<s>[INST] Hi im a 28 year old woman and I noticed in late August of 2013 that my teeth started to move and shift. I feel them move when I eat and speak and it has even affected my speech and the way my teeth fit together. The main teeth that are loose are my upper front permanent teeth and one of those permanent teeth sticks out or protrudes. I havent been to a dentist in 12 years since I was 16 years old and I was diagnosed with periodontal disease  at the age of 16. Can my teeth be saved or is it too late? [/INST] Thanks for your query, I have gone through your query. The periodontal affected teeth can be saved if the teeth have sufficient bone support. We can do scaling and root planing followed by splinting. If needed we can do bone grafting. Before that you need to find out the exact cause which has resulted in periodontal disease. It can be because of malocclusion or secondary to deposits. Consult an oral physician and get it ruled out. You need to get a radiograph done like OPG to check the status of bone support. I hope my answer will help you, take care. </s>