The tooth root exhibits a serrated appearance?
Director: Hello, I recently changed my dentist, and after reviewing my dental X-rays, they diagnosed me with periodontal disease.
They mentioned that the portion of my tooth roots covered by the gum tissue appears serrated, which they attributed to my use of interdental brushes.
They advised against using interdental brushes and suggested that I should undergo a procedure to incise the gum tissue, smooth out the serrated areas, and allow the gum tissue to recede closer to the alveolar bone.
This would expose more of the gaps between my teeth, making them easier to clean in the future.
My previous dentist recommended using interdental brushes and tried to clean deeply into the gum area during cleanings.
I feel that the serrated areas might also be a result of the cleanings, as I only used interdental brushes infrequently and on a few teeth.
Could you please advise me on the following: (1) Do I need to smooth out the serrated portions of the tooth roots? (2) Is it appropriate to allow the gum tissue to recede, exposing more of the tooth roots? (3) Are interdental brushes suitable dental hygiene tools? (4) Can regular dental cleanings alone improve periodontal disease? Thank you!
yh, 50~59 year old female. Ask Date: 2005/05/14
Dr. Liu Tiancai reply Dentistry
Hello: Improper brushing can lead to gum recession, and if you notice a serrated appearance at the root area, it is essential to improve your brushing technique.
If there is no periodontal disease (which is defined as having a periodontal pocket depth greater than 5mm; generally, healthy teeth have a pocket depth of 1-3mm), there is no need for gingival flap surgery, nor is it necessary to smooth the serrated areas of the roots.
Using interdental brushes for oral hygiene will not cause serrated appearances on the roots.
If there are larger gaps between the teeth, using an interdental brush is a very effective cleaning tool.
If periodontal disease is already present, simply having a dental cleaning will not resolve the condition; further treatment is required, such as subgingival scaling and periodontal surgery.
This response is provided by Dr.
Peng Fu-Yu, Dentist.
Reply Date: 2005/05/14
More Info
Hello! Thank you for your detailed questions regarding your dental health. It sounds like you are dealing with some complex issues related to periodontal disease and the condition of your tooth roots. Let’s address your concerns one by one.
1. Do you need to smooth the jagged part of the tooth root?
The jagged appearance of your tooth roots could be a result of periodontal disease, which often leads to the loss of bone and gum tissue around the teeth. If the jagged edges are causing irritation to the surrounding gum tissue or if they are contributing to further periodontal issues, smoothing them out may be beneficial. This procedure, often referred to as root planing, can help reduce inflammation and promote healing. However, this decision should be made in consultation with your dentist, who can assess the specific condition of your teeth and gums.
2. Is it appropriate to allow the gum tissue to recede, exposing more of the tooth root?
Allowing the gum tissue to recede further to expose more of the tooth root is generally not advisable. Exposing more of the root can lead to increased sensitivity and a higher risk of decay, as the root surface is more susceptible to cavities compared to the enamel-covered crown of the tooth. Instead, your dentist might consider procedures such as gum grafting to cover exposed roots and protect them from further damage.
3. Is the interdental brush an appropriate cleaning tool?
Interdental brushes can be an effective tool for cleaning between teeth, especially for individuals with larger gaps or spaces between their teeth. They can help remove plaque and food particles that regular brushing might miss. However, if your dentist has advised against their use due to your specific dental condition, it’s essential to follow their guidance. Each patient’s dental needs are unique, and what works for one person may not be suitable for another.
4. Can regular dental cleanings improve periodontal disease?
Regular dental cleanings are crucial in managing periodontal disease. While they can help remove plaque and tartar buildup, which are primary contributors to gum disease, they may not be sufficient on their own for more advanced cases. Depending on the severity of your periodontal disease, additional treatments such as scaling and root planing, antibiotics, or even surgical interventions may be necessary. Your dentist will be able to provide a tailored treatment plan based on the extent of your condition.
In summary, it’s essential to maintain open communication with your dentist about your concerns and treatment options. If you feel uncertain about the recommendations provided, seeking a second opinion from another dental professional can also be beneficial. Remember, managing periodontal disease often requires a comprehensive approach that includes good oral hygiene practices at home, regular dental visits, and possibly more advanced treatments depending on your specific situation.
Take care of your dental health, and don’t hesitate to reach out to your dental care provider with any further questions or concerns!
Similar Q&A
Understanding Potential Tooth Root Fractures: Diagnosis and Treatment Options
Hello Doctor, in April 2022, I had root canal treatment and a crown placed on my second-to-last lower right molar. I had no issues eating until October 2022, when I started experiencing soreness when biting down. I consulted a specialist in microscopic endodontics, who noted some...
Dr. Lin Jiayong reply Dentistry
Hello: Based on what you described, it is indeed possible that there is an issue at the junction of the two tooth roots. 1. A cone beam CT scan can be performed to confirm if there is a fracture (this will also incur additional costs). 2. After removing the crown, we can check if...[Read More] Understanding Potential Tooth Root Fractures: Diagnosis and Treatment Options
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 Injuries: Causes, Symptoms, and Treatment Options
Hello: I accidentally punctured my gums with the rounded plastic tip of my toothbrush, which was very painful and caused bleeding. It has not healed for 2 to 3 months and has turned into an abscess. I consulted two different clinics, and they provided conflicting diagnoses: 1. pu...
Dr. Qiu Qiongyao reply Dentistry
Mr. Chen: Hello, in response to your inquiries, please find the following information: 1. In root canal treatment, the apex may show a radiolucent area on the X-ray. 2. An ulcer that has not healed for 2-3 months should be further evaluated by an oral surgeon to assess the possib...[Read More] Understanding Gum Injuries: Causes, Symptoms, and Treatment Options
Managing Horizontal Root Fractures: Risks and Treatment Options
About five days ago, I suddenly experienced severe pain in the fourth tooth on the right side of my upper front teeth when drinking water or eating. The next day, the pain shifted to my gums, which became swollen and painful, making it difficult to chew. I also had fever symptoms...
Dr. Lin Jiayong reply Dentistry
Hello: The treatment depends on the depth of the crack and whether the pulp chamber has been affected. Based on your description, it seems that there is a significant degree of pulp inflammation. It is recommended to have a dentist evaluate whether extraction is necessary. If the...[Read More] Managing Horizontal Root Fractures: Risks and Treatment Options
Related FAQ
(Dentistry)
Tooth Root(Dentistry)
Tooth Trauma(Dentistry)
Teeth Grinding(Dentistry)
Gingivitis(Dentistry)
Gum Recession(Dentistry)
Occlusal Pain(Dentistry)
Retained Tooth(Dentistry)
Tooth Alignment(Dentistry)
Post-Extraction(Dentistry)