Can You Save a Tooth Root After Getting Fixed Dentures?

Q: Can You Save a Tooth Root After Getting Fixed Dentures?

Hello： Since each case is different, it is advisable to seek multiple opinions before making your final decision, as your body ultimately belongs to you. <br>Consider the professional advice given by your physician as support, but the final choice is yours. <br>Thank you!

Can a tooth root be preserved after placing a fixed dental prosthesis on a decayed tooth?

After getting a fixed prosthesis, I sought treatment for tooth decay.
A doctor mentioned that even if there is only a little bit left, it can be filled to a sufficient height before remaking the prosthesis.
Is this technically feasible? Due to the severity of the decay, other clinics have only suggested dental implants or abandoning the tooth and using adjacent teeth to create a bridge.
I strongly wish to preserve the tooth root, so I am asking this question.
Thank you, doctor.

Ke Xiansheng, 30~39 year old female. Ask Date: 2019/10/14

Dr. Lin Jiayong reply Dentistry

Hello: Since each case is different, it is advisable to seek multiple opinions before making your final decision, as your body ultimately belongs to you.
Consider the professional advice given by your physician as support, but the final choice is yours.
Thank you!

Reply Date: 2019/10/14

More Info

Saving a tooth root after getting fixed dentures can be a complex issue, especially when significant decay is involved. The feasibility of preserving a tooth root largely depends on the extent of the damage and the condition of the surrounding structures, including the bone and gum tissue.

When a tooth has undergone significant decay, it can compromise the structural integrity of the tooth, making it challenging to retain it for future use. If a dentist has indicated that there is still some tooth structure remaining, it may be possible to restore it to a sufficient height to support a new crown or fixed denture. This process typically involves removing the decayed portion of the tooth and then using a dental material, such as composite resin or dental amalgam, to build up the tooth structure. However, this approach has its limitations.

1. Extent of Decay: If the decay is extensive and has reached the root or caused significant damage to the tooth's structure, the chances of successful restoration diminish. In such cases, the tooth may not be viable for further treatment, and extraction may be the only option.

2. Root Condition: The health of the tooth root is crucial. If the root is infected or has a fracture, it may not be possible to save it. Root canal therapy may be necessary to treat any infection, but if the root is severely compromised, extraction may be the best course of action.

3. Bone and Gum Health: The surrounding bone and gum tissue must also be healthy to support any restoration. If there is significant bone loss or gum disease, it may complicate the situation further.

4. Dental Bridge vs. Implant: If the tooth cannot be saved, dentists often recommend either a dental bridge or an implant. A bridge uses adjacent teeth for support, while an implant involves placing a titanium post into the jawbone to serve as a new root for a crown. Implants are generally considered a more permanent solution, but they require sufficient bone density and health for placement.

5. Consultation with Specialists: If you are strongly inclined to preserve the tooth root, it is essential to have a thorough discussion with your dentist about your options. They may refer you to an endodontist (root canal specialist) or a periodontist (gum and bone specialist) for further evaluation. These specialists can provide insights into the viability of saving the tooth and the best course of action.

6. Long-term Considerations: Even if a tooth root can be saved and restored, it is essential to consider the long-term prognosis. Restored teeth may still be at risk for future decay or complications, and regular dental check-ups will be necessary to monitor their condition.

In conclusion, while it may be technically possible to save a tooth root after getting fixed dentures, the success of such an endeavor depends on various factors, including the extent of decay, the condition of the root, and the health of the surrounding tissues. It is crucial to have an open and honest discussion with your dental care provider about your desires and concerns, as well as the potential risks and benefits of each treatment option. If you feel uncertain about the recommendations you have received, seeking a second opinion from another dental professional may provide additional clarity and options for your situation.

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