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Bone loss around teeth Gum disease

Bone loss around teeth is the loss of the jawbone that anchors the roots, most often caused by periodontitis. It shows on X-rays and as deeper pockets, and it rarely hurts until teeth loosen. Treatment stops the infection; some defects can be rebuilt with regenerative surgery or the LANAP laser protocol.

Close up of adult man looking confident, photo for Bone loss around teeth

Signs

  • Deeper pocket readings
  • Receding gums
  • Teeth that drift or loosen
  • New gaps between teeth
  • A changed bite

Risk factors

  • Smoking
  • Diabetes
  • Family history
  • Missed maintenance after treatment

How fast does bone loss progress?

It varies widely. In a 1986 study of Sri Lankan tea laborers with no dental care, 8% progressed rapidly and lost every tooth by age 45, 81% progressed moderately and 11% did not progress beyond gingivitis. The 2017 grade (A, B, C) records this speed for each patient.

How is bone loss treated?

First the infection: deep cleaning. Then deep sites: LANAP or regenerative surgery. Where a tooth is lost, bone grafting rebuilds the ridge for an implant. Can bone loss be reversed?

Questions

Does bone loss around teeth hurt?

Usually not. It is often found on X-rays before any symptom.

Sources

  1. Löe H et al. Natural history of periodontal disease in man (Sri Lankan laborers). J Clin Periodontol 1986
  2. Tonetti MS et al. Staging and grading of periodontitis. J Periodontol 2018
  3. American Academy of Periodontology, patient resources

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