For periodontitis with loosening of the front teeth, an X-ray of the teeth is needed to assess the severity of the periodontitis. If the loosening of the front teeth is simply due to absorption of the alveolar bone, this can be addressed through basic periodontal treatment, which includes teeth cleaning to remove tartar, dental plaque, and other local irritants, followed by irrigation around the gums, medication application, or guided bone regeneration to improve the looseness of the teeth. However, if the periodontitis is accompanied by severe alveolar bone loss, tooth extraction may be necessary.