Length of wisdom tooth roots
Eight years ago, the nerve of my first molar was removed.
Recently, I noticed a gum abscess developing around the first molar and I am considering orthodontic treatment to extract the first molar and replace it with a horizontal wisdom tooth.
However, the orthodontist mentioned that the roots of my wisdom teeth are not long enough for the correction.
Is it possible for the roots to continue growing?
Tomm, 20~29 year old female. Ask Date: 2023/08/31
Dr. Lin Jiayong reply Dentistry
Hello: "However, the orthodontist said that the roots of my wisdom teeth are not long enough for orthodontic treatment." It is recommended to consult 2 to 3 orthodontists, and if they all provide similar opinions, it is advisable to consider alternative treatment plans.
Reply Date: 2023/08/31
More Info
When it comes to the growth of wisdom tooth roots, it is important to understand the biological processes involved in dental development. Wisdom teeth, or third molars, typically emerge in late adolescence or early adulthood. By this time, the roots of these teeth are usually fully formed. Once a tooth has erupted and its roots have developed, they do not continue to grow in length. This means that if your orthodontist has indicated that your wisdom tooth roots are not long enough for orthodontic correction, it is unlikely that they will grow further.
In your case, since you mentioned that your first molar had undergone root canal treatment eight years ago and is now experiencing issues such as the formation of a gum abscess, it is crucial to address these concerns before proceeding with orthodontic treatment. The presence of an abscess indicates an infection, which can complicate both the extraction of the first molar and the potential use of the wisdom tooth as a replacement.
The decision to extract a tooth, especially one that has been treated with a root canal, should be made with careful consideration of several factors. These include the health of the surrounding teeth, the condition of the gums, and the overall alignment of your bite. If the wisdom tooth is positioned horizontally, it may not provide adequate support or alignment for the dental arch, which is essential for effective orthodontic treatment.
Moreover, the impact of missing teeth on the surrounding dental structure cannot be overlooked. When a tooth is lost, the adjacent teeth may drift into the empty space, leading to misalignment and potential bite issues. This is particularly relevant in your situation, where you have expressed concerns about the stability of your upper molar due to the absence of the lower counterpart.
In terms of orthodontic treatment, several factors can influence the success of the procedure. These include the health of the periodontal tissues, the amount of bone available for anchorage, and the overall alignment of the teeth. If there are remnants of tooth roots or other dental structures that could interfere with the movement of the teeth, these issues must be addressed prior to starting orthodontic treatment.
If your orthodontist has recommended consulting with multiple specialists, it may be beneficial to seek second opinions. Different practitioners may have varying approaches to treatment, and obtaining multiple perspectives can help you make a more informed decision regarding your dental health.
In summary, wisdom tooth roots do not continue to grow once they have fully developed. If your orthodontist has indicated that your wisdom tooth roots are insufficient for correction, it is essential to explore other treatment options. Addressing any underlying dental issues, such as infections or misalignments, should take precedence before considering orthodontic treatment. Always consult with qualified dental professionals to ensure that you receive the best possible care tailored to your specific needs.
Similar Q&A
Can Impacted Wisdom Teeth Be Corrected with Orthodontics?
Can impacted wisdom teeth be guided to grow in the correct direction through orthodontic treatment? (Currently, I have no cavities in my teeth.) Thank you for your response.
Dr. Lin Jiayong reply Dentistry
Hello: If the wisdom tooth is impacted, it indicates that there is originally no space for it to grow. To extract it, it may be necessary to remove the adjacent healthy teeth to create space. It is recommended to discuss your true treatment goals with an orthodontist before consi...[Read More] Can Impacted Wisdom Teeth Be Corrected with Orthodontics?
Understanding Retained Tooth Roots: Implications for Dental Health
Hello, I have a few questions for the doctor. I recently had my wisdom teeth extracted, but due to the angle of the tooth roots being too close to the nerve, my dentist left the roots embedded in the gum. Will these roots continue to grow? Since they are located deep inside, will...
Dr. Gao Zhijian reply Dentistry
The tooth root will not continue to grow longer and will not cause cleaning difficulties in the future. In principle, if the wisdom tooth is clean and free of infection before extraction, leaving the root inside should not pose a problem. However, it is necessary to evaluate the ...[Read More] Understanding Retained Tooth Roots: Implications for Dental Health
Can a Tooth Root Regrow After Breaking? Dental Repair Options Explained
If a tooth is broken down to just the root, it will not continue to grow. However, if you visit a dentist, they may be able to restore the tooth using various methods, such as dental crowns or other restorative materials, to fill in the missing parts of the tooth.
Dr. Zhang Xiangyuan reply Dentistry
Dear user, based on your description, it is recommended that you consult a dentist to evaluate whether the tooth root can be treated and if the tooth can be preserved. If it cannot be preserved, the dentist will determine if extraction is necessary. Thank you for your inquiry.[Read More] Can a Tooth Root Regrow After Breaking? Dental Repair Options Explained
Can Wisdom Teeth Grow Back After Extraction? A Dental Inquiry
Hello Dr. Chang: Three years ago, I had my lower left wisdom tooth extracted. Recently, the gums in that area have been frequently swollen and inflamed. When I visited the dentist, I discovered that there is still a crooked tooth (very intact) inside. The doctor didn't belie...
Dr. Zhang Xiangyuan reply Dentistry
Dear user, based on your description, you had your lower left wisdom tooth extracted three years ago. Recently, you are experiencing gum inflammation, and upon examination, it was found that there is still a wisdom tooth present. It is recommended that you consult a dentist for X...[Read More] Can Wisdom Teeth Grow Back After Extraction? A Dental Inquiry
Related FAQ
(Dentistry)
Wisdom Teeth(Dentistry)
Post-Wisdom Tooth Surgery(Dentistry)
Root Fracture(Dentistry)
Crown Lengthening(Dentistry)
Tooth Alignment(Dentistry)
Gingivitis(Dentistry)
Malocclusion(Dentistry)
Apicoectomy(Dentistry)
Pediatric Dentistry(Dentistry)