Next you will learn:
- In some cases, it may be necessary to remove the root of the tooth, or part of it (for example, resection of the apex);
- Why “rotten” tooth roots should be removed as soon as possible and what can you expect if you do not do it on time;
- In what cases can tooth roots still be preserved (for subsequent prosthetics) and by what methods such conservation is implemented;
- Typical clinical situations when the tooth root is to be removed (and what is useful to know if, for example, a significant piece has broken off from the tooth during eating);
- Methods of removing tooth roots, starting with simple, and ending with complex and traumatic (using a dental chisel and hammer);
- What to do if, after tooth extraction, a root or small fragments remain in the hole ...
Sometimes the crown of the tooth is so badly damaged that only the root of the tooth, which is corroded by the caries, remains - in such cases the question usually arises of removing these “rotten” residues. Often there are annoying injuries: for example, while eating a piece of a tooth may break off, and a chipping (or crack) sometimes goes deep under the gum - in this case, tooth root extraction may also be required.
A separate story is when a tooth is outwardly more or less functional, but the condition of its root (or roots) is far from the norm - there are cysts, granulomas. Then the dentist can offer a resection of the apex of the root or even amputation of the entire root of the tooth. We will also talk about this a little lower ...
Fortunately, it is not necessary to remove the root of the tooth in some cases, and you can limit it to treatment with subsequent prosthetics or restoration of the crown of the tooth. However, it should be understood that tooth residues (“completely rotten” roots) should be parted as soon as possible and without regrets, since their preservation does more harm than good to health.
Let’s just start with this - let's see why, in fact, we need to remove the destroyed tooth roots as soon as possible ...
Why should rotten decayed residues of tooth roots be removed?
From the point of view of a dentist, the situation when a patient walks for years with a decayed tooth, destroyed to the base, looks as follows: this person does not feel sorry for himself. The fact is that in such cases, the roots of the teeth need to be removed urgently (see the example in the photo below).
The reason is simple: rotten roots are a hotbed of infection, and the more they are in the mouth, the more pronounced are the problems, and they are far from limited to constant halitosis. These porous "rotten" like a vacuum cleaner absorb bacteria and food particles on themselves. In addition to decaying food, hard-to-remove plaque and almost always supra- and subgingival tartar are also present on tooth residues, which causes gums to suffer.
In almost 100% of such cases, an inflammatory process is observed at the tops of rotten roots, accompanied by rarefaction of bone tissue, a granuloma or cyst is formed. Simply put, at the top of the root there is a purulent sac, which is just waiting in the wings to break through with the formation of a “flux”.
The photo below shows an example of extracted teeth with cysts on the roots:
Against the background of the life of microorganisms, human immunity is constantly forced to spend its resources on the fight against infection in order to somehow compensate for this problem (frequent diseases can be observed).
If such a tooth root is not removed, sooner or later the moment will come when the body’s forces can no longer prevent the spread of infection - an acute inflammatory process will occur, often accompanied by significant edema.Favorite phrase of such patients: “The root has rotted for so many years, it hasn’t been sick, and then the cheek suddenly swelled up, and as always out of time.”
On a note
And how, one wonders, should such a patient with a “flux” who have the slightest touch of the gum cause severe pain, remove the tooth root by a dentist? Indeed, almost always anesthesia is done in the projection of the roots of the tooth onto the gums, and there at this moment a significant amount of pus accumulates. The surgeon has a choice: somehow try to make anesthetic injection as painlessly as possible, cut the gum, releasing pus, and send the patient home, and after a few days, when it’s better, calmly remove the damaged tooth root.
Or you can delete it here and now, but in this case the risk is very high that removing the root will be painful.
As you can see, it is not worth delaying with the removal of decayed tooth roots - they must be removed, and the sooner the better.
In what cases can tooth roots be preserved, and by what methods is it realized
Suppose you have a tooth in your mouth (or even a few) that is already hard to call a full-fledged tooth due to decay, but it also hardly falls into the category popularly referred to as the “root”.
For example, for a long time there were large fillings on dead teeth, which for some reason fell out, and only “horns and legs” remained from the tooth: one or two walls or the remains of the tooth walls. Or, for example, during a meal, a significant chunk broke away from the molar, and there remained only a “stump” with sharp edges.
Is it necessary to remove the roots of the tooth in such cases, or can you still think of something to save them with the subsequent prosthetics of the crown?
So, today there are many so-called tooth-preserving techniques - the main ones are divided into conservative and conservative-surgical.
Conservative methods for preserving teeth do not involve surgical interventions, and preserving the root (stump of the tooth) is done by preparing the canals (if necessary) and restoring the crown part with a suitable method, for example, by restoring light-cured material using a pin, or by inserting and crowning.
A conservative surgical method may be required if there is an inflammatory process at the top of the tooth root: after filling the tooth canals (most often with dental cement), resection of the root apex is carried out on the same day or delayed. This operation, as a rule, takes place under local anesthesia, and can be performed for both single-root and multi-root teeth. The operation is generally simple, and usually takes 15-30 minutes.
However, sometimes with the inflammatory process at the apex of the root or even the roots, it is possible to do without surgical procedures - if it is possible to carry out treatment by introducing an anti-inflammatory drug into the canal (s), the dentist puts the drugs for a certain period (from 2-3 months to 1-2 years) with the expectation of restoration of the bone around the apex of the root. With a significant loss of bone tissue, the doctor is highly likely to choose the conservative surgical method, either as the only way to preserve the tooth, or in order to reduce the treatment time (not a year, for example, but 1-2 months).
On a note
Resection of the apex of the tooth root is carried out in several stages. At the first stage, preliminary preparation is going on (history taking, especially for allergies, treatment of the surgical field) and anesthesia (most often with articaine preparations).
The second stage involves the beginning of the operation itself: creating access to the apex of the root through the incision of the gum, peeling off soft tissues, cutting out a special small “window” in the bone and detecting the problem root.
At the third stage, a part of the root with a cyst or granuloma is cut off with a drill, after which preparations are placed in the wound to stimulate bone growth and accelerate healing. The wound is sutured.The appointment of drugs for home treatment (including painkillers) allows you to minimize possible painful sensations and allows the patient to return to their usual lives in a matter of days.
Significantly less popular methods that prevent the removal of the entire tooth are hemisection and amputation of the root.
During hemisection, the affected root is removed with part of the rotten tooth crown, and healthy roots with the remaining whole crown part are left for prosthetics.
Amputation of the root of the tooth, unlike hemisection, does not involve excision of the crown: only the root (all) with the cyst or granuloma present on it is removed.
It is interesting
Exclusive options for preserving a badly damaged tooth are corono-radicular separation and re-implantation of the tooth (for example, if the tooth was knocked out by mechanical action).
Coronoradicular separation is performed for large molars when there is an untreatable focus of inflammation in the area of bifurcation or trifurcation of the roots (where the roots branch). The tooth is cut into two parts, and the affected tissue between the roots is removed. Subsequently, each tooth segment is covered with brazed crowns to restore the lost function of the dentition.
Tooth implantation - simply put, this is a return to the tooth socket, which for one reason or another was previously removed from it (on purpose, or, for example, was accidentally knocked out upon impact). It sounds incredible, but true. Today, such operations are rarely performed, usually in cases where the tooth is brought to the dentist just knocked out.
In Soviet times, when modern methods of preserving complex destroyed roots were not available, such methods were more or less popular for various options for unsuccessful conservative treatment. For example, a dentist-surgeon could first carefully remove a tooth, and a dentist-therapist performed intracanal treatment with filling and (sometimes) resection of the apex of the root (amputation, hemisection). The prepared tooth (or part thereof) was fixed back to the hole in the same place using splinting with the exception of the bite for several weeks.
Due to the technical complexity and not always justification, today the technique of dental replantation is used only in exceptional situations.
In which cases the root will still have to be removed
If none of the tooth-preserving methods can be applied, then the roots of the tooth must be removed.
The following are the most common situations in the practice of a dentist involving the removal of tooth roots:
- With complex fractures of the tooth (for example, with a longitudinal one - see the example in the photo below);
- Against the background of serious inflammatory processes near the root (large cyst, periostitis, osteomyelitis, abscess, phlegmon);
- The destruction of the crown of the tooth is much lower than the level of the gums;
- Root mobility of the III degree;
- Atypical position of the destroyed tooth (various dentition).
And some others.
However, as already noted above, far from every tooth fracture, the remaining roots have to be removed. A splinter can split both from a living tooth and from a dead tooth, that is, previously depulped, and the dead are more vulnerable in this regard, as they become fragile over time. So, if the root is not affected much and has a solid foundation, then the tooth is restored by conventional methods: the canal is treated (if the tooth was live) and the crown is restored using restoration or prosthetics.
There are some nuances regarding the roots of wisdom teeth: many patients are in a hurry to get rid of such teeth as soon as possible - the reasons may be different:
- Sometimes hygiene of wisdom teeth is difficult and they are rapidly destroyed due to caries;
- Erupted wisdom teeth can cause displacement of the remaining teeth in the dentition, which often leads to malocclusion;
- Sometimes eights lead to regular biting of the cheek, that is, to a chronic mucosal injury, and this is a dangerous risk of malignant tumors.
Etc. However, before rushing to remove eights, it is worth taking into account the fact that there are times when even a seemingly badly damaged wisdom tooth is important for removable or non-removable prosthetics. Not all people can afford the installation of dental implants to “scatter” even with such teeth.
Therefore, in certain situations, the dentist can preserve the roots of the wisdom tooth by performing their complete endodontic treatment and tooth restoration (for example, by inserting), followed by using it as one of the supports, for example, a bridge.
From the practice of the dentist
In fact, most dentists rather conditionally adhere to the list of indications for tooth extraction or its roots. The fact is that a practitioner over the years of work forms his opinion about the possibility of maintaining a tooth in a particular clinical situation (often this is the result of numerous trial and error).
So, for example, an inexperienced orthopedic dentist can insist on preparing the roots of a certain tooth for a future bridge, to which a competent and experienced dentist, suppose, refuses, justifying this with the mobility of the root (or roots), destruction of the inter-root septum, obstruction canals due to the resorcinol-formalin treatment method carried out many years ago, or a significant inflammatory focus at the apex of the root. Even one of the listed reasons is enough to abandon such an undertaking.
In addition, there is such a thing as “the functional value of the tooth”: even if the root of the tooth can technically be restored in an affordable way, this does not mean that without a detailed analysis of the whole clinical situation, it’s worth immediately taking it. Will the tooth be able to function normally in the future? If not, then there is little point in this conservation. For example, this applies to the roots of teeth that are outside the dentition, or wisdom teeth that do not have antagonists (that is, unable to perform a chewing function as a result).
Ways to remove tooth roots: from simple to complex
In some patients of the old Soviet school, a doctor’s message about the need to remove a tooth root causes almost panic. Usually this reaction is associated with a number of the following fears:
- Is it really necessary to cut the root out of the gums, because it is simply impossible to grab it with forceps (sometimes the remnants of the tooth really protrude slightly above the gum);
- Will the dentist hammer the rest of the tooth in order to get the root through the fragments then (in Soviet times, the separation of tooth roots with a chisel and a hammer was commonplace);
- Will the dentist cut the bone to get access to the roots of the tooth ...
Feedback
“My molar tooth fell apart from the bottom left, they said that it was necessary to dig out the roots. Believe me, this is terribly painful; I myself recently went through it. And they also told me that I would not feel almost anything, it was comforting me so that I would not be very afraid. This is terrible, I burst into tears right in the chair, they even gave me a sedative. They crushed and hollowed my jaw for an hour, the doctor was already sweating all over. The pain is wild, despite three injections ... "
Oksana, St. Petersburg
Fear of the dental office often leads to the fact that a person can walk for years with rotten tooth residues in his mouth: he looks in the mirror - the root is still not completely rotten and does not hurt, which means you can still be patient. All this time, the remains of the tooth will undergo increasingly carious destruction, which in the future may further complicate the process of root removal.
Meanwhile, if you do not pull it to the last, then it will be quite simple for the dental surgeon to remove the roots of the tooth with forceps, with cheeks specially adapted for this. Even if the roots are partially tightened by the gum, incisions are not made.Moreover, the missing roots have an access line, that is, the gum cannot completely close the “putrid” even over the years, so the dentist-surgeon only has to open them a little with a trowel and remove them with forceps. It usually takes about 3-10 minutes.
The photographs below show the extraction of the tooth, the crown part of which is destroyed almost to the level of the gums:
From the practice of the dentist
In patients in adulthood (from 40 years old and above), the removal of decayed tooth roots in the vast majority of cases does not present any special difficulties, since against the background of alveolar atrophy, a decrease in the height of partitions and an inflammatory process near the roots, the body “seems to reject” itself, therefore, there is often their mobility to one degree or another. Practitioners are well aware that the older the patient, the better, since removal together with anesthesia takes almost always a few minutes - to the delight of the patient and the doctor.
Now a few words regarding the chiselling of the roots of the tooth using a chisel and a hammer. There are complex cases when there is a tandem of 2-3 or more roots, that is, there is a full-fledged septum between them, and the patient's age is relatively young, the bone tissue around the roots is full. In other words, a gift for a dental surgeon is clearly not expected.
In such cases, the forceps rarely help in solving the problem, and a professional dentist takes up ... No, not the chisel and hammer. Currently, a professional dentist prefers modern approaches to removing such roots: cutting with a drill and removing the roots individually with an elevator and (or) forceps. This is especially true for sixth teeth and wisdom teeth.
Photo of a tooth whose roots are separated by a drill before removal:
Then in what cases do they resort to the hammer and chisel?
It is extremely rare that this technique is used (figuratively speaking) in the dense villages of central Russia - moreover, it is used as the main one, since the dental surgeon either does not know about root removal with a drill and even cuts teeth with almost an entire crown, or it does not have a drill available (from the poor equipment of cabinets everything happens).
As for the cases when root cutting with a drill does not help, this is a separate category: it is extremely rare, mainly on the lower wisdom teeth and the so-called “formalin” teeth (that is, those whose canals were previously treated with the resorcinol-formalin method). In order not to let the patient go with the roots left in the hole, the doctor, with the help of assistants, resorts to this technique. But the percentage of such situations is about 1-2% of the total patient flow of a good dental surgeon.
As for the pain during the procedure: when removing the roots of the tooth, the same anesthesia in quality and technique is performed as in the extraction of teeth with a crown part. If a dentist uses an obsolete anesthetic and, moreover, does not have professional anesthesia, the result will be disastrous, especially for the patient.
On a note
A rather actively exaggerated theme among the people - is it possible to remove a damaged tooth yourself with the help of pliers? Even frightening (from a professional point of view) examples of removal by this tool are given. Firstly, in many cases, a diseased tooth, even with deep carious destruction, should not be removed, but it can be successfully treated by a dentist. Secondly, anesthesia is required for removal, and without it the pain will be very severe. Thirdly, with such a tooth extraction at home, there is a high risk of introducing an infection into the wound with the subsequent development of complications. And this is not to mention the fact that many of the daredevils can simply crush or break off a part of the tooth with pliers, leaving the roots and fragments in the hole.
About the situation when after tooth extraction in the hole remains
Patients' fears often relate not only to the fear of removing the roots of the teeth, but also to the prospects of the possible leaving of tooth residues in the hole due to the carelessness of the doctor (for example, a broken off root with a cyst or fragments). Indeed, in practice, not very experienced specialists sometimes encounter such precedents. Interestingly, a number of such dentists are firmly convinced that everything will be in order, and they tell their patients: “Don’t worry, over time the root will come out by itself.”
What happens if the tooth root has not been completely removed by the doctor?
With difficult removal of the root of the tooth, the dentist often finds himself in a situation where the root tip (tip) breaks off, and increased bleeding from the hole closes the view for further action (in other words, the entire hole is covered with blood and it is problematic to discern anything). A professional can either work blindly, relying on his experience, or postpone the reception, correctly explaining to the person what to do and when to visit him again to complete the work.
But if the doctor does not have much experience in tooth extraction, or basically prefers the tact of “non-interference” (sometimes so as not to lose his time), then he advises the patient to just wait until the root “comes out on its own”. Say, do not worry, the problem will resolve itself.
Dentist Opinion
The practice of leaving a broken tooth root in the hope that everything will be fine is vicious. Indeed, in many cases, the left root or splinter may not bother for a long time, and the wound simply does not completely tighten over the years - there remains something like a canal or fistulous passage, and the root gradually moves to the surface of the gum. This can take a very long time (up to several years), and for the owner of such an incompletely extracted tooth there is nothing good: the infectious process at the top of the root continues its negative effect on the body.
Worst of all is obtained in cases where the apex of the root with a granuloma or cyst remains. Problems arise either immediately in the form of purulent inflammation on the gums ("flux"), or delayed, but they will almost certainly occur (they can happen even after 10 years). The most unpleasant situation is when the left root is tightened by the gum and a new bone is formed around it, that is, the rest of the tooth lies in a kind of capsule that separates it from healthy tissue. How much time will pass before this all makes itself felt is not important, but the later the visit to the dentist will follow, the more likely it will be that with the development of an exacerbation of the purulent process (periostitis, osteomyelitis, abscess, phlegmon) a hospital on the operating table.
Thus, if the tooth has not been completely removed (after the tooth has been removed, a root fragment in the hole remains), then it is advisable to take measures to bring the matter started by the doctor to the end, and this should be done in the near future. This will allow not to leave the inflammatory focus for many years, despite the assurance of the attending physician to wait until everything goes away by itself. In such cases, it is useful to contact another dentist without leaving a time bomb in your jaw.
After the tooth is removed, it may turn out that its roots will be completely extracted, but at the level of the gums you will already find some small fragments at home. Moreover, the dentist from the picture can ascertain the absence of roots in the hole, but will not pay due attention to the gingival margin. Here the fact is that a tooth destroyed by caries often crumbles during removal, and single fragments connected to the gum are not removed by the dentist-surgeon for several reasons:
- Poor visibility due to bleeding of injured tissue;
- Carelessness of the doctor;
- Negligence.
If this debris remains in the hole (even small pieces of a carious tooth), then the risks of developing alveolitis, an infectious inflammation accompanied by pain, swelling, fever, general malaise, and other unpleasant symptoms, increase to a certain extent.That is why a competent dentist not only removes all the roots of the tooth, but also examines the wound for the presence of small fragments of the tooth, pieces of bone (if removal was difficult), filling material.
A clean wound heals, as a rule, much faster and more comfortable than a contaminated one, therefore it is so important to consult a dentist in time and clean the hole if anything foreign is noticed in it.
Is it possible to remove the tooth root yourself
Today on the Internet you can often watch the appearance of video reviews about how people remove their teeth at home. Moreover, there are not only video reviews, where adults and, to put it mildly, tipsy men independently pull out their dilapidated teeth, but there are also examples of self-extraction of milk teeth in children.
Let's see if it's worth experimenting like this?
Not only does this look not very attractive from an aesthetic point of view (people writhe from pain, blood literally drains on the fingers), but the main concern is, first of all, the lack of sterile conditions during the procedure. You can’t even speak about the professional component: if the removal of a more or less whole tooth is still somehow implemented from the tenth and is realized (provided that the crown part does not crumble into fragments), then the teeth that have been destroyed to the root can hardly be removed independently.
Therefore, "pull" teeth at home (including staggering milk) should not even try.
Interesting video: removing the roots of two teeth, followed by suturing the wound
Available description of tools used to remove teeth
Generally speaking, there is no such nosology as hidden caries in medical reference books and encyclopedias. Although the dentists themselves and their patients by this term ...
No matter how hard the dental surgeon tries to carefully remove your tooth, however, forcibly removing it from the hole is always associated with trauma ...
On the lower jaw, wisdom teeth usually begin to form at the age of 20-25 years, although occasionally they erupt at the age of 15 and after 40. When ...
The roots of 5 were removed in the clinic in Samara. Everything was done professionally, the voids were cleaned, after removal a picture was taken - to check the residues. If the doctor is friends with the brain, then in free dentistry he will do everything wisely. The main thing is not to be afraid! Treat teeth on time.
Such articles can be read either by a dentist, or by someone who has never been to a dentist.
In my opinion, such knowledge should be given in schools, for example, at one of the biology lessons, but it is imperative to talk about methods of treatment and prosthetics. It is very useful to look at your own problems with a dentist's eye. And if I found out about this at school age, then my attitude to my teeth and dentists would be completely different.
I read, I regret that I did not go to the dentist before. Full mouth problems. I used to be afraid and ashamed to show rotten. I’ve been going for a month, 5 implants and 12 crowns will be placed. Treating is scary, but not painful. I would have known before, would have gone a long time.
How much did the whole action cost? If not difficult, then about points. I myself am from Rostov. What I want to figure out for what. The problem is the same.
In fact, it’s not painful to treat now, nor is it scary, but EXPENSIVE. Very expensive. Just from the dentist: treatment of pulpitis of a three-channel tooth with the subsequent restoration of the crown part with a light-cured filling due to the great destruction during the treatment cost me 18,800 rubles.
It is very expensive! Moreover, no one can say for sure the exact cost of such treatment in advance. Unless at removal.
Lord, what's going on? And where are patients so bred? I’m a dentist, so I’m terrified of the arrogance of some dentists, because you can immediately voice the cost of a three-root pulpitis with restoration, even by glancing at a tooth, and not “in the process”, as it has now been done in many places. It can be seen that the main thing here is to seat the patient, and then tighten the price indefinitely - and where is he going to go. There were worse times, but there was no mean ...
Damn, I have the same garbage, from childhood was afraid of dentists. And now I'm afraid to horror, a mouthful of problems (
And the dentist of the hospital in the regional center spoiled my attitude to dentists when I was forced to visit her in the 7th grade on vacation. I removed the nerve and treated the tooth without any painkillers. She also hissed at me. After that, I have never been to the dentist.
It is strange that there is a problem of the remaining fragments. As far as I remember, even with the usual drilling of nerves from the roots, they sent me to an X-ray (with needles stuck in holes) ... Moreover, it happened that after that the scraping with a needle file continued on!
To me, as a patient, there you can only distinguish that it is a tooth and holes are drilled in it to the roots, but the doctor clearly gives the doctor complete information about everything that is hidden in the depths.
Hello! That's right, the doctor controls the main stages with the help of pictures in order to do his job qualitatively. But often, especially in budgetary institutions (on stream), they don’t take pictures - the doctor simply does not have time for reinsurance, and even the outpatient clinic may not have working equipment and supplies. All this increases the risk of problems. And without removing fragments, various problems most often arise: from alveolitis to serious purulent manifestations in the maxillofacial region. At the same time, the gums heal hard, fragments of many patients themselves do not come out, and the risks of an unsuccessful outcome are great.
Almost a week ago, the bottom eight caries destroyed by caries was removed. I was preparing to survive the nightmare, but everything went very quickly and painlessly. The doctor did anesthesia and simply pushed out a tooth (or rather, its remains) with an elevator. It took only a couple of seconds. I still can’t believe that I got off with one fright. Thanks to the doctor! To all who are faced with this frightening procedure, I wish you the same quick and successful deletions!
The upper left 7 cracked along due to mechanical stress and a piece of tooth fell off (the long part goes deep enough into the gum). Dentist at the request to remove this tooth said that it is not necessary to remove the tooth and it is necessary to restore it.
Restored. After a couple of weeks, the tooth cracked and fell apart, and the gum was slightly swollen. Then the temperature is 38-39, aches, headache and stomatitis on the surface of the mouth (the focus is the gum of the damaged tooth). What to do? Do you treat like that?
Hello! Dentist tactics were incorrect. It was necessary either:
1. Immediately remove the tooth according to indications;
2. Or, carry out the restoration of its coronal part with the tab + crown, possibly with preliminary intra-channel preparation.
I think that now the most likely scenario will be the removal of the roots of the tooth, the treatment of stomatitis and the inflammatory process in the gums. After removing the roots, a plan for repairing the defect should be outlined: either using implantation, or using modern orthopedic structures (bridges, for example).
I am very afraid, fear keeps me going to the dentist. I have rotten roots - my whole mouth. I am 63 years old. How to overcome fear in yourself?
Good afternoon, Nina.In good clinics, the team includes not only dentists of various specializations, but also anesthetists who will select the appropriate therapy to make the treatment as comfortable as possible for you. Be stronger than fears. And remember that good doctors only wish you well. With this attitude, go to the doctor, and very soon you will remember your fears with laughter, and not with trembling. And the bonus will be the absence of toothache, a beautiful smile and the ability to fully chew tasty and healthy food.
Nina, an idiot in dentistry for general anesthesia. A prick in a vein - and you sleep, no pain. Wake up, all teeth will be healed, bad teeth removed. Anesthesia is very well tolerated, and most importantly, no pain. Good luck to you. Do not pull. It doesn’t hurt at all!
This fear is not pain, but a huge waste. Anesthesia is paid, removal is paid. What happened next? Will you walk with an empty toothless mouth? Not. Any prosthetics are necessary. And it is very expensive! 🙁
The upper left 4, 6, 7, 8 are destroyed, I'm afraid to remove, as the doctor said that with some teeth it will be difficult. As well as with the right upper tooth, which was removed for about half an hour with different tools ... After that, I am very afraid to go to delete. And now I got sick - fever, runny nose, cough, and the second cheekbone hurts the second day (a choked feeling and painkillers do not help ...)
Hello! ARVI, like other infections, often provoke an exacerbation of chronic periodontitis - a disease that accompanies neglected tooth roots. While there is no provoking factor, they (roots) can stand quietly for years, but a small external (biting, for example) and internal (ARVI, tonsillitis, stress) factor are enough, as various complications arise. I think that in an emergency (if the pain becomes very severe) you should not wait long, and immediately consult a doctor with symptoms that disturb you. Moreover, a compromise option: first remove only the root (s) that provoke pain.
So take courage and go to the doctor.
I, too, point out, 4 teeth destroyed, and even the front end of the curve ((I don’t know how to force myself to go to this shame ...
I removed the 8th lower jaw, because I want to put braces. There was a piece of tooth root left, the doctor said that this piece would not bother me and would come out in a few years. She began to doubt the competence of the doctor. The tooth was not carious.
Hello! According to the protocol, tooth roots cannot be left in the hole, as this is a possible source of infection for the future. From this point of view, one can talk about the incompetence of the doctor (most likely, he simply could not or did not want to finish the job due to the difficulties encountered).
The roots left by the doctor are often often “rejected” themselves, but this is not a panacea, and it may not always be so lucky. The inflammatory process around the root can increase every year, which sometimes entails dangerous consequences. That is why even if there is a 1% risk of this, it is still desirable to remove the remainder of the root. I recommend to contact another dentist, more experienced.
Do not look for anything on the Internet. Only by the age of 30 I realized that the most important thing is health, and we always save on ourselves. Of course, we think that it is better to get dressed, pay loans, etc. I spent almost a year with 4 roots, that is, I had 4 posterior teeth decayed. Since mom is a senior citizen, I tried to help her more than myself. But the day came when I consciously received a salary and went to my dentistry day off. Of course, paid. In our free hospitals, I have little faith and no trust.They took a 3D picture of the jaw, assigned 4 removals for a month. All that remains is to be treated, and then, respectively, prosthetics. Removal and treatment can still be postponed, but prosthetics just do not shine. In general, remember!
1) Appreciate your health, and even if you are scared, you still need to go, or force yourself.
2) Dentists are also ordinary people, and they will not judge anyone. Tipo: Fuuu, who, interestingly, kisses her, it's terrible! No, on the contrary, they motivate with a good consultation.
3) Having children (or make a note for yourself in the future), be aware that oral hygiene is not only brushing your teeth every morning and evening. At least once a year, you need to run in for inspection, and if something bothers, then do not delay! And for children, instill this in childhood. Now I know for sure that I will not repeat the mistake of my parents, and my children will go for a scheduled examination, and in the future this will become a habit. And, accordingly, there will be no problems.
Good luck to everyone who goes to remove the roots! Do not be afraid of it, it is unpleasant, but not painful. A separate hello to the dentists. Learn well to save people later. Thanks you!
Thank you, very informative.
How long can tooth roots covered with a crown at the gum level last if the ceramic-metal bridge stood on it for 10 years? There is no inflammation, but the channel is not completely closed.
Hello. The approximate lifetimes of the teeth are determined individually for each case, and there is no average value (maybe they should be removed already, or maybe they will serve for many more years, despite the channel not completely sealed). To determine how much longer your tooth roots can last, you need to know the degree and depth of root destruction - you can do this after removing the bridge and X-ray. So without a visit to the dentist can not do here.
I am very afraid to pull out the roots (6 and 7 on the upper jaw). 6 overgrown, not even visible debris. Once I tried to pull it out: the doctor gave me an injection, pulled out and showed a chip. I say: where is the root, and he says that there is no root. After that, I stopped going to this state clinic.
I am 62 years old. All the treated teeth have broken off to the roots. But the channels in them are sealed. Very afraid, my heart begins to hurt. Do I need to warn my doctor about my fears?
Good day, Natalia! Despite fears, broken teeth really cannot be ignored - they are a source of chronic bacterial infection and (often) bad breath. In order to assess the general condition of the teeth and the possibility of preserving at least their roots, it is necessary to take an X-ray and make the correct diagnosis.
A doctor must be warned about his fears, at least for a more comfortable treatment. In addition, if you discuss fears with the doctor, then some of the fears will pass, as they will explain everything in more detail about the upcoming treatment. Fear of the dentist (stomatophobia) is a common phenomenon, and in order to solve these problems, today in many clinics dental procedures are performed under sedation under the supervision of an anesthetist.
The upper wisdom tooth was removed yesterday. While there is one, I plan to remove everything and put braces. When tearing, the tooth broke and was pulled out in parts. 2 pictures were taken. I will not say that it hurt, but the sensations are still there, especially in the evening and at night. Today, the place of removal is still bleeding. I’m afraid the whole jaw hurts, because the doctors took turns searching for the chip for a very long time, my lips are all rubbed.But I'm still glad! Previously, you had to go and delete everything! Every year I take all the children to the dentist for an examination; I also record my husband. We go to ordinary dentistry, they do everything wonderful, polite, and anesthetize. Now I just have to heal a few teeth (small caries) and I will be happy! Watch your teeth!
Please tell us more about tooth restoration with a tab and a crown. Why is this method so rare? Why is it always advised only removal? After all, their natural teeth are always much better than the most modern implant.
Hello, Veronica. Indications for the manufacture of the stump tab are quite narrow, and everything depends on the clinical situation (is it possible to treat the canals of the tooth, is there an inflammatory process at the top of the root - cysts or granulomas). In addition, not every tooth can have a crown.
So the roots of their teeth are often the focus of a chronic infection, and if there is no way to treat and restore the tooth, then it makes no sense to offer the patient a tab plus a crown. In such cases, the tooth must be removed.
A broken tooth was removed yesterday. When I removed the fleece, it seemed that there was only one root. Now I can not consider because of a blood clot. The gum is swollen, the hole is bleeding. When can I take a picture or see a doctor?
Hello, Aigul. You can go to the doctor at any time - this is normal when the patient comes to consult on matters of concern to him after tooth extraction. Try not to rinse your mouth during the first day - a blood clot that forms in an empty hole after tooth extraction is very important for healing, so be careful not to “rip” it off.
As for your assumption about the root remaining in the hole - most likely, this is not the root of the tooth, but the bone inter-root septum. But to save yourself from unnecessary worries, going to the doctor makes perfect sense.
From the fifth grade, I am panicky about dentists because of the low pain threshold (even a simple injection in the gum is very painful for me). This has led to the fact that for more than 10 years, no matter how painful or damaged the teeth are, when approaching the dental clinic, I begin to have a natural panic. Not so long ago I overpowered myself, in a half-fainting state I got to the chair and was horrified - more than 12 roots need to be removed (though the inspection was without an X-ray, maybe more).
And I would be glad, but as soon as I went to the surgeon for removal, I almost lost consciousness in the chair. This phobia, coupled with a pain threshold, still does not allow me to solve the problem ... There was a thing, I even started to hate myself for such features of the body. I feel rejected, because I am only 25 years old, and my mouth is full of rotten. Here are some thoughts to get drunk before going to a sedative doctor, but I don’t know if it will help.
Dental problems are terrible. People, do not start your teeth the way a little 13-year-old girl once started them! And thank you so much for the article!
Anyone who is afraid to go! Fear is normal, shame is normal. But health is more important. In fact, the doctor doesn’t care what condition your teeth are in. He looks at this solely as a specialist and evaluates the front of work. He sees rotten, gnarled and other teeth every day. His duty is to make you a beautiful smile and the ability to chew green apples. Your task is to cross over the vice of the clinic. Go to the reception once, and then you won’t get your ears out of there, since all the procedures are now painless.
The only negative (personally my opinion) is the price and again the price! I want to make beautiful and healthy teeth, but I don’t have enough money ((Good luck to everyone! And running to the dentist.
I live in Moscow. My tooth root remained after removal, as a result, the gum was tightened, and the tooth root was overgrown with bone tissue. Recently, a flux and wild pain appeared - they sent him to a CT scan to the maxillofacial hospital. They found a large cyst, they said urgently to take tests - and for surgery. Those who have undergone such an operation are said to cut the gum, to cut the jaw. How does such an operation go and is pain felt?
Hello. “Cutting the gum” and “sawing the jaw” - although it sounds scary, but in fact it’s not so scary, removing cysts is a fairly common procedure. Modern anesthesia makes it possible to carry out such operations almost painlessly (except that when anesthesia passes, you may feel some discomfort during the initial healing of the wound). So do not worry and quickly solve the problem without waiting for complications.
The fang is broken from above, the root remains - it is already rotting and sore. I'm afraid to go to the dentist. Tell me, is it painful to remove the canine root?
Hello, Tatyana! Modern anesthetics make it possible to carry out virtually any surgical treatment in dentistry without serious consequences. Moreover, when removing teeth during the introduction of the anesthetic, very thin needles are used, which minimizes pain even at the injection stage.
As for the very need to remove a tooth root that has been destroyed by caries, which hurts, this should be done as soon as possible. Further, the situation will only get worse rapidly. So I recommend not to hesitate anymore and as soon as possible consult a doctor for help.
I had the same problem. The operation was done in maxillofacial surgery. I was very afraid, but to my surprise they did everything professionally and quickly. I didn’t feel anything at all. Stitched - and free. It took about 10 minutes, taking into account anesthesia. So don’t worry. I didn’t even believe that everything was done, only when I felt the thread with my tongue, I realized that everything.
Good evening! 05/23/2019 in Solnechnogorsk removed the root of the 6-ki (right) for subsequent implantation. The operation lasted about 2 hours, since the prosthetist could not remove the roots (previously 3 x-rays of the tooth were taken). Everything was used: both elevators and a hammer, and more than once, a boron machine, I even had to take a set to remove the 8-oct and perform anesthesia again, but the roots did not give up. The problem was also that my mouth does not open well and my field of vision is limited (as the doctor said: we work in the dark). Naturally, I was worried and scared, not expecting that this operation would gain such a scale.
When the roots were removed, the doctor checked the hole, put some substance, covered with a membrane and sutured. I prescribed an ultra-short course a \ b: Tsifran-st (Friday, Saturday, Sunday, 2 tablets, 500 mg) and to help the anti-inflammatory drug Arkoxia (60 mg) + rinse with chlorhexidine and a diet. For this operation, I don’t know if this price is included in the cost of the entire implantation, or just the tooth root (the doctor is not particularly sociable in this regard), he gave 53 thousand rubles. (I know, he was stunned). The doctor said that we will meet in 100 days in September and he will calmly place the implant.
After a week of re-examination was not appointed, although after such a complex operation, I think, inspection should be. The gum “hugged” the 5th and 7th teeth, and only the sutures are visible on the 6th place and in the center there is a cavity and white contents, which from time to time disappear in small lumps, and a temporary aching pain occurs that quickly passes. But sometimes it achs so that the upper teeth begin to hurt, despite taking anti-inflammatory drugs and rinsing. Tongue feels sour taste in the cavity.
I have suspicions that the tactics chosen by the doctor were wrong, maybe I'm mistaken. I have been treating teeth since childhood (I am now 31) and 6 are the most problematic, therefore they cleaned the roots and filled them. And the crown was restored from time to time, so the picture showed that the roots were intact and sealed, but the crown was partially destroyed and displaced. The doctor did not say anything about this, he was only interested in tooth implantation (and, apparently, the price). Although, perhaps, it was possible not to remove the roots, but to make prosthetics of the crown on these roots, which, as practice has shown, were strong and difficult to remove. Well, the second point is the lack of examination a week after the operation, that is, the doctor, apparently, does not care how the patient feels and how the recovery after the operation goes. So it goes.
Tell me, is the healing of the hole normal in my case and what should I do with aching pain? Thanks.
Hello! Judging by your description, it is possible that you have alveolitis (this is a complication after tooth extraction, characterized by an acute inflammatory process). The “lumps” emerging from the hole are particles of bone material that were laid in the hole. In such a situation, normal healing of bone material is rather doubtful, therefore I would recommend not waiting 100 days, as you wrote, but consult a doctor right now - at least to resolve the issue of preservation or removal of bone material.
Hello! I have a milk tooth, a stump, already 2 years ago exactly, on a par with the gum. But the constant grows, shifts it ... Is there a cyst, and if so, how to remove it? Will there be any complications?
Hello, Ksenia. To diagnose the presence of cystic formations, you need to contact a dental clinic, since the presence of a cyst can only be determined by a doctor after an X-ray examination. The root of the milk tooth is sometimes necessary to remove, as it can become a focal point of infection, and there may be a threat to the permanent tooth and the dentition as a whole.