Abstract
Tooth mobility is a frequently encountered clinical finding and can lead to discomfort and impairedmasticatory function. Its primary causes include alveolar bone loss due to periodontitis, occlusal trauma,or a combination of both. This review summarizes current evidence on the etiology, assessment, and treatmentindications for tooth mobility in the context of periodontal disease. While tooth mobility may affectclinical attachment level (CAL) and long-term prognosis, many mobile teeth can be preserved over time.Therefore, mobility alone should not be considered an indication for extraction. Splinting can be useful asan adjunctive approach to enhance functional stability but does not directly promote periodontal healing.The influence of occlusal trauma on the progression of periodontitis has been suggested in animal models;however, causal relationships in humans remain unclear. Diagnosis of occlusal trauma often relies on presumptiveclinical findings, with particular attention required for “progressive mobility,” which may indicatea pathological state. This article reviews the basic and clinical research on tooth mobility, highlightingcurrent understanding, diagnostic challenges, and therapeutic strategies.
