Is it necessary to remove mobile teeth?

Hello,

Welcome to icliniq.com.

I have reviewed your query, and I would like to see an image of the area myself. Kindly upload it. Also, let me know if there is any history of diabetes. It mostly seems to be a periodontal problem.

You can always come back and reach me at icliniq.com.

Thank you for consulting me.

Hello,

Welcome back to icliniq.com.

Thanks for the image as requested (attachment removed to protect patient identity). Your gingiva looked fine, and no serious issues were noted. You will need oral prophylaxis (scaling). Visit your local dentist if lockdown due to corona is over. Betadine mouthwash in lukewarm water; gargle three to four times a day.

Brush with a soft brush gently for now. Rexidine M Forte gel (a combination of Chlorhexidine, Metronidazole and Lidocaine) as a gum massage. Massage the gums. Tablet Metrogyl ER (Metronidazole) 1 tablet twice daily after a meal for five days. Avoid sticky or sweet foods for now; for safety's sake, get blood work done for diabetes.

As per the image, no severe inflammation or swelling was noted. In cases of bone loss, severe swelling and redness (inflammation) are common, so I am confident you will be fine. You will not need an extraction if maintained properly. Let me know if it was helpful.

I hope this has helped you.

Thank you.

Hi,

Welcome back to icliniq.com.

I would like to know if there is any history of diabetes. Generally, plaque and tartar deposition weaken the gums and lead to gingivitis. In most of the cases they disappear with scaling and oral prophylaxis. If needed, splinting can also be done to fix the mobility to initiate bone growth. In severe cases and chronic diabetic cases, they have periodontal issues too, leading to bone loss.

In those cases nothing can be done except extraction followed by fixed prosthesis. But upon visual inspection, your gums do not look too affected and can be recovered by maintaining oral hygiene, scaling, and warm gargling with Betadine mouthwash. An X-ray will be done by your dentist to see the bone status. It looked fine; I hope for your better recovery in weeks.

I hope you are satisfied with my answer. For further queries, you can consult me at icliniq.

Thank you.

Hi,

Welcome back to icliniq.com.

Yes, I have also advised scaling to ease your discomforts. As a specialist, I would like to request you to use:

1. Betadine mouthwash: gargle in lukewarm water two to three times a day (you will feel the difference, as frequent salivation is due to the mouthwash). If Betadine is not available, kindly use your mouthwash in lukewarm water two times after brushing.)
2. Tablet Metrogyl (Metronidazole) 400 mg: Take one tablet twice daily after a meal for five days (to eliminate any bacterial deposition).
3. Maintain oral hygiene; brush with a soft-bristle brush gently, in a vertical motion and not in a horizontal motion.
4. Scaling and oral prophylaxis.

Let me know if you have any further queries. I would like to help you more, and thanks a lot for your constant support. Kindly mention if you need any more information. If you felt satisfied, kindly do not forget to rate your feedback. It is too helpful and motivational for me. I apologize for the delay in answering your query.

Thank you.

Hi,

Welcome back to icliniq.com.

Yes, you should change your mouthwash to:

1. Betaine mouthwash, gargle in lukewarm water two to three times a day. It is a very common mouthwash containing Povidone iodine 2 percent for oral use. If it is not available, unfortunately, use your previous mouthwash but dilute it by mixing in lukewarm water and gargle. Kindly continue only for two weeks. Never prolong the use of mouthwash to avoid staining.
2. Tablet Metrogyl 400 is the trade name of tablet Metronidazole 400 mg. Take one tablet twice after a meal for five days. It is available easily worldwide and is a very common medicine found in any drug store.

In combination with both these medications, you should surely feel the difference.

I hope you are satisfied with my answer. For further queries, you can consult me at icliniq.

Thank you.