Root Resorption: Risks and Treatment Options for Your Teeth - Dentistry

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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.

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