Shaking Teeth Treatment

Mobility in teeth is phenomenon that is found to occur in people of all demographic. Though the reasons behind the shaking of teeth are different in each person, the forms of treatment used are collective and wholesome. Some of the popularly advocated treatment methods are outlined below.



This is a type of gum procedure where the gums are separated from the teeth and then folded back for a brief time. It enables the dentist to reach deep into the root and bone of the tooth.

This form of treatment is mostly used to treat gum disease/ periodontitis. This form of treatment is usually suggested to patients with moderate to advanced periodontitis. It is sometimes done in accompaniment with a procedure known as osseous (bone) surgery/Endontic Treatment/Coronoplasty/Bone grafting.

This form of treatment is used in the

  • Correction of high filling
  • Correction of prosthetic excessive force
  • Management of drifting or extrusion of teeth, and as a
  • Precaution in orthodontic movement that eventually grows to functionally unacceptable positions
  • Reduction of all contacting tooth surfaces that interfere with completely seated condylar position
  • Selective reduction of tooth structure that interferes with lateral excursions
  • Elimination of all posterior tooth interferences with protrusive excursions
  • Harmonization of anterior guidance

“Selective reduction of occlusal areas with primary purpose of influencing the mechanical contact conditions and neural pattern of sensory input” (Krough 1968)

    Indications:
  • Excessive tooth mobility
  • Angular thickening of PDL
  • Angular bone destruction
  • Migration of teeth
  • Restoring the depth of developmental grooves
  • It’s done with tapered cutting tool


SITUATION 1

Increased mobility of a tooth with increased width of the periodontal ligament but normal height of the alveolar bone.


SITUATION 2

Increased mobility of a tooth with reduced height of the alveolar bone and normal width of the periodontal ligament.

Such cases cannot be reduced or eliminated by occlusal adjustment. If it does not interfere with the patient’s chewing function or comfort, no treatment is required. If it is disturbing, the mobility can in this situation be reduced only by splinting.


SITUATION 3

Increased bridge mobility despite splinting

A certain mobility of a tooth or a bridge of unilateral design can be accepted provided this mobility does not interfere with the patient’s chewing ability or comfort. This is also valid for a cross-arch bridge/splint. However, neither progressive tooth mobility nor progressive bridge mobility can be accepted. In cases of extremely advanced periodontal disease, a cross-arch splint with an increased mobility may be regarded as an acceptable result of rehabilitation.

Sub gingival scaling, curettage and root planing are done with /without endodontic treatment and Coronoplasty

“An apparatus, appliance or device employed to prevent motion or displacement of fractured or mobile parts” (Hallman, AAP 1996)



Often tissue destruction may have reached a level where extraction of one or several teeth cannot be avoided. Teeth which are still available for periodontal treatment may, after therapy, exhibit such a high degree of mobility - or even signs of progressively increasing mobility – that there is an obvious risk that the forces elicited during function may mechanically disrupt the remaining periodontal ligament components and cause extraction of the teeth. Only by means of a splint will it be possible to maintain such teeth. In such cases a fixed splint has two objectives:

  • To stabilize hypermobile teeth
  • To replace missing teeth

CLINICAL PROCEDURE