Root resorption
Hello, doctor.
My tooth previously had a hyperplastic tooth in the gum, which caused the root to be resorbed and become quite short.
The tooth also slightly wobbles when pushed, but it doesn't affect its function at the moment.
I would like to ask what risks this situation might pose in the future.
I have encountered some dentists who mentioned that it could easily fall out later, while others did not specifically mention this issue.
So, I would like to know if a shortened root makes it more likely to fall out in the future.
Are there any treatment options available to prevent tooth loss? Thank you.
Yang, 20~29 year old female. Ask Date: 2021/09/01
Dr. Lin Jiayong reply Dentistry
Hello: If root resorption is confirmed and the tooth is already mobile, it is likely that 90% of the time it will need to be extracted.
It is recommended to continue monitoring the situation, and after the tooth is extracted, we can consider whether to replace it with an extra tooth.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2021/09/01
More Info
Root resorption is a dental condition where the structure of the tooth root is broken down and absorbed by the body. This can occur due to various reasons, including trauma, infection, or the presence of additional dental structures, such as supernumerary teeth, which can exert pressure on the roots of adjacent teeth. In your case, the presence of a supernumerary tooth has led to root resorption, making your tooth feel loose and potentially increasing the risk of future complications.
Risks Associated with Root Resorption
1. Tooth Mobility: As you have already experienced, root resorption can lead to increased mobility of the affected tooth. The structural integrity of the tooth is compromised, which can make it more susceptible to further damage or loss.
2. Increased Risk of Tooth Loss: The more the root is resorbed, the less stable the tooth becomes. If the root resorption progresses significantly, it can lead to the tooth becoming non-viable, resulting in the need for extraction.
3. Infection: Resorption can expose the inner pulp of the tooth to bacteria, leading to infections that can cause pain and further complications, including abscess formation.
4. Impact on Adjacent Teeth: The presence of a resorbing tooth can affect the health of neighboring teeth, potentially leading to their resorption or other dental issues.
5. Aesthetic Concerns: If the affected tooth is visible, its mobility and potential loss can lead to aesthetic concerns, impacting your smile and self-esteem.
Treatment Options
1. Monitoring: If the tooth is currently asymptomatic and not causing any issues, your dentist may recommend a watchful waiting approach. Regular check-ups will help monitor the condition of the tooth and the surrounding structures.
2. Surgical Intervention: If the resorption is significant and the tooth is at risk of loss, surgical options may be considered. This could involve the extraction of the affected tooth and possibly the supernumerary tooth if it is contributing to the problem.
3. Bone Grafting: In some cases, if the tooth is extracted, a bone graft may be performed to preserve the socket for future dental implants.
4. Dental Implants: If the tooth is lost, a dental implant can be placed to restore function and aesthetics. This is often a preferred option as it mimics the natural tooth structure.
5. Orthodontic Treatment: If the resorption is due to misalignment or pressure from adjacent teeth, orthodontic treatment may help reposition the teeth and alleviate pressure.
Conclusion
In summary, root resorption poses significant risks, particularly regarding tooth stability and potential loss. The fact that your tooth is currently mobile indicates that it is at risk, and while some dentists may downplay the likelihood of future issues, it is essential to remain vigilant. Regular dental check-ups are crucial to monitor the condition of your teeth and to discuss any changes you may notice. If the tooth becomes increasingly loose or symptomatic, further intervention may be necessary. Always consult with your dentist about the best course of action tailored to your specific situation, and do not hesitate to seek a second opinion if you feel uncertain about the recommendations provided.
Similar Q&A
Addressing Loose Teeth: Orthodontic Solutions and Treatment Options
Hello, I had orthodontic treatment when I was younger. Recently, my front teeth have been slightly loose, but there is no pain. I feel like my upper and lower teeth are not aligning properly, and it seems like my front teeth are about to fall out. An X-ray showed that the roots o...
Dr. Huang Zhicheng reply Dentistry
Hello, if there is root resorption, it is recommended that you visit the clinic for further treatment. Wishing you safety and health. Sincerely, Dr. Huang Chih-Cheng, Director of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Addressing Loose Teeth: Orthodontic Solutions and Treatment Options
Understanding Tooth Mobility and Dental Health Concerns
I apologize for the questions, but I would like to ask the doctor a few things. Is it normal for healthy teeth to have slight mobility? Under what circumstances can the tooth roots be resorbed? What impact does getting dentures at this age have for the future?
Dr. Zeng Guanghui reply Dentistry
1. Healthy teeth are anchored to the alveolar bone by the periodontal ligament and normally do not exhibit any slight mobility. 2. If dental caries in the molars leads to pulp infection that extends to the root, it may result in root resorption. Additionally, dental trauma can ...[Read More] Understanding Tooth Mobility and Dental Health Concerns
Understanding Periodontal Disease Treatment: Expert Insights and Options
Five to six years ago, I underwent orthodontic treatment and had bone screws placed. This year, I was diagnosed with moderate to severe periodontal disease throughout my mouth, and there is a family history of periodontal disease. An X-ray of my lower right molar shows that the a...
Dr. Zeng Guanghui reply Dentistry
1. The treatment for periodontal disease primarily involves the thorough removal of dental plaque and calculus from the tooth roots and the surrounding periodontal pockets, with the aim of reducing the depth of these pockets. Traditionally, in addition to regular dental cleanings...[Read More] Understanding Periodontal Disease Treatment: Expert Insights and Options
Understanding Gum Recession and Exposed Tooth Roots: A Patient's Journey
Hello Doctor, I had almost a full mouth of dental bridges at a very young age. Last year, I started experiencing issues with my upper teeth, and I also have Class III skeletal malocclusion. In early 2022, I had the dental bridges removed and received individual temporary crowns f...
Dr. Lin Jiayong reply Dentistry
Hello: Surgical procedures inherently carry many risks and uncertainties, so it is advisable to communicate clearly with you before the operation. 1. If the orthognathic surgery has been successful, it is recommended that you relax, as the most challenging part has been overcome,...[Read More] Understanding Gum Recession and Exposed Tooth Roots: A Patient's Journey
Related FAQ
(Dentistry)
Root Canal Treatment(Dentistry)
Root Fracture(Dentistry)
Periodontal Disease(Dentistry)
Occlusal Splint(Dentistry)
Post-Extraction(Dentistry)
Tooth Mobility(Dentistry)
Tooth Trauma(Dentistry)
Crown Lengthening(Dentistry)
Retained Tooth(Dentistry)