2013年9月9日星期一

loose teeth clinical assessment


1. Physiological loose teeth
Normal teeth have a certain degree of physiological action, mainly in the horizontal direction. Primary or tank mobility refers to the teeth in the tooth socket mobility, in order to force the teeth after periodontal ligament by different groups arising from changes in the direction of mobility. Secondary mobility refers to the teeth by the external force of about 500 pounds by the crestal alveolar elastic deformation and extrusion coronal soft tissue arising from mobility.
2. Clinical evaluation of loose teeth
I degree: Horizontal loose over physiological mobility, but <= 1mm;
II degree: Horizontal mobility> 1mm
III degree: clear horizontal and vertical loose.
3. Pathological factors loose teeth
Loose teeth decision factors include the degree of alveolar ridge height, periodontal ligament space width and root shape.
Generally, dental compressor loose teeth on the common factors are: periodontal disease, periodontal attachment loss, alveolar ridge absorption, early contact, occlusal trauma, apical lesions, dental trauma, root crack, root resorption, such as bruxism.
4. Adaptability cases of loose teeth and loose teeth clinical assessment
Adaptability loose teeth include the following three conditions: (1) normal alveolar bone height, gap widened periodontal ligament. (2) reduced the height of the alveolar bone, periodontal ligament space is normal. (3) repeated over a period of exploration to tooth mobility is essentially the same, but often widened periodontal ligament or associated with angular bone resorption, and no other pathological lesions, a description of the X-ray changes when loosening and past commitments excessive bite force have been adapted, the lesion is no longer increased. , What we called "stability loose teeth." Stability is generally believed that inflammation is not accompanied by loose teeth without treatment. Constantly aggravated sexual loose teeth and accompanied by further destruction of the alveolar bone teeth, you should promptly conduct a comprehensive assessment, dental canal control the corresponding periodontal disease, as well as the appropriate adjustment or periodontal occlusal splint therapy to achieve maintain health, stable and comfortable periodontal status, play a good oral function.

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