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Can gum disease cause tooth loss? Question

Yes. Periodontitis destroys the ligament and bone that hold teeth, and the CDC lists it as a leading cause of tooth loss. Most teeth with periodontitis are kept when the disease is treated and maintained; stage IV, the advanced form, is defined by the loss of five or more teeth to the disease.

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What are the warning signs?

  • Bleeding that persists.
  • Gums pulling back from teeth.
  • New gaps and drifting front teeth.
  • Teeth that move or feel different when biting.

Loose teeth.

How are teeth saved?

Deep cleaning, then LANAP or regenerative surgery for deep pockets, bite adjustment and splinting for loose teeth, and lifelong maintenance. Teeth that cannot be saved are replaced, often with dental implants.

Questions

Is it too late if a tooth is loose?

Not always. Many loose teeth firm up after treatment when enough bone remains.

Sources

  1. CDC, fast facts on gum disease
  2. Tonetti MS et al. Staging and grading of periodontitis. J Periodontol 2018
  3. Eke PI et al. Periodontitis in US adults: NHANES 2009-2014. JADA 2018
  4. American Academy of Periodontology, patient resources

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