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Mobility of Tooth All

Tooth mobility refers to the loosening of a tooth in its socket, categorized into physiological and pathological types. Physiological mobility occurs under healthy conditions, while pathological mobility indicates issues such as advanced periodontal disease, trauma, or inflammation. Tooth mobility is classified into three grades based on the degree of movement, with various causes and treatments affecting the periodontal ligament and supporting bone.

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40 views5 pages

Mobility of Tooth All

Tooth mobility refers to the loosening of a tooth in its socket, categorized into physiological and pathological types. Physiological mobility occurs under healthy conditions, while pathological mobility indicates issues such as advanced periodontal disease, trauma, or inflammation. Tooth mobility is classified into three grades based on the degree of movement, with various causes and treatments affecting the periodontal ligament and supporting bone.

Uploaded by

DEEP MONDAL
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Tooth mobility Mobility is the loosening of a tooth in its socket& it is of two types : physiologic & pathologic mobility. Physiological mobility refers to a large force exerted on the crown of a tooth surrounded by a healthy & intact periodontium& the tooth will show tipping movement or it will tip within its alveolus until a closer contact has been established between root & marginal or apical bony tissue (Figure 1). Fig.1:- Tipping movement of the tooth Pathologic mobility:- is the progressive increasing tooth mobility, which may occur in conjunction with trauma from occlusion, is characterized by active bone resorption and which indicates the presence of inflammatory alterations within the periodontal ligament tissue. “> Causes of the tooth mobility: 1. Advanced periodontal diseases & loss of supporting bone: Normally the crest of alveolar bone located about 1-2 mm shorter than C.E.J .The amount of mobility depends on the severity of bone destruction & there will be reduction in the height of bone. 2. Gingival & periodontal inflammation: Mobility will occur by increase the infiltration of connective tissues by fluid of inflammatory exudates. 3. Trauma from occlusion: It is injury to the tissue produced by excessive occlusal forces or occlusal habits as bruxism or clenching & it is a common cause for increased tooth mobility. The pathologic changes that occur because of trauma from occlusion are widening of periodontal ligament space &/or destruction of the bone surrounding the root. 4, Immediately following periodontal therapy: May cause transient mobility for a short period of time because of the surgical trauma (physical trauma rather than bacterial) due to the use of surgical instruments. After 2-3 weeks, the mobility will disappear if the diagnosis, treatment plan & maintenance phase of therapy were done correctly. 5. Pulpal inflammation: Spread of inflammation from periapical area to the periodontal ligament may results in changes that increase tooth mobility. Classification of tooth mobility (T.M.): T.M. is graded according to the following criteria: Grade I: is the mobility of the crown 0.2-1 mm in horizontal direction. Grade II: mobility of the crown of the tooth exceeding Imm in horizontal direction. Grade III: mobility of the crown of the tooth in horizontal and vertical direction & the tooth becomes even depressed in its socket. P.D ligament Width 1. Increased Normal height Occlusal adjustment 2. Increased Reduced height Occlusal adjustment 3. Normal width Reduced height SE amaacianaaes the patient 4, Gradual increase in the width of P.D.L. Reduced height Splint 5. Gradual increase in the width of P.D.L Mobility of cross-arch with increased mobility of | Reduced height of bone splint accepted if not a cross-arch bridge/splint disturb the patient

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