Saving Your Own Natural Teeth

Even severely damaged teeth can often be saved with proper periodontal care. Research shows that even teeth with advanced bone loss, reaching the top of the root, can often be preserved through advanced regeneration procedures and specialized instruments.

Teeth typically need to be removed only when a cavity has caused irreparable damage, when an infection has become too large for successful root canal therapy, or when a tooth is fractured beyond repair.

If you have been advised to extract a tooth, always consult with a periodontist or endodontist — second opinions can often reveal alternative solutions.

It is never too late to fix bad teeth. Chronological age itself has no direct impact on a person’s ability to heal.

While certain health conditions and medications associated with aging may influence treatment plans, age alone is not a barrier to successful dental care.

Depending on the extent of the cavity , badly decayed teeth can often be saved.

If a cavity has entered the center of the tooth and affected the nerve, successful root canal therapy can often preserve the tooth. A filling may repair less extensive decay, while more damaged teeth may require a build-up followed by a dental crown to restore structure and function.

Sometimes, a periodontist may need to perform crown lengthening to allow enough room for  a durable restoration.

In cases where the tooth cannot be rebuilt, root canaled, or too much bone support is lost, tooth extraction may become necessary.

If a periodontist or endodontist determines that a tooth cannot be saved, there are many excellent replacement options available.

• Dental implants can replace one or multiple missing teeth with durable, natural-looking restorations.
  

• Dental bridges can anchor to neighboring teeth to fill gaps.

• Partial or full dentures offer removable options to replace missing teeth and restore your smile.

When a tooth is missing, the surrounding teeth can shift or "drift" into the empty space. Teeth from the opposite jaw may also erupt into the gap.

This shifting can lead to bone loss, gum disease, bite alignment problems, cavities, and even TMJ (jaw joint) issues.

For these reasons, it is always best to replace missing teeth promptly to maintain your oral health and prevent future complications.

Saving your natural teeth is almost always the best approach when restoration is possible.

With advanced periodontal treatment, lost bone and gums can often be rebuilt. With root canal therapy, decay that has reached the nerve can be repaired. A skilled dentist can restore broken or decayed teeth with crowns or dental bonding.

However, if dental repair is unlikely to succeed, the tooth may need to be extracted. It is important to consult with an endodontist or periodontist to fully evaluate your treatment options.

Even with regular brushing, cavities and gum disease can still occur due to several factors:

• Genetics: Some people are more prone to dental problems.

• Medications: Certain prescriptions can cause dry mouth, increasing cavity risk.

• Medical Conditions: Illnesses that affect the immune system or saliva production can lead to dental issues.

• Lifestyle Factors: Smoking, high-sugar or acidic diets, excessive alcohol use, and recreational drug use can damage teeth.

• Oral Hygiene: Brushing incorrectly or not flossing regularly can contribute to decay and gum disease.

Seeing a dentist for a thorough evaluation and review of your medical history can help identify underlying causes.

Bone grafting is an excellent treatment option for repairing bone lost due to periodontal disease.

A periodontist can use a variety of techniques to regenerate lost bone and gum tissue, increasing the likelihood of saving your natural teeth.

Long-term studies show that saving natural teeth is often more cost-effective and more successful than replacing them with dental implants.

Even if teeth have already been lost and you have been told you are not a candidate for dental implants,bone grafting can rebuild jawbone strength to support future dental implant placement.

If you are experiencing bone loss due to gum disease, it is unlikely to reverse on its own without treatment.

With proper periodontal care, bone loss can often be stopped and, in some cases, reversed.

The process typically involves:

• Diagnosing the cause of bone loss with a periodontist.

• Stopping active bone destruction.

• Adding gum and bone tissue to rebuild areas of lost periodontal tissue.

• Maintaining results through regular checkups and cleanings.

Dental implants can often be avoided by saving your own teeth.

• Periodontal treatments using bone and gum grafts can stabilize and repair natural teeth.

• Dental crowns and restorative procedures can rebuild broken teeth.

• In cases where saving a tooth is not possible, dental bridges or partial dentures can replace missing teeth without the need for implants.

Whether a loose tooth can tighten back up depends on the cause:

• Trauma or injury: Teeth often tighten naturally after healing.

• Premature contact: Teeth hitting other teeth too early may tighten after adjustment.

• Orthodontic movement: Teeth typically stabilize once pressure is removed.

• Infections: Teeth may tighten after the infection clears.

• Chronic periodontal disease: Teeth usually require periodontal treatment to stabilize them.

Yes — depending on the cause of the loose teeth, many treatments exist to stabilize loose teeth.

• Splinting: Joining loose teeth to stable teeth with special materials for support.

• Periodontal therapy: Repairing bone and gum tissue to strengthen the teeth.

A periodontist can recommend the best option based on your specific case.

A common method for stabilizing a loose tooth is called splinting

• A wire or fiber material connects the loose tooth to neighboring teeth, providing stability.

• Over time, the ligament around the tooth can strengthen, especially with additional periodontal treatment to support gum and bone health.

A loose adult tooth can often be stabilized using a technique called dental splinting. This procedure involves attaching a small, flexible wire or high-strength fiber between the loose tooth and the neighboring stable teeth, creating added support and reducing movement. By limiting mobility, the ligament that connects the tooth to the surrounding bone has a chance to heal and reattach more securely. In many cases, additional treatment such as bone grafting or gum tissue regeneration may also be recommended to rebuild the supporting structures and improve long-term stability. At Dr. Scott Froum’s Midtown Manhattan practice, personalized treatment plans are created to help save and strengthen teeth that might otherwise be at risk of loss.

Swollen, red, and loose gums are signs of gum disease (gingivitis) or bone loss (periodontal disease).

In these conditions, the gums can become infected by bacteria, causing them to swell, bleed, hurt, and pull away from the teeth.

Periodontal treatment and professional teeth cleanings are needed to remove the bacterial infection and encourage the gum tissue to tighten and heal properly.