Damage to the pulp is common and root canal treatment is usually necessary. As an individual, a fractured tooth root can be quite disturbing, especially when it comes to eating or drinking cold and warm beverages. However, as we continue to mention the mouth is the fastest healing part of the body. A radiograph assessment revealed a slight radiolucency at the apex of the palatal root on tooth No. Can be especially helpful when diagnosing vertical root fractures.
Do you think an extraction is necessary? It mostly depends on how big the fracture is and when it was discovered. Stacey Simmons says in a perfect world, we'd have patients flocking to our dental offices in droves and loving our team members and us. Extraction This is also another treatment method for a fractured root. You should discuss all of this with your dentist in a consultation. Isolating the culprit cusp with a tooth sleuth or other similar tool aids in comprehensive assessment and treatment planning. If there is not enough good tooth I would suggest not putting your money into attempting to get more time with it.
This article first appeared in the newsletter,. Due to the complexity of diagnosing a fractured tooth root, we have put together this article to help identify symptoms and understand the types of treatments that are available. Will require a post and crown if it can be saved. So I never went back to have any thing done. The surgical removal of the hopeless tooth can be performed under sedation so that you are not aware of the process. Unless the tooth with the root fracture becomes infected, the symptoms are reasonably limited though when they do arrive it can be very painful. In: Endodontics: Colleagues for Excellence newsletter.
Otherwise the tooth will have to be extracted. She is a graduate of Marquette University School of Dentistry. What is the dialogue that you have with these patients? I would suggest that you may not need to have the remaining tooth extracted. Sometimes implants can be placed on the same day as the tooth removal but this depends upon a variety of factors that the treating dentist must evaluate. Below are a few of the signs and symptoms of a fractured tooth root. Since you can do the extraction now, the implant in 4-6 mos and the crown 4-6 mos after that at the soonest, you can divide up the cost into more manageable chunks.
This type of tooth can never be saved intact, however the position and extent of the problem will determine if any part of the tooth can be saved. Note: Since craze lines are for the most part benign, they are not included in the table, but summary points are given for reference. Once it has fully returned, you should prepare to spend the night on the sofa with a heat pack, dosed up on painkillers. Simmons can be reached at. We would not advise that you eat hard food in order to prevent infections and the worsening of the condition if you suspect that you have a fractured tooth root as it could quickly lead to infection. He was wondering if there was a possible sinus infection. A dentist will provide suitable post procedure advise to help speed up the process.
The majority of people reported a significant decrease in pain and discomfort by day three. I'm so scared they won't be able to crown it. American Association of Endodontists; Summer 2008:1-8. I just can't afford to extract and implant a new one. I understand you would like to avoid an implant but if the foundation left to restore is not predictable, you may lose more by trying to save the tooth and then have it fail. The tooth may be saved and that would be the best case possible and the least expensive too.
Cracking the cracked tooth code: Detection and treatment of various longitudinal tooth fractures. Anesthetic is used in both procedures and thanks to modern technology dentistry is becoming a lot swifter in its methods. Recovery Time of a Fractured Root The recovery time for a fractured root largely depends on whether it resulted in a root canal or an extraction. Occasionally, the fracture will spread up the natural tooth appearing above the gum line where there is then the risk of a complete split. Cold and electric pulp tests were negative. Tooth Extraction Surprisingly, quite a few people are more nervous about a root canal than they are a complete tooth extraction.
Although the whole tooth is being removed, some people feel that it is a less invasive treatment. What is the prognosis for treatment versus alternative replacement options? The worst thing about a fractured tooth root is that due to the hard diagnosis many people are unaware that they have, which means they continue as they were before and can end up damaging the root further. A potential sinus infection was discussed, along with the possibility of a periodontal abscess. Do consider getting antiaxiety prescription from your dentist to make easier on you. If the patient bites and then has a sharp pain upon release, the diagnosis is confirmed.
It may turn out that the tooth needs to be extracted at a later date, but occasionally a tooth with a fractured root can be saved. The critical thing to do is to not get too hyped up by thinking that your tooth will be fixed. Just because a tooth is broken to the gum line doesn't absolutely require an extraction. Simmons is a guest lecturer at the University of Montana in the Anatomy and Physiology Department. Root Canal Recovery If a dentist recommends a , then this means that there is hope for saving the tooth. However, it now has what feels like a wire coming out of the socket.