people.

Therefore, I remind everyone that we must pay attention to daily tooth cleaning, especially the gap between the crown and the gums. It needs to be cleaned one by one with dental floss, so as to truly avoid the original healthy teeth being extracted in the end.

Fan Gangxin, Director of the Dental Department of Enzhugong Hospital, posted on the Facebook fan page "Out of the Ivory Tower - Dental Home Service｜Dr. Fan Gangxin" that the severity of periodontal disease can predict whether the teeth have sufficient bite force.

It was often mentioned in the past that most people in the country have periodontal disease problems. If you do not grasp the golden stage of seeing a doctor, periodontal disease will obviously affect the stability of your teeth. Many people will seek treatment from a dentist only after the periodontal tissue has been lost on a large scale , and often as long as the degree of periodontal loss is more than 5mm and the proportion of alveolar bone loss exceeds 50%, if the effect of periodontal treatment is not good, the teeth need to be extracted.

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Fan Gangxin said that when a tooth is to be extracted, the degree of shaking of the tooth will be evaluated. When the tooth and the underlying gums and periodontals are not maintained in a fixed state, if you try to gently shake the healthy tooth with your hands, the tooth may also have a slight gap of about 0.2mm. Displacement, this is because there is a "periodontal ligament" between the root of the tooth and the periodontal to provide a buffer, so that the teeth can be more elastic when chewing.

Fan Gangxin emphasized that clinically, the degree of tooth shaking is divided into 4 series. Healthy teeth are mentioned above, and the degree of shaking is only 0.2-0.5mm. When periodontal disease occurs, it is possible to avoid tooth extraction by performing periodontal disease treatment immediately and cleaning the teeth properly after surgery to allow the periodontal tissue to grow back slowly.

However, if the horizontal shaking of the teeth is greater than 1mm and the vertical shaking has not yet begun, the patient’s future treatment plan should be considered. If removable dentures need to be worn in the future, it is recommended that such shaking should be removed. There is enough stable support; and the degree of tooth shake is greater than 1mm, and it can be easily shaken horizontally and vertically. It is possible to face tooth extraction at the moment, especially for bedridden elderly people. Dangerous situations such as eating teeth by mistake can be avoided after tooth extraction.

Fan Gangxin said that according to the above two evaluation criteria, no matter in the clinic or during the dental service at home, the doctor will deal with the teeth that have lost their occlusal force as soon as possible. He also reminds everyone to pay attention to daily tooth cleaning, especially the gap between the crown and the gums It is necessary to floss one by one to avoid the original healthy teeth being forced to be extracted in the end.

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  • periodontal disease

  • dental floss

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