Full-Mouth Rehabilitation: Addressing Severe Periodontal Disease and Tooth Loss

Image: 
Severity: 
Critical
Teeth Problems: 
Broken tooth
Periodontal Treatment

FULL ANALYSIS & DIAGNOSIS

 Tooth Mobility Present

The image shows:

  • Side-to-side movement being tested.

  • Visible mobility between the premolar/molar region.

  • Gingival margin appears slightly inflamed → possible periodontal involvement.

Likely causes:

  • Periodontal disease (gingival inflammation and bone loss).

  • Trauma from occlusion (pressure from biting forces).

  • Food impaction between teeth.

  • Root resorption (less likely but possible).

  • Recent dental treatment causing temporary mobility.

 Soft Tissue Condition

  • Mild redness on gum line.

  • No active bleeding.

  • Suggests early to moderate gingival inflammation.

 Bite/Alignment Insight

  • Lower teeth appear crowded.

  • Potential occlusal interference (teeth hitting with excessive force).

  • This can worsen mobility over time.

TIME FRAME TO HEAL

✨ First 14 Days (Critical Healing Window)

If treated properly:

  • Gum swelling should decrease.

  • Tooth mobility may reduce by 20–40%.

  • Inflammation subsides if proper cleaning done.

  • Pain or discomfort should significantly lessen.

If untreated:

  • Mobility worsens.

  • Bone loss progresses.

  • Food impaction continues to damage the periodontal ligament.

PROCESS TO EXECUTE (Step-by-step)

1. Immediate (Day 0–3)

  • Gentle cleaning; avoid aggressive brushing.

  • Rinse with warm saline.

  • Avoid biting hard on the mobile tooth.

2. Professional Cleaning (Day 3–7)

  • Scaling and root planing removes calculus & bacteria.

  • Dentist will check bone levels with X-ray.

3. Stabilization (Day 7–14)

  • Splinting may be needed if mobility is moderate to severe.

  • Check for occlusal trauma — if high bite, selective grinding may be done.

  • Use chlorhexidine twice daily (if prescribed).

4. Full Healing (Week 2–6)

  • Gingiva fully reattaches.

  • Tooth mobility improves if bone & ligament recover.

If the problem persists after 14 days — issues that may escalate

If the tooth still moves significantly:

Potential complications:

  • Increased bone loss → irreversible periodontitis.

  • Higher tooth mobility leading to potential tooth loss.

  • Chronic inflammation & infection.

  • Food pocket formation.

  • Tooth drifting or shifting.

  • Pain when chewing.

Early intervention prevents long-term damage.

COMMENTS / PROFESSIONAL NOTES

  • The case looks periodontal-related; urgent cleaning & stabilization recommended.

  • Avoid biting on hard or chewy foods.

  • Follow strict oral hygiene to reduce inflammation.

  • Mobility is reversible if caught early.

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