Tooth Root Indentations: Causes and Urgency in Dental Care - Dentistry

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The root of the tooth is recessed, resulting in uneven heights?


The incisors and the two adjacent teeth have horizontal indentations at the root, are yellowish, and are not painful.
The gums are also receding.
What could this condition be? Is it still okay to see a dentist in two weeks, or should it be addressed immediately? Is there a risk of fracture?

Hong, 20~29 year old female. Ask Date: 2022/09/11

Dr. Lin Jiayong reply Dentistry


Hello: It may be due to dental root caries or excessive wear from brushing too hard.
It is recommended to address this issue within two weeks.

Reply Date: 2022/09/11

More Info


Tooth root indentations, especially when accompanied by discoloration and gum recession, can be indicative of several dental issues that warrant attention. The yellowish appearance you describe at the root of your front teeth, along with the gum recession, could suggest a few potential problems, including dental erosion, periodontal disease, or even the presence of dental calculus (tartar) that has accumulated over time.


Causes of Tooth Root Indentations
1. Gum Recession: This occurs when the gum tissue pulls back from the teeth, exposing more of the tooth or the tooth root. This can happen due to various factors, including aggressive brushing, periodontal disease, or even genetic predisposition. When the gums recede, the roots of the teeth become exposed, which can lead to sensitivity and increased risk of decay.

2. Dental Erosion: This is the loss of tooth enamel due to acid exposure, which can come from dietary sources (like citrus fruits and sodas) or from acid reflux. When enamel wears away, it can lead to indentations and sensitivity.

3. Periodontal Disease: This is an infection of the gums that can lead to gum recession and bone loss around the teeth. If left untreated, it can progress and lead to tooth mobility and loss.

4. Dental Calculus: If plaque is not removed through regular brushing and flossing, it can harden into calculus, which can irritate the gums and lead to recession.


Urgency of Dental Care
Given that you are experiencing visible changes in your teeth and gums, it is advisable to seek dental care sooner rather than later. While you mentioned that the condition is not painful, the presence of yellow discoloration and gum recession can indicate underlying issues that may worsen over time.
If you wait two weeks to see a dentist, it may not be too late to address the problem, but delaying treatment could lead to further complications. For instance, if periodontal disease is present, it can progress and lead to more significant gum and bone loss, potentially resulting in tooth mobility or even loss.

Potential Consequences of Delaying Treatment
1. Increased Sensitivity: As the roots become more exposed, you may experience increased sensitivity to temperature changes or certain foods.

2. Risk of Tooth Loss: If the underlying cause is periodontal disease, delaying treatment can lead to further deterioration of the supporting structures of the teeth, increasing the risk of tooth loss.

3. Complications in Treatment: The longer you wait, the more complex the treatment may become. Early intervention can often lead to simpler and more effective treatment options.


Recommendations
1. Schedule an Appointment: It is recommended to see a dentist as soon as possible. They can perform a thorough examination, possibly including X-rays, to determine the extent of the issue.

2. Maintain Oral Hygiene: In the meantime, ensure you are maintaining good oral hygiene practices. Brush gently with a soft-bristled toothbrush, floss daily, and consider using an antibacterial mouthwash to help reduce plaque buildup.

3. Avoid Irritants: Try to avoid acidic foods and beverages that can exacerbate enamel erosion and gum irritation.

In summary, while you may not be experiencing pain, the presence of indentations and discoloration at the root of your teeth, along with gum recession, is a sign that you should seek dental care promptly. Early intervention is key to preventing further complications and ensuring the health of your teeth and gums.

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