Loose and painful teeth may be caused by periodontitis, dental trauma, acute periodontal abscess, acute periapical periodontitis, etc. According to the situation, choose a reasonable treatment plan.
1. Periodontitis: If the tooth loosening pain is caused by periodontitis, according to the severity of periodontitis, choose supragingival cleaning, subgingival scraping and other methods to remove calculus, etc., and the symptom of tooth loosening will be gradually improved; if the pain is serious, oral analgesic, such as ibuprofen extended-release capsules and so on.
2. Dental trauma: loose tooth pain caused by dental shock, let the affected tooth rest for 2~3 weeks; loose tooth displacement but the root of the tooth is normal, you need to loose tooth fixation; tooth root fracture caused by loose tooth pain, the tooth has no significance of retention, you need to extract the affected tooth.
3. Acute periodontal abscess: before the abscess is formed, you can remove large chunks of calculus through gingival cleaning and subgingival scraping, rinse the periodontal pockets, etc., so that the symptoms of tooth loosening and pain improve; abscess formation and timely incision and drainage, generally about a week of tooth loosening and pain symptoms will improve.
4. Acute periapical inflammation: acute periapical inflammation caused by tooth loosening pain, you can open the tooth for pulp drainage, later root canal treatment; if the root resorption to the apical 2/3, the tooth retention is not significant, extraction can be.
Loose tooth pain may have other reasons, it is best to go to the hospital in a timely manner, clear cause after active treatment is better. Drugs should be used under the guidance of a physician.