Loosening and/or migration of teeth often occurs as periodontal disease and bone loss progresses. Although sometimes teeth can tighten naturally once inflammation of the gum tissues is under control, often this is not the case. This is especially true if the teeth have migrated of if the patient is a bruxer (night time clencher/grinder). In many cases bite adjustment either localized or generalized can help reduce interferences in tooth contact and allow natural tightening to occur. This is typically done by having the patient tap on marking paper and reshaping the interfering contacts of the teeth with a dental handpiece. In cases where severe mobility persists or the night grinding cannot be controlled, the use of a bite appliance may be indicated.
