A loose bottom right penultimate tooth can be caused by periodontitis, dental trauma, apical periodontitis, etc. Depending on the cause, general treatment, medication and surgery can be taken.
1. Periodontitis: If oral hygiene is poor, it will lead to inflammation of periodontal tissues, which can be manifested as loose teeth. First of all, we can use supragingival scaling and subgingival scraping to remove dental calculus; we can also take metronidazole tablets, tinidazole tablets, ornidazole tablets and other medications for treatment, and the symptoms of tooth loosening can be relieved in general.
2. Dental trauma: such as being violently attacked or eating something hurt, it will lead to loose teeth. If the lip and cheek side of the alveolar bone fracture, can be reset under local anesthesia ligation, the teeth will be fixed on both sides of the stable neighboring teeth, 3 to 4 months after the teeth are stabilized, the arch splint can be removed. If the crown breaks below the gums, the crown can be extracted, root canal treatment, and then staked crown repair.
3. Periodontitis: Bacterial infection is the most common cause, often secondary to pulpitis. In the early stages of acute periapical periodontitis inflammation, there will be self-discomfort in the root of the affected tooth, swelling, mild dull pain and a sense of tooth floating. Treatment includes opening the pulp cavity for drainage to reduce inflammation and relieve pain, and to the stage of subperiosteal or submucosal abscess, incision and drainage should be made, and anti-inflammatory drugs (e.g. metronidazole) should be given to control the inflammation. Root canal treatment should be done when the symptoms of acute stage are relieved.
The lower right penultimate tooth is loose, there may be other reasons, it is recommended that the patient should consult the doctor in time, ask the doctor to clarify the specific causes, and follow the doctor’s instructions for treatment and medication.