Your tooth appearing to move up into your gums is most likely due to a condition where the tooth isn't actually moving up, but rather the surrounding gum tissue is receding or the tooth is fusing to the bone and sinking. Here are some possible causes:
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Ankylosis:
- This occurs when a tooth fuses directly to the jawbone.
- Instead of "moving up," the surrounding teeth continue to erupt normally, giving the appearance that the ankylosed tooth is sinking into the gums. The bone also doesn't grow around the ankylosed tooth.
- This is more common in primary (baby) teeth, but can happen in permanent teeth.
- It can prevent the normal eruption of a permanent tooth underneath.
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Gum Recession:
- As the gum line recedes, more of the tooth is exposed, creating an illusion of the tooth sinking into the gums. The gums aren't at the proper height on the crown of the tooth, making it appear as if the tooth is sinking into them.
- Recession can be caused by aggressive brushing, periodontal disease, genetics, or other factors.
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Inflammatory Root Resorption:
- This is a condition where your body starts to break down the root structure of your tooth.
- Although not directly related to a tooth moving up, it can lead to tooth loosening and instability which might contribute to perceived changes in tooth position and the surrounding gum line.
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Apical Periodontitis:
- This is an inflammation of the tissues surrounding the apex (tip) of your tooth root, usually caused by a bacterial infection.
- While this condition usually doesn't directly cause your tooth to move into the gums, the swelling and inflammation it causes can make the tooth and gum line appear altered.
Next Steps:
It is crucial to consult with a dentist or periodontist. They can properly diagnose the underlying cause and recommend the appropriate treatment, which may include:
- For Ankylosis: Monitoring, extraction, or surgical repositioning.
- For Gum Recession: Improved oral hygiene, scaling and root planing, gum grafting.
- For Inflammatory Root Resorption/Apical Periodontitis: Root canal therapy or extraction.
Don't delay seeing a dental professional, as timely intervention can prevent further complications and help preserve your oral health.
