What should I do if my tooth hurts and is a little loose?

Toothache and signs of loose teeth are likely caused by periodontitis. Periodontitis is a common oral disease. If it is not treated in time, it may even lead to more serious dental diseases in patients. There are many treatments for periodontitis, which can be generally divided into local treatment and systemic treatment. In addition, periodontitis can be prevented through certain methods.

1. Local treatment

1. Targeting local irritants

Supragingival cleaning or subgingival scaling can be performed, and if necessary, the bite can be adjusted, food impaction can be removed, and poor restorations can be corrected.

2. Treatment of periodontal pockets

When the periodontal pocket is overflowing with pus, it can be rinsed with 1% to 3% hydrogen peroxide solution, and a 10% iodine mixture or a drug film such as spiramycin or metronidazole can be placed inside the pocket. After removing local factors, shallow periodontal pockets can be cauterized with iodine phenol solution; deeper periodontal pockets require periodontal surgery to eliminate periodontitis. When the periodontal pocket reaches the root apex and the teeth are obviously loose, extraction may be considered.

3. Loose teeth fixation

If the teeth are still loose, a temporary or permanent periodontal splint can be used to fix the loose teeth.

4. Treatment of periodontal abscess

When the abscess is localized, it can be incised and drained. The periodontal pockets should also be rinsed and coated with medicated film or iodine glycerin.

II. Systemic treatment

Enhance the body's resistance and actively treat systemic diseases related to periodontitis. When periodontal abscess occurs, patients with severe systemic reactions should take relevant antibacterial drugs orally.

In short, the treatment of periodontitis includes a series of comprehensive treatment measures. In order to consolidate the therapeutic effect and prevent recurrence, oral hygiene education and regular check-ups should be carried out.

3. Prevention methods

Since there are often no obvious symptoms in the early stages, the disease is easily ignored. By the time symptoms appear, it is already quite serious and the teeth may no longer be saved. Therefore, it is necessary to strengthen education so that patients can seek medical treatment early and receive timely treatment.

Prevent and reduce systemic diseases, strengthen nutrition, improve the body's resistance, and thus enhance the disease resistance of periodontal tissues; strive to maintain oral hygiene; resolutely quit bad habits that are harmful to periodontal tissues such as smoking, drinking, and unilateral chewing.