Should You Remove a Tooth Root Left Behind for Years?

Do tooth roots need to be treated?

I have a tooth that I forgot the reason for its loss; it simply fell out and left a root fragment, which has been there for over twenty years.
In this situation, does the root fragment need to be extracted? If left untreated, will there be any complications? Thank you for your response, doctor.

momo, 40~49 year old female. Ask Date: 2009/06/22

Dr. Zhuang Suhui reply Dentistry

The residual root itself is a site prone to infection, so it is best to extract it.
Otherwise, during times of reduced immunity, inflammation and pain are likely to occur.
Additionally, the adjacent teeth may tilt towards the direction of the residual root, and the opposing teeth may over-erupt, similar to the situation of an untreated missing tooth.

Reply Date: 2009/06/22

More Info

When it comes to the question of whether to remove a tooth root that has been left behind for many years, there are several factors to consider. The presence of a retained tooth root, especially one that has been in place for an extended period, can lead to various complications, although it may not always necessitate immediate removal.

Firstly, it is essential to understand that tooth roots can remain asymptomatic for years, as you have experienced. However, just because there are no immediate symptoms does not mean that there are no potential risks associated with leaving a root in place. Over time, retained roots can become a site for infection, especially if they are not properly sealed or if there is any residual decay. This can lead to the development of periapical lesions or abscesses, which can cause pain and may require more invasive treatments later on.

Moreover, the presence of a retained root can complicate future dental procedures. For instance, if you decide to get dental implants or other restorative work done in the area where the root is located, the root may interfere with the placement and success of these treatments. Additionally, if the root is in close proximity to vital structures such as nerves or sinuses, it could pose a risk of damage during future dental work.

Another consideration is the potential for bone loss. The body naturally resorbs bone around a tooth root that is no longer functional. If the root is left in place, it may prevent the normal resorption process, which could lead to changes in the surrounding bone structure. This can affect the stability of adjacent teeth and the overall health of your jawbone.

In terms of your specific situation, it would be prudent to consult with a dental professional who can evaluate the retained root through clinical examination and imaging studies, such as X-rays. They can assess the condition of the root, the surrounding bone, and any potential signs of infection or other complications. Based on this evaluation, they can provide personalized recommendations on whether the root should be removed or if it can be safely left in place.

If the decision is made to remove the root, it is generally a straightforward procedure, especially if it has been asymptomatic. However, if there are concerns about the root's condition or its relationship with surrounding structures, your dentist may refer you to an oral surgeon for a more specialized evaluation and treatment.

In conclusion, while a retained tooth root may not cause immediate issues, it is essential to monitor its condition and consider the potential long-term implications. Regular dental check-ups and open communication with your dentist will help ensure that any changes in your oral health are addressed promptly. If you have any concerns or experience any new symptoms, it is advisable to seek professional advice as soon as possible.

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