Dental Mobility
Dental mobility represents the non-physiological horizontal movement of the teeth and in severe cases the vertical movement.
Usually teeth have a very small degree of mobility that allows them to adapt to the forces that arise during mastication. When this degree is surpassed (ex. mobility greater than 1 mm), we see the condition that is commonly called dental mobility. In the absence of adequate treatment, dental mobility will accentuate and in time will lead to loss of teeth.
Dental Mobility Causes
Teeth are held in place in the bone by a specific support tissue called the periodontal tissue, which is composed by the alveolar bone, the periodontal ligaments and the root cement. The damaging of these components, and especially the destruction (resorption) of the bone, causes dental mobility in time.
The affectation of the periodontal tissues and the emergence of bone resorption is caused by the accumulation of dental plaque on tooth surfaces both above (supragingival) and beneath (subgingival) the gums. In addition, there is a series of factors that contribute to periodontal diseases, like tartar, byte (occlusal) dysfunction, inadequate fixed and removable prosthetics, excessive fillings, dental caries near the gums, smoking, etc.
Dental Mobility Treatment
In order to treat dental mobility we have to cure the periodontal disease present and to stimulate the regeneration of the affected periodontal tissue.
The most important step of the treatment is adopting a good oral hygiene by the patient, after the medic completely cleans the teeth and gums of any dental plaque and tartar by classical techniques, like detartration, subgingival curettage, and washing with antiseptic solutions. This is essential if we want the treatment to have any chance of success.
In addition to the classical techniques, in our clinic we use a series of state of the art methods of treatment like T Scan System for digital management of occlusion and Gingival Protect technique for periodontal tissue regeneration.
Bite (occlusal) dysfunction treatment
According to modern dentistry, dental occlusion represents the relation between the upper and lower teeth when they are in functional contact, like during mastication. The way in which the horizontal (occlusal) surfaces of the teeth come in contact influences the health of the teeth, the periodontal tissues, the muscles of mastication, and the temporomandibular joint (TMJ). When pathological dental contacts are present, all these structures are affected leading to many complications, like dental mobility, bleeding gums, gum recession, etc.
Usually, the imperfect dental contacts are identified by the medic by using the “articulating paper”. However, this method can show only those contacts that appear while the teeth are in repose, not in dynamic.
The T Scan System for digital management of occlusion uses state of the art technology that allows the electronic detection of the pathological dental contacts both in repose and dynamic. In addition, it shows the forces that arise during the byte on every single tooth, forces that can’t be identified by the “articulation paper”. Studies demonstrated that the efficiency of the T Scan measurements is over 90%.
After the pathological dental contacts are identified they are easily removed through polishing.
Gingival Protect Technique for periodontal tissue regeneration
This new and unique method of treatment helps treat periodontal and gum diseases, but can also be used in preventing this illnesses. It stimulates an infinite reservoir of regeneration, the body’s own cells. They are attracted to the damaged area through a physical mechanism that does not require the contact of foreign substances with the gum tissue. The technique has 4 main advantage:
- there is no risk of adverse effects
- no surgery required
- the patient can use it at home
- it uses the body’s own regeneration cells that are practically infinite in number and don’t cost anything
After a taking a common impression of the dental arches, the medic will make a thin mouth guard which the patient will wear during nighttime during sleeping at home. The mouth guard is made with active substances that stimulate the tissue regeneration. The medic will decide the scheme of treatment and the active substances included in the mouth guard after the clinical and radiological consult.
It is recommended that this method of treatment is used even before the first symptoms, like bleeding gums and gum recession, get worse, because is very efficient in preventing gum and periodontal diseases.
