Have you noticed that your Teeth are tighter together or that you have more spacing between your teeth than before? If so, it is possible that your teeth are shifting or moving, and that indicates it is time to see your dentist for an evaluation. There are many reasons why teeth can shift or move over time and your dentist can help!

Traumas or accidents can cause teeth to move dramatically within the jaw. These situations usually require emergency medical treatment and follow up care with a dentist, orthodontist, or an oral surgeon to correct the problem.

If your teeth are becoming misaligned or out of place, and an injury is not the cause, a dentist will be able to assist you in identifying the problem. In some cases, “mesial drift”, or the gradual shifting of teeth towards the center of your face, is the cause. This is common and poses no major dental or health concerns for patients or their dentist. However, as teeth crowd, or as gaps form, it can be more difficult to keep your teeth clean. In addition, the shift in your bite may change the aesthetic appearance of your smile. Orthodontic treatment such as braces, retainers, Invisalign, and Six Month Smiles are all possible options that can correct mesial drift and shifting teeth. Other times, a change in a patient’s bite can indicate an underlying issue. It is not uncommon for teeth to move or the occlusion (bite) to change in patients who are chronic grinders or who have Gum Disease.

Bruxism, or grinding and clenching, can subtly and painlessly displace teeth over time. The constant force of your jaws moving or pressing together can rock or shift teeth. Although it is difficult to completely stop grinding, special bruxism appliances such as night*guards can reduce the strain on your jaw and protect your teeth.

Gum disease or periodontal disease is also a suspected culprit when teeth shift and move. When patients have gum disease, they begin to lose jawbone and gum attachment. The loss of bone and this supporting attachment allows teeth to move or become loose. When patients notice larger gaps in between their teeth, or spaces that didn’t used to be present, gum disease is a likely cause. Periodontal disease cannot be cured, and bone loss is often permanent. However, seeing a dental hygienist and a periodontist for treatment and therapies can help preserve the bone that remains and stabilize the teeth.

It is important in any case that patients who notice shifting, moving, new gaps, wider spaces, or tighter teeth see their dentist. Your dental professional will perform a complete evaluation, review your medical and dental history, and take images to determine the cause of your changes. Once the origin of the problem is identified and treated, most patients will still have options available to them that can manage their bite concerns and aesthetic appearance. Orthodontics and cosmetic dentistry both offer services that can restore your smile to its original and desired look.

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