Home Endocrinology How to remove roots from gums. Removing the root of a damaged or rotten tooth: does it hurt, the removal process. Features of pain relief for a tooth with a rotten root

How to remove roots from gums. Removing the root of a damaged or rotten tooth: does it hurt, the removal process. Features of pain relief for a tooth with a rotten root

Visiting the dentist's office is an ordeal for many people. Patients believe that root removal is accompanied by pain, as well as mandatory cutting and suturing of the gums. However, modern methods, instruments and materials allow the operation to be performed with virtually no discomfort or complications.

Is it necessary to remove the root of a decayed tooth?

When there is no dental crown, but there are roots in the gum, you need to determine what condition they are in. The coronal part can be destroyed both on a tooth with a nerve and on a pulpless one. If the roots of a tooth are severely damaged, it cannot be restored. The dentition is restored by installing an implant or bridge after removing fragments of the unit.

Should teeth be removed if they don't hurt? Patients often turn to dentists with the following symptoms: a tooth has crumbled to the base and rotted, but the person is not bothered by pain. The strength of the immune system allows you to contain the spread of infection for a certain time, but there comes a time when acute inflammation occurs, accompanied by swelling. Then you can lose both the destroyed unit and its neighbors.

Absolute indications for removal

Amputation of the rotten root is mandatory, since it is a breeding ground for infection. The problem is not only bad breath - bacteria multiply in the remains of the unit, supragingival or subgingival calculus is present on them, which causes gum inflammation. Almost always, the tops of the roots are infected, which can cause a granuloma to form, which subsequently leads to gumboil (we recommend reading:). You can see what a decayed tooth looks like in the photo.

Removal is indicated in cases:

periodontal diseases;
if the tooth is loose;
the presence of a cyst, abscess;
caries damage;
complex tooth fracture;
the presence of fragments deeply stuck in the hole;
atypical position of the unit.

Removal of wisdom tooth roots is almost always required. These are far located molars, for which there is no way to properly care, so the “eights” are quickly destroyed. Wisdom teeth often cause displacement of other units and constant inflammation due to cheek biting. Units are saved if they have grown correctly and are not too damaged. A crown is placed on the wisdom tooth or used for further restoration of the row using a bridge.

When can you leave the root if the tooth is crumbled?

If possible, dentists strive to save at least one root of a damaged multi-rooted tooth. It can become a support for the crown, thanks to which the unit will continue to perform its functions.

If a wall or only a root is present due to the loss of the filling of a pulpless tooth or the chipping of a piece of it, the remaining parts can be preserved. This is done in cases where the root or surrounding tissues are not susceptible to pathological processes.

The dentist uses conservative and conservative-surgical treatment methods. In the first case, the root is filled, and after therapy the unit is restored using a pin or stump inlay. A crown is placed on a metal base, which will allow the tooth to fully perform its function.

A conservative surgical technique is required if there is inflammation at the apex of the root canal. The operation is carried out within half an hour - the doctor cuts off the top of the root.

Sometimes, in case of inflammation, it is possible to avoid surgical intervention - the doctor injects an anti-inflammatory drug into the canal. The product can remain in it from 2-3 months to 1-2 years, during which time the bone near the apex of the root is restored. However, with significant loss of bone tissue, specialists often resort to surgical methods to preserve tooth remains.

How is the root removed?

Many patients are interested in the question of how roots are removed, because you need to prepare for the procedure not only physically, but also mentally. If a tooth has rotted, several methods can be used to extract it:

Preparing for surgery

If a tooth has decayed and the patient decides to undergo surgery, it is necessary to prepare for it. The person undergoes a complete examination of the oral cavity. Soft deposits and stone are removed from the teeth adjacent to the diseased unit.

Immediately before the procedure, the dentist examines the mucous membrane for inflammation or suppuration. He performs hygienic treatment of soft tissues to prevent the penetration of microbes into the wound that remains after the intervention. The patient rinses his mouth with Eludril or Chlorhexidine - this kills 90% of pathogens.

Additional treatment will be required before complex tooth root removal. The doctor wipes the patient's face with alcohol or Chlorhexidine. A cape is placed on the chest to protect clothing from possible contact with saliva, blood, etc. The manipulation will not hurt - the method of anesthesia is selected at the preparation stage, based on the patient’s age, allergies and various diseases. If the root is deep, a soft tissue incision will be required.

Required Tools

To remove a decayed tooth, doctors use several types of instruments:
(we recommend reading:)

Forceps. There are different types of forceps, including separate instruments for the lower and upper jaws, devices for root extraction when mouth opening is limited, etc.
Elevators. Each type of instrument (straight, angular, etc.) is intended for a separate group of teeth.
Drill. The device is necessary for sawing the tooth and removing the roots or parts thereof.

Amputation process

The operation begins by peeling away the tissue around the unit. Tooth root amputation is performed using certain working methods:

The choice of root removal method is influenced by the degree of tooth damage and the presence of transformations in the bone tissue. If the root is rotten and the bone is slightly deformed due to inflammation, then a specialist will only need forceps for extraction. They are applied at the final stage after separation of the alveoli and gums. When this instrument fails to cope with the task, the doctor uses an elevator.

What to do if the tooth has rotted down to the gum (more details in the article:)? In this case, a drill is used. The device allows you to cut the unit into pieces, then each piece is removed separately. The fragments are removed with another tool. When extracting a wisdom tooth, additional devices are used (we recommend reading:).

If the root is pulled out before it is completely destroyed, the operation will be simple. The procedure usually takes about 10 minutes. Extraction in people over 40 years of age is quite easy, since the alveolus atrophies and a focus of inflammation forms - the body independently rejects a piece of the remaining tooth. When it is planned to remove several roots, the procedure is considered complex.

It is quite rare to resort to amputation of the subgingival part of the unit while preserving the crown. It is carried out when a cyst or granuloma forms, when there is a chance to save most of the unit.

Possible consequences

Complications after extraction of a tooth or root are a phenomenon that occurs due to the doctor’s lack of experience or his negligence. If a unit falls out due to injury, it is worth taking an x-ray so that the doctor can make sure that there are no fragments left in the hole. During the procedure, the following may occur:

Breaking off the top of the root. There is blood coming from the wound, so the fragments are not always visible. The specialist should prescribe a repeat removal.
Fragment stuck deep in the hole. Part of the tooth cannot be seen without an x-ray; it is covered with epithelial tissue and does not bother you at first. Subsequently, the capsule of fibrous tissue and fragment provokes the formation of an abscess or phlegmon.
Pieces of bone become lodged in soft tissue. This is a local complication; fragments can often be removed on your own or in a doctor's office under anesthesia (without cutting tissue).

Do I need to remove the remaining tooth fragments? Leaving them in the wound is unacceptable, as this can lead to unpleasant consequences:

What to do if there is a piece left after removal?

If there is a fragment left in the gum, you should not delay visiting a doctor. The specialist will remove residual fragments and treat the wound with an antiseptic. The operation is performed in two ways:

when the fragment is on the surface, extraction is carried out in a few minutes with a special tool;
if the piece is located deep, an incision is made in the gum to extract it.

Sometimes doctors are faced with a situation where the splinter is overgrown with gums - it is completely covered with mucous membrane. In this case, treatment is carried out in several stages:

Is it possible to pull out a rotten tooth root at home?

There are many videos on the Internet showing how people try to pull out teeth at home. Is it worth experimenting on yourself so cruelly? Attempts at self-removal can lead to unpredictable consequences for a number of reasons:

choosing an anesthetic and correctly injecting it in the right dose into the gums is very problematic without medical education;
It is difficult to maintain sterility at home, so the risk of infection in the wound is high;
improper tissue incision can cause serious bleeding;
Without the use of anesthesia, painful shock is possible.

While it is still possible to remove a strong, whole tooth, a rotten root cannot be extracted. The crown of the tooth or its subgingival part may crumble, fragments will get stuck in the socket, decomposing and infecting the surrounding tissues. Dentists categorically do not recommend trying to remove not only permanent, but even baby teeth on your own.

The decision about whether to pull out the root of the tooth is made by a specialist. A preliminary examination is carried out. Most often, the root of a decayed tooth has a dead nerve. For this reason, it does not cause big problems.

Main indications for removal:

aching and sharp twitching pains;
slight swelling of the gums near the root;
inflammation;
root destruction;
cyst.

If it is possible to restore a tooth, it is best not to remove the roots, but to begin treatment. You can install a special pin and install an implant. Using the capabilities of modern medicine, you can try to grow a tooth. Even if there is an inflammatory process, specialists will carry out therapeutic therapy, after which they will move on to prosthetics.

Dentists often observe the following picture: the patient has one or more teeth that are so destroyed that it is difficult to call them teeth, but they do not look like roots. This can happen when, for certain reasons, fillings fall out and there is practically nothing left of the tooth.

Conservative intervention will be required if inflammation and swelling occur, or a cyst has formed. If the situation is less painful, you can save the root, clean the canals, try to put a new filling or extend the tooth. If the patient wishes to undergo prosthetics, the root will have to be pulled out.

In most cases, it is necessary to remove the root or its remains. Dental surgery is recommended if the root has begun to decay. If the procedure is not carried out on time, this can lead to complications.

Why is it important to remove tooth roots?

Dentists are confident that it is impossible to walk around for years with remnants of the root, which gradually begin to rot. It is imperative to get rid of them, and the sooner the better. The reason is simple: the remains of decaying roots are the concentration of infection, and the more of it, the worse the situation for the entire cavity.

Gradually, bad breath may develop. Rotten roots collect food debris, dust and plaque near themselves. Because of this, other teeth and gums suffer. In most such cases, inflammation and irritation occur, and a cyst may form. If you start the process and do not remove the root, sooner or later the body’s protective functions will fail, the infection will begin to spread, and swelling will occur.

Preparation for the procedure

How to properly remove the root of a tooth if the tooth is destroyed? The preparatory process includes a preliminary examination of the oral cavity and the root itself. At this phase, the specialist selects the necessary painkiller depending on age, the presence of serious illnesses, and allergies.

The doctor selects an instrument that will be more convenient to work with. Before surgery, you need to examine your gums for inflammation. This will help you create a clear action plan. The dentist performs the operation wearing gloves and a mask. After removing the root, oral hygiene is performed. Sometimes it is necessary to remove tartar or plaque from a number of teeth.

If the patient is undergoing a major operation, the face is additionally disinfected. Often, an incision is made in the gum before removal, especially if the root is deep in the socket.

Tools used

How is a tooth destroyed at the root removed? To perform tooth root removal surgery, the following is used:

syringes;
various elevators;
drill.

Depending on which tools were selected, the appropriate methodology is selected. To perform the operation efficiently, it is advisable to detach the circular ligament. Removal methods also depend on where exactly the root is to be removed.

The following methods are mainly used:

Pulling out with forceps. If you want to remove the upper root, you need to select forceps with straight ends; for the lower roots, a beak-shaped instrument is suitable. Bayonet forceps can be used for both upper and lower teeth.
Rotation. A different rotation is used only for a tooth with one root. A multi-rooted tooth must be dislocated.
Removing the root using an elevator. The tool is carefully inserted between the roots, in this case it acts as a lever.

Difficulty removing

The following situations complicate the work of a dentist:

the tooth is too fragile;
the patient cannot open his mouth wide enough;
saliva is produced intensively;
The patient suffers from high blood pressure.

Tooth root removal is performed under local anesthesia. The patient does not feel pain; slight discomfort and a feeling of pressure are possible. Depending on the complexity of the procedure, an anesthetic drug is selected.

Is it painful to remove the root?

Is it painful to remove the roots of a decayed tooth? In most cases, there is no pain during surgery. This is only possible if the doctor chooses the wrong painkiller or starts the removal procedure when the drug has not had time to take effect.

Some dentists use two types of anesthetic and administer them a short distance apart. The patient may feel slight pressure when twisting the root, an unpleasant and unusual sensation, nothing more. How to remove the root of a tooth if the tooth is destroyed, without pain? Of course, you need to contact a good specialist. Don’t put off going to the doctor, because the consequences can be disappointing.

Important to know

If it is not possible to remove the root using forceps, an elevator can be used. This happens if the root is too far away. The elevator operates on the principle of a lever. The instrument is inserted between the tooth and the hole, the root is twisted out and an attempt is made to reach it. If the root appears partially on the surface, it is grabbed with forceps and removed. The tool, which has an angular shape, is used to remove the lower roots and their remains. A bayonet elevator is used to extract wisdom teeth.

The drill is used if there are tooth fragments inside the gums or there are curved thin roots. Neither tongs nor an elevator will help here. The procedure can last several hours.

After successful removal of the root, it is washed with an antiseptic, and a special medicine is applied to the painful area to help prevent inflammation. The mucous flap must be put in place and sutures applied. This will help prevent bleeding. After about a week, the stitches are removed. The patient is prescribed painkillers and antibiotics.

The root removal procedure may be accompanied by the following complications:

nerve damage, especially at risk for patients who have their wisdom teeth pulled out;
jaw dislocation;
damage to adjacent teeth;
penetration of bone particles into the socket;
inflammation of the socket;
excessive bleeding, which may occur due to rupture of blood vessels.

If you carry out a competent diagnosis, select the necessary painkiller, perform the operation correctly and then follow the doctor’s recommendations, the wound will heal quickly and the whole process will be painless.

How to remove the root of a tooth if the tooth is destroyed, at home

If the patient did not want to visit the dentist when the tooth was slowly decaying, he will not want to visit him to remove the root. Sometimes a patient may think about how to remove the root of a tooth, if the tooth is destroyed, at home.

On the one hand, it may seem that cutting the gum and pulling out the root is not at all difficult. A few movements and you can forget about the problem forever. However, trying to do this at home is not recommended. There are several reasons for this:

It is very problematic to choose the right painkiller yourself; in this case, it is necessary to correctly inject the drug into the gums, wait a certain time, and repeat the steps if necessary. A person who does not have special knowledge will make a mistake in any case.
During an incision, infection can easily occur, and this can lead to the development of an infection. It is difficult to maintain complete sterility at home.
If the incision is made incorrectly, it will lead to serious damage and severe bleeding.
It will not be possible to completely remove the root; small fragments will definitely get inside the hole, which will decompose, infect and damage the tissue.
If anesthesia is not used, the process will be very painful, this can lead to painful shock and stress shock.

Now you know how to remove the root of a tooth if the tooth is destroyed. This procedure is not a complicated operation. Even if the tooth is completely destroyed, an experienced specialist will select the right painkiller and carry out the procedure quickly and efficiently. There is no need to be afraid of pain; modern medicine excludes this possibility.

Just one visit to the dentist is enough, and the problem that has been tormenting the patient for a long time can be forgotten forever. Under no circumstances try to repeat the procedure at home, otherwise you will not get rid of the problem, but will only worsen it.

fb.ru

1. Forced measure

Unfortunately, there is almost no case where a person has preserved the entire upper or lower chewing row, in cases where there were serious problems with the teeth. There are forced situations when the tooth root remains, and we need to part with the hard element that helps us chew food.

Why is this happening? Because the hard outer tissue is severely damaged by caries, and gradually causes the poor condition of the part that holds the hard elements. In this case, the tooth root is removed.

The procedure is necessary to eliminate the process of inflammation inside the gums.

Complication in soft tissues due to infection, swelling of the gums

Let's consider when it is better to remove a tooth root

with a significant absence of the entire part of the chewing element due to its destruction or injury;
in case of poor or inflamed condition of the internal part.

What happens if the tooth root is not removed?

Since conditions for pronounced problems can be created, it is necessary to urgently remove the rotten tooth root. In the opposite case, local and general deterioration of the person’s condition appears.

2. The question that interests everyone is when a tooth root is removed, does it hurt?

There is no need to worry that you will feel anything during the procedure.

Before the tooth root is removed, only certain painkillers used for this are selected. In modern dentistry, there are special anesthetic compositions specifically for this manipulation.

Due to severely damaged tissues of the hard element or even missing ones, the root remains broken off inside the gum. Sometimes we, left alone with the problem, think whether it is necessary to remove the roots of the teeth in this condition. Moreover, if there are no nerves in them, they don’t bother you. But this is only a certain period of time when there is a lull. Over time, an infection will get inside and this will cause a reaction in the form of inflammation.

Broken chewing element, with the remaining internal part (root)

Don't think that if you have a piece of debris left, it will be difficult to remove. There are many such cases. Let's look at how a tooth without walls is removed, and what is used for this.

In the procedure for extracting the inner part of the chewing element, one thing is important: the ability to grasp it with a tool (forceps). If difficulties arise, instruments are used to move away the covering tissue near the hard part.

How is the root of a tooth removed if the tooth is destroyed?

To do this, the tissues are peeled off and deepened from the outer part by no more than 1 cm.
Before tooth roots are removed, if the tooth is damaged, they may need to be rocked.
When the remains of a hard element are located far from the outer side of the gum (deeper than usual), a spatula is used. Under the force of rotation and pressure of the tool, the residues are removed by pushing out.
The effect on the remains of the tooth is supplemented by sawing parts with a drill (if necessary).

3. Complications during tooth extraction, the root remains, consequences and other problems

Bleeding may occur after the procedure and must be stopped. Considering the traumatic nature of how a tooth is removed, if only the root remains, the gums may be severely damaged or a splinter may remain there. Trauma to the hole or infection leads to alveolitis (inflammation).

Considering all the options for how to remove the root of a tooth if the tooth is destroyed, the doctor will first of all choose the path in which it will be possible to reach it with a tool and injure everything there as little as possible. But it is impossible to plan some situations, even with the high professionalism of a specialist.

This could be nerve damage or damage to the jaw bone. Such consequences include damage to nearby chewing elements and penetration into the maxillary cavity.

paradent24.ru

Why remove tooth roots?

The question of installing an implant or restoring a tooth is usually decided when the roots of the tooth are healthy - in such cases, the doctor fills the canals, restores the crown with a pin, or together with the patient evaluates the possibility of prosthetics.

If the crown of a tooth is completely destroyed by caries and its restoration is impossible, the roots most often have to be removed - otherwise they become a source of chronic infection, leading to infection of the surrounding tissues, and if the process is neglected, of neighboring teeth and the jaw area. In addition, a cyst can develop on the root - this is not only very painful, but also difficult to treat. The appearance of a cyst is fraught with extremely unpleasant consequences - for example, rupture with the formation of phlegmon or osteomyelitis.

It often becomes necessary to remove even healthy roots if, as a result of an injury, the crown of the tooth is completely broken off - for example, if the chip partially extends under the gum or there is a high probability of infection in the canals.

The tooth roots remaining in the gums after extraction can cause significant discomfort to the patient, continuing to rot, hurt, and infect the bone tissue. In rare cases, the roots do not cause any sensation at all and are detected only on an x-ray, but more often patients feel that the root has not been completely removed. Usually, after removing a tooth, a dental surgeon immediately checks whether there are any root fragments left in the gum, and, if necessary, performs an operation to remove them.

How are roots removed?

Removal of tooth roots is performed under local anesthesia (if indicated, general anesthesia is possible). This is a less painful operation than is commonly believed, although it is quite complicated.

Typically, tooth roots are removed using special forceps, the shape of which depends on the location of the affected tooth and its structure. The condition of both the actual roots to be removed and the surrounding tissues also plays an important role.

If the remainder of the root cannot be pulled out using forceps, it can be removed with an elevator - a special tool that is inserted between the wall of the hole and the root. Roots connected to each other sometimes have to be separated using a drill and removed one by one.

Possible complications after tooth root removal are inflammation of the socket (alveolitis), bleeding, swelling. To avoid them, the doctor may prescribe antibiotics and anti-inflammatory drugs after removal.

Patients are often frightened by the upcoming procedure, but experienced dental surgeons can handle this operation without difficulty. Difficulties most often arise when removing the roots of “wisdom teeth” due to the peculiarities of their location, but for a qualified specialist this is not a problem.

www.kakprosto.ru

For most people, going to the dentist is the worst thing that can happen to them. Fear of drills makes them put off this trip as long as possible, which often leads to disastrous consequences when there is no longer any way to save the tooth. There are more dangerous moments when roots remain in the gums, leading to inflammation and abscesses. Tooth root removal is a fairly complex operation and requires the intervention of an experienced specialist.

Removing tooth roots without pain

If you are faced with a problem where a root remains after tooth extraction, then you should make sure that these remains are also removed from the gums. The roots may not bother you for a while, but over time they can cause inflammation. In this case, their removal will be difficult and even more painful.

Today, during such an operation, both local and general anesthesia are used. Therefore, there is no need to worry about severe pain. After the effect of the painkiller wears off, the pain may return and continue until the wound heals.

So, if you have a root left and it is visible above the gum, this will greatly facilitate the doctor’s work. Removing the top of a tooth root is easier because you can easily grab it with a tool and pull it out. If it is not visible, then you often have to make an incision to be able to grab it. Often such an incision in the gums is made during the removal of an overgrown tooth root. In this case, a drill is often used to cut out the remaining roots.

The stages of tooth root removal are as follows:

womanadvice.ru

What complications may arise?

May develop inflammatory process gums and ligamentous apparatus due to a chronic source of infection, which occurs if the cause of tooth destruction is caries. Inflammation of the gums can cause periodontal disease and then the inflamed and infected hole will take a long time to heal.
If tooth decay occurs due to injury, then infection of the wound surface may occur. Therefore, the remainder of the root must be urgently removed, and the damaged socket and gum must be sanitized.
Often develops pathological process surrounding tissues due to the presence of part of the root in the thickness of the bone.

How to remove tooth roots

Tooth extraction can be of varying complexity. Sometimes this is a fairly simple process, but it can get complicated:

Therefore, the removal method is selected individually, depending on the situation.

Removal with forceps

A part of the tooth protrudes above the edge of the hole from the outside and inside, which the dentist must grab with forceps. To do this, he carefully separates the gum from the root.

Sometimes the dentist has to peel off the mucous membrane and periosteum from the edge of the socket in order to properly grasp the tooth.

But if, as a result of pathological changes, bone resorption occurs, then the cheeks of the forceps can be inserted deep enough and tightly grasp the root.

Upper jaw root removal

Depending on which tooth needs to be removed, the doctor uses special forceps to delete. For example, for large molars, bayonet-shaped forceps are used. Their cheeks may move deep under the gums. Incisors and canines are removed using an S-shaped instrument.

Basically the removal is done using rotational movements. If the roots are located deep in the alveolus or are large, the dentist adds rotational movements.

If it is not possible to extract the root with forceps due to its deviation or the thick walls of the holes, then the doctor separates them with a bur.

If the root is deviated, the bottom of the tooth cavity is sawed where the buccal roots connect to the palatal roots. First, using a spherical bur, a hole is made in the interroot commissure, and then, using a fussor bur, the bottom of the tooth is sawed in the longitudinal direction. An elevator is inserted into the resulting cavity and the palatine root is dislocated. After this, it is removed with bayonet-shaped forceps.

Mandibular root removal

It is much easier to extract the roots of the lower jaw teeth, since they are shorter and have thinner socket walls.

To remove the root of a tooth in the lower jaw, dentists mainly use rib-curved forceps with thin and narrow cheeks.

It is not very easy to extract the fang. To remove it, use forceps with wider cheeks. Sometimes difficulties arise when extracting the lower molars. Often it is not possible to insert the cheeks of the forceps deeply because they slip off. Since the alveolar process is quite thick at the edges of the socket, it is not possible to apply forceps to the cheeks. Therefore, when removing lower molars, dentists often use an elevator.

Tooth root removal using an elevator

If it is not possible to remove the roots of the teeth using forceps, an elevator is used. This situation may arise if they are deep in the hole. Using forceps can damage adjacent bone tissue and mucous membrane. Elevator application less traumatic.

Removal by direct elevator

It is used to remove the upper teeth and roots of teeth that are located outside the dentition, and sometimes when extracting the lower third molar.

The elevator is inserted between the wall of the hole and the root that needs to be removed. To do this, the convex part of the cheek is located towards the wall of the hole, and the concave part should be facing the root. The dentist presses on the handle and rotates it around the longitudinal axis in both directions. Periodontal fibers break and move to the opposite wall of the socket. After the cheek of the elevator enters approximately four millimeters, the tool rests on the edge of the hole and acts as a lever. The doctor’s force is transferred to the end of the elevator, and the root is squeezed out of the alveoli.

Orthopedic dentist Martynov D.V. Personal website.
Current information about dental prosthetics and modern dentistry.

Restoration of damaged teeth

In this article we will talk about severely damaged “teeth”, of which only part of the crown or only the root remains. As a rule, these are pulpless teeth with old fillings that have fallen out, broken walls or worn-out chewing surfaces. In most cases, there is no pulp in such teeth: it is either necrotic, or the root canals have already been filled.

Causes of tooth decay

Most often, teeth are destroyed as a result of caries and its complications, or injuries.

Caries never goes away on its own. If you do not consult a dentist, the tooth will continue to decay.
Old fillings, especially cement ones, wear out over time, and there is a need to replace them. Otherwise, the tooth will be destroyed.
Depulped teeth darken and become brittle over time. It is important to cover them with crowns in a timely manner to extend their lifespan. Without this, there is a high risk of chipping part of the tooth crown.

A frivolous attitude towards these problems over time leads to significant tooth decay.

Tactics for severely damaged teeth

1. Survey and long-term assessment

First you need to decide whether to save such a tooth? This is described in detail below.

2. Restoration of the “tooth stump” of a damaged tooth using a pin or inlay.

The method of tooth restoration depends on the degree of its destruction, the age of the patient and the condition of the oral cavity as a whole. There are 2 main methods: using pins (titanium or fiberglass) or pin-stump inlays. At this stage, the doctor strengthens and restores the inside of the tooth, which will later be used as a support for an artificial crown. It may be necessary to perform root canal treatment on this tooth first.

3. Making an artificial crown for the restored tooth.

The restored tooth must be protected from further destruction. This is achieved by making a crown to cover it.

What happens if a damaged tooth is not restored?

Significantly damaged teeth are almost not involved in chewing food, since they lack a chewing surface. They simply take up space in the mouth. The chewing pressure on them is always much less than the load that is placed on healthy teeth. Under such conditions, such teeth can exist in the oral cavity for years. This is possible provided that the root canals are properly sealed. If there are pathological changes around their roots, then such a tooth is a constant source of chronic inflammation in the body. Such a focus of bacterial infection can “shoot” at the most inopportune moment. Consequently, the issue of preserving severely damaged teeth must be addressed immediately when they appear in the oral cavity.

There are only two solutions: either the tooth is preserved or removed. If it persists, then it needs to be restored. If it is removed, then it is necessary to restore the integrity of the dentition after removing a severely damaged tooth.

Should I save damaged teeth?

Today the question is not “how to restore a tooth.” Modern dentistry can restore any tooth, even one from which only the root remains. The whole question is the feasibility of such a restoration. The key factors that are important to consider when making this decision are:

1. Long-term perspective assessment.

This is the main thing to consider. As mentioned above, damaged teeth are almost not involved in chewing. In this state they can remain in the mouth for years. If the crown of such a tooth is restored, the chewing load on it will increase significantly! In a loaded state, the lifespan of this tooth will be much shorter! If the tooth canals are sealed poorly, then the increased load will lead to an exacerbation of chronic inflammation and the restored tooth will have to be removed.

2. The condition of the tissues surrounding the tooth root.

Based on X-ray data, assesses the quality of root canal filling in a damaged tooth. Quite often it is necessary to perform repeated endodontic treatment if you choose to save the tooth. This is due to incomplete filling of the root canals, or to foci of chronic inflammation around the roots of the tooth. The doctor also evaluates tooth mobility. If it is present, then it is not always advisable to save the tooth.

3. The volume of preserved hard dental tissues.

If only the root remains of the tooth, destroyed below the gum level, then the tooth is removed.
If the crown of the tooth is completely destroyed, but the remaining root is motionless and protrudes at least 2-3 mm above the gum, then it must be preserved and included in the prosthetic plan.

It is important to note that these must be healthy hard tissues. Even if part of the crown remains of a tooth, but its entire root is affected by caries, then such a tooth is removed.

It is always the patient's decision to save the controversial tooth or remove it. The doctor’s task is to assess the actual time frame for the “functioning” of such a tooth if it is restored and explain this clearly to the patient. Each case is individual and only a dentist who has carried out a complete diagnosis can draw up an adequate treatment plan. Trying to resolve this issue over the Internet is useless. The patient’s main task is to understand the potential risk of retaining such “teeth” and make a choice based on the dentist’s recommendations and their capabilities.

Restoring teeth using pins

Previously, dentists actively used titanium anchor pins. Nowadays, preferences have shifted towards fiberglass pins. In terms of their physical and mechanical properties, they are more consistent with tooth tissue than titanium. The pin is cemented into the previously expanded root canal of the tooth. After this, it is covered with a special composite material. The advantage of the method is time saving. The doctor performs the entire procedure in one visit.

Restoration of teeth using intra-root inlays

Instead of factory pins, individually made pin-stump inlays are used. They are cast in a dental laboratory from noble (gold-platinum alloy) or base (cobalt-chrome) metal alloys.

Caring for restored teeth

A restored tooth is always less reliable than a healthy one. He requires a careful attitude towards himself. Make it a habit to always use a knife and fork. This does not mean that you need to follow some kind of diet. Just try to avoid hard and rough foods: nuts, crackers, seeds. If you have had your front tooth (incisors) restored, then you should not bite off hard fruits (pears, apples) or tough meat (kebabs).

The second important rule is maintaining excellent oral hygiene. This prevents the occurrence of secondary caries, which can destroy a previously restored tooth. In this case, it will no longer be possible to save it.

What to do when you decide to remove a controversial tooth? - Prosthetics on implants

If the tooth is severely damaged and the doctor warns you about the dubious long-term prospect of its preservation, then you should think about implantation. To do this, the decayed tooth is removed and a dental implant is installed in its place. A few months after the operation, the dentist makes an artificial crown supported by this implant.

The advantage of this solution is that there is no need to prepare adjacent teeth. This would have to be done if a bridge was chosen as a permanent structure. By removing a severely damaged tooth, you have saved yourself from the potential risks of its restoration: secondary caries and exacerbation of chronic inflammation in the periodontium.

Is it possible to restore severely damaged teeth?

Teeth, like any organs of a living organism, are given to a person once and therefore require especially careful treatment, because they play a very important role at the beginning of the digestive process and are responsible for how efficiently food is crushed before it enters the gastrointestinal tract. But what to do if, due to certain circumstances (metabolic disorders, injuries, genetic predisposition, or simply poor care), teeth begin to decay? Is it possible to restore severely damaged teeth??

Restoring decaying teeth is a painstaking process, but possible. First of all, the degree of damage to the tooth tissues (root and crown) and the condition of the tissues surrounding the tooth (periodontal, mucous, jaw bone tissue) are assessed. Dentists first check how stable the tooth is and whether there are pathological processes in the areas adjacent to the tooth (inflammation, suppuration, cysts, loss of bone tissue). If the tooth root is healthy and stable, and the adjacent tissues are in order (previously treated by a periodontist), then the process of restoring the destroyed crown part of the tooth can begin. There are two ways to do this: cosmetic restoration of the crown part of the tooth and prosthetics of the crown part of the tooth.

Cosmetic restoration of the crown part of a tooth can be done using an anchor or fiberglass pin, one part of which is fixed in the root, and the other holds the filling material of the formed crown part. This form of dental restoration is suitable for teeth whose crown part is not destroyed to the base, and there are walls that will limit the mobility of the filling. Composite masses are used as filling materials, which can be applied in layers and gradually form the desired shape of the coronal part.

The disadvantage of this type restoration of damaged teeth considers their low endurance, for this reason teeth restored with composites require careful treatment, soft food and the abandonment of bad habits (crunching bones, seeds, sweets, etc.). With composite teeth you cannot bite off a piece of hard sausage, dry fish, hard biscuits, crust of bread, hard fruits and vegetables.

If the coronal part of the tooth is significantly damaged, it is recommended to cover the tooth with an artificial crown (plastic, metal-plastic, stamped steel, cast from base and precious metals, metal-ceramic, ceramic), which covers all damaged surfaces of the coronal part and restores chewing efficiency by almost 100%. Plastic structures require careful handling, as they tend to wear out and crack from excessive load on the tooth; ceramic masses do not tolerate temperature changes (sudden changes in hot and too cold foods and drinks).

Completely destroyed crown parts of a tooth with a well-preserved root are restored using pin teeth or root stump inlays. Both types of structures are made by casting. The difference between a pin tooth and a stump inlay is that in a pin tooth the crown part of the tooth is cast simultaneously, while a cast stump inlay requires subsequent placement of the selected type of artificial crown on it.

Any of the methods for restoring damaged teeth requires additional measures to regulate metabolic processes, therapy with minerals and vitamins, and also requires careful oral care so that the remaining parts of the teeth, like supports, are preserved for as long a service life as possible.

How is the root removed if it remains in the gum, but the tooth is completely destroyed and crumbled?

Is it necessary to remove the root of a decayed tooth?

Absolute indications for removal

Amputation of the rotten root is mandatory, since it is a breeding ground for infection. The problem is not only bad breath - bacteria multiply in the remains of the unit, supragingival or subgingival calculus is present on them, which causes gum inflammation. Almost always, the tops of the roots are infected, which can cause a granuloma to form, which subsequently leads to gumboil. You can see what a decayed tooth looks like in the photo.

Removal is indicated in cases:

periodontal diseases;
if the tooth is loose;
the presence of a cyst, abscess;
caries damage;
complex tooth fracture;
the presence of fragments deeply stuck in the hole;
atypical position of the unit.

When can you leave the root if the tooth is crumbled?

If possible, dentists strive to save at least one root of a damaged multi-rooted tooth. It can become a support for the crown, thanks to which the unit will continue to perform its functions.

A conservative surgical technique is required if there is inflammation at the apex of the root canal. The operation is carried out within half an hour - the doctor cuts off the top of the root.

How is the root removed?

Preparing for surgery

Required Tools

To remove a decayed tooth, doctors use several types of instruments:

Forceps. There are different types of forceps, including separate instruments for the lower and upper jaws, devices for root extraction when mouth opening is limited, etc.
Elevators. Each type of instrument (straight, angular, etc.) is intended for a separate group of teeth.
Drill. The device is necessary for sawing the tooth and removing the roots or parts thereof.

Amputation process

The operation begins by peeling away the tissue around the unit. Tooth root amputation is performed using certain working methods:

What to do if the tooth has rotted down to the gum? In this case, a drill is used. The device allows you to cut the unit into pieces, then each piece is removed separately. The fragments are removed with another tool. When extracting wisdom teeth, additional devices are used.

Possible consequences

Breaking off the top of the root. There is blood coming from the wound, so the fragments are not always visible. The specialist should prescribe a repeat removal.
Fragment stuck deep in the hole. Part of the tooth cannot be seen without an x-ray; it is covered with epithelial tissue and does not bother you at first. Subsequently, the capsule of fibrous tissue and fragment provokes the formation of an abscess or phlegmon.
Pieces of bone become lodged in soft tissue. This is a local complication; fragments can often be removed on your own or in a doctor's office under anesthesia (without cutting tissue).

Do I need to remove the remaining tooth fragments? Leaving them in the wound is unacceptable, as this can lead to unpleasant consequences:

What to do if there is a piece left after removal?

when the fragment is on the surface, extraction is carried out in a few minutes with a special tool;
if the piece is located deep, an incision is made in the gum to extract it.

Sometimes doctors are faced with a situation where the splinter is overgrown with gums - it is completely covered with mucous membrane. In this case, treatment is carried out in several stages:

Is it possible to pull out a rotten tooth root at home?

choosing an anesthetic and correctly injecting it in the right dose into the gums is very problematic without medical education;
It is difficult to maintain sterility at home, so the risk of infection in the wound is high;
improper tissue incision can cause serious bleeding;
Without the use of anesthesia, painful shock is possible.

Restoring severely damaged teeth is real: expert opinion

It's no secret that many people put off visiting the dentist until the last minute, when there may be little left of the tooth. Is it possible to restore a badly damaged tooth and how does this happen, says David Vyacheslavovich Babayan, chief physician of the American Dental Center “Dantist”.

32top: Which tooth is considered severely damaged?

Babayan D.: A severely damaged tooth is considered to be one in which more than 50% of the area has been restored with a filling or not restored at all. The reasons why teeth become severely damaged vary. Caries, injury, doctor's error, patient's untimely visit to the dentist, bad habits (seeds, nuts, etc.), also the cause may be increased tooth wear.

32top: Is it really possible to qualitatively restore a badly damaged tooth? In what case is a tooth no longer recoverable?

Babayan D.: Almost any tooth can be restored, with the exception of severe inflammation at the root, which is not amenable to therapeutic treatment.

Tooth restoration is also impossible when the tooth is destroyed deep under the gum, or when the tooth is mobile.

In all other cases, there is a modern way to restore severely damaged teeth. And then the restored tooth serves the patient for a long time. The main thing is to contact a qualified specialist in time to solve the problem.

32top: What methods exist for restoring a severely damaged tooth crown?

Babayan D.: In such situations, many dental therapists install large light fillings, reinforcing them with titanium pins. But the specialists of our clinic and I personally are not supporters of this method of tooth restoration, due to certain disadvantages. Such a patient should be seen by an orthopedic dentist. Depending on the extent of tooth destruction, the orthopedic dentist must choose a design for restoration. The following options are possible: a stump inlay (inlay, onlay, overlay) or a pin-stump inlay, followed by covering it with a crown.

32top: What are the pros and cons of light-curing pin fillings?

Babayan D.: Such pins are screwed into the root canal of a tooth along a thread, just like a self-tapping screw is screwed into wood. You can imagine the pressure exerted on the root canal of a tooth during the process of screwing in the pin and during chewing acts when using such a tooth. There is a huge risk of cracks and fractures of the tooth root, which can lead to the removal of the tooth. Another disadvantage is the composite material itself, which shrinks over time and so-called “secondary caries” forms under it. When this happens, you need to remove this entire structure from the oral cavity, excise fresh carious tissue and restore the tooth again. And this process will be repeated every 3-5 years.

32top: How reliable is this method of restoring teeth?

Babayan D.: Modern dentistry has long moved away from restoring teeth with pins. No one can say how long a tooth with a pin will last. During chewing, the load on the pin may increase, and then the pin may break the root or a crack may form in the root, after which the tooth must be removed. The wall of the tooth may also break off, because... a large filling will put pressure on it.

32top: What alternatives are there to light-curing pin fillings?

Babayan D.: The following options are possible:

Stump tab (inlay, onlay, overlay)
A more common method is a post-core inlay, which is subsequently covered with an artificial crown
Removal of a tooth and installation of a dental implant in its place, followed by installation of a crown on it

32top: Can a core inlay effectively solve the problem of restoring a severely damaged tooth and how does this happen?

Babayan D.: Of course. The doctor prepares the tooth, creates a place for fixing the future inlay and determines the color of the future structure. Next, the doctor takes accurate impressions of all teeth along with a specific tooth. Based on the impressions, plaster models are cast in a dental laboratory, from which the dental technician makes a core inlay. After which the doctor fixes it in the oral cavity with cement, and the patient uses this tooth as a natural one.

32top: What are the advantages and disadvantages of core inlays?

Babayan D.: This inlay is solid, thereby evenly distributing the load on the entire tooth. Also, stump inlays do not shrink or deform, which means that “secondary caries” does not form. Stump inlays have very high strength and aesthetic characteristics and are in no way different from natural teeth. There are simply no downsides to stump inlays.

32top: What are the features of restoring severely damaged teeth with pin-stump inlays?

Babayan D.: The doctor prepares a previously filled root canal, unfills it to 2/3 of its length, expands it, takes impressions for casting plaster models in a dental laboratory. The technician models the future inlay with wax, after which the wax is replaced with the material of which the future inlay will be made (metal or zirconium dioxide). Next, the doctor fixes this tab into the previously prepared cavity in the tooth and does not screw anything in. The biggest difference from a titanium pin is that the entire area of the pin-stump insert is fixed onto the prepared tooth and evenly distributes the chewing load. The risk of fracture and root cracks disappears. After fixing the tab, we receive a miniature tooth, and an artificial tooth crown is subsequently made on it. This design lasts 3 times longer than the design on a titanium pin and looks much more aesthetically pleasing than a filling.

32top: Are complications possible when restoring a severely damaged tooth and how to avoid them?

Babayan D.: If the doctor and technician did everything correctly, then there can be no complications. The patient should not feel any inlays and crowns in the oral cavity; they should not interfere with the patient. You can avoid complications by choosing a competent specialist and a clinic with a good reputation. If these points are met, all that remains is to listen to the doctor’s recommendations, and then the patient’s teeth will not be in danger.

Removing the root of a damaged or rotten tooth: does it hurt, the removal process

In the last century, when asked whether it is painful to remove the root of a tooth if the crown is completely destroyed, many dentists would have given an affirmative answer. Pain during and after the procedure, complications from anesthesia and discomfort plagued many patients. But today the situation has changed - a diseased tooth and its root can be pulled out absolutely painlessly.

Who will have to part with a tooth?

Complications following tooth extraction in the doctor's office are extremely rare. Much more often, sad consequences occur when it spontaneously falls out due to destruction or injury. In such cases, there are two options: restoration of dentin and enamel or removal of the tooth root.

The tooth root will have to be removed if the following symptoms occur:

constant discomfort in the gums;
sharp pain when chewing;
swollen soft tissue;
bleeding;
the appearance of pus.

A sure sign of an inflammatory process in the gums is an increase in body temperature in the absence of symptoms of another disease.

Important! You cannot postpone a visit to the dentist, even if only one of these symptoms appears. Any suspicion that the tooth root remains in the gum and has begun to rot should prompt an urgent visit to a doctor.

What are the roots of teeth, look at the photo:

Temporary contraindications

Surgical removal of the root of a decayed tooth is contraindicated during:

relapse of complex mental disorder;
acute phase of ARVI;
exacerbation of neurological disease;
rehabilitation after a heart attack.

Doctors at dental clinics are aware of all contraindications to extraction. But not all conditions have clear clinical signs, so in order to avoid unpleasant consequences, it is necessary to warn the doctor about the ailment.

Generalized scheme for tooth extraction

The process of removing any tooth includes the following steps:

Examination and collection of anamnesis (allergic status, information about the state of health and the dental apparatus).
Preparation of the surgical field: treatment of the injection site, rinsing the mouth with an antiseptic.
Anesthesia.
Detachment of gum from tooth using a trowel.
Loosening a tooth with forceps.
Extracting a tooth from its socket.
Treating the hole with an antiseptic.
Stop bleeding with tamponade.

According to this scheme, simple removal is carried out. In some situations, for example, when a wisdom tooth or a badly damaged molar is pulled out, a complex extraction is required. Its main difference is that in addition to forceps, the dentist uses a drill to cut out bone tissue or saw the root into pieces, a chisel, a hammer and other dental instruments.

Wisdom tooth removal diagram

How is a decayed tooth removed?

The process of tooth extraction is a simple dental operation. The difficulty increases when you need to remove the root of a tooth that is completely destroyed. Factors requiring the intervention of an experienced specialist:

small size of the remaining crown;
condition of surrounding tissues;
the location of the remaining hard tooth tissues under the upper edge of the gums;
defects of gums, roots.

It affects the complexity of the operation and whether the position of the upper or lower jaw belongs. In the upper jaw, the walls of the sockets are longer and thicker; accordingly, teeth are removed from them with great difficulty - a highly qualified dentist is required to perform the manipulation.

Wisdom teeth, from which only the root remains, are removed in the same way as ordinary molars, but in some patients, healing after such an intervention is very painful.

How a tooth root is removed is shown in the video:

Examination and preparation

The procedure begins with a thorough examination and preparation of the patient. When you first visit the clinic, the doctor will take an x-ray and examine the oral cavity.

determine the condition of the tooth, assess the extent of destruction;
clarify the presence of allergies, contraindications, inflammation;
choose a method of pain relief;
draw up an operation plan;
prepare tools.

The tools used to remove a rotten tooth root are a drill, forceps, and a set of elevators (photo).

A prerequisite is hygienic treatment of adjacent tissues. Extraction is possible only after removing stones and plaque from the molars, incisors or canines surrounding the surgical field. Immediately before extraction, the oral cavity is treated with a Chlorhexidine solution.

Anesthesia

There are cases when dentin is destroyed gradually, without inflammation, without the appearance of rot. In such situations, painless root removal is possible without the use of painkillers, however, anesthesia is more often necessary.

The choice of drug is carried out taking into account:

age;
allergic status;
presence of somatic diseases;
individual intolerance to drugs;
presence of chronic diseases: epilepsy, diabetes;
complexity of the upcoming operation.

The patient must notify the dentist about any deviations before the procedure begins. In most cases, the tooth root is removed under local anesthesia - one or two injections for incisors, 2 to 4 injections into the gums for molars. But if two teeth are destroyed, or the jaw is to be opened, the patient receives general anesthesia - he will sleep until the doctor finishes pulling out the tooth.

Features of pain relief for a tooth with a rotten root

An anesthetic injection is given at the site of the projection of the tooth roots. But if the medicine is injected into the rotten area, it may not work and the person will be hurt during the extraction process.

Treatment of patients with rotten roots is carried out in two stages. On the first visit, the dentist numbs the gum, prepares it and cleans it of pus. During the second visit, anesthesia is repeated, and the doctor removes the root that has rotted inside the gum.

The doctor decides how to remove a tooth if only the root remains. Usually they start with the use of forceps. Even if the destroyed roots remain under the gum, the holes do not completely heal - the dentist can carefully pick up the remnants of hard tissue and easily pull them out.

If the tooth has crumbled to the very base, it is pulled out with an elevator. Having inserted the instrument between the gum and dentin, the doctor presses on the handle and makes rotational movements of small amplitude. As a result, the periodontal fibers shift and the root is squeezed out of the socket.

A drill is used when it is necessary to crush the hard tissues of a molar before removal. With proper anesthesia, this procedure is painless; discomfort is possible only when the gums are already healing.

Relieving inflammation

When removing a rotten root, an inflammatory process is often detected. To ensure that the wound heals safely and does not fester, it is customary to treat it with an antiseptic. But one treatment will not provide adequate prevention, so an anti-inflammatory drug is placed in a fresh hole. With it, the hole will heal faster, and the patient will have less chance of developing alveolitis.

Stitching

To extract the root system, the doctor separates and lifts flaps of soft tissue; they can only be attached back by suturing. It is customary to tighten the edges of the holes with threads during double or triple removal, when a significant part of the gum has been subjected to preparation. This is done so that the affected area heals faster and does not cause discomfort to the patient.

If there are root fragments left in the hole

If the wound edges were tightened with catgut, the patient’s treatment can be considered complete. If a non-absorbable material was used, the patient will have to return to the dentist to have the sutures removed after a week. During this time, it is necessary to monitor the condition of the gums, your own sensations and notify the doctor if:

This means that small fragments of tooth tissue, which may have gone unnoticed during extraction, rot in the hole. The doctor must prescribe a repeat X-ray to the patient, check the quality of the operation and find out the cause of the ailment. Inaction is fraught with the development of alveolitis (inflammation of the socket), osteomyelitis, phlegmon and other serious diseases.

How to remove a rotten tooth root while preserving the crown

A tooth in which only the root remains is not always pulled out entirely. For example, if an inflammatory process develops at the root apex, but the tooth itself can still be saved, resection of the root apex is performed - partial removal.

The procedure is carried out after filling the canals, under local anesthesia. The operation is simple and lasts no more than half an hour. Its main stages:

Anamnesis collection.
Preparation of the surgical field.
Anesthesia.
Cutting the gum to access the root.
Delamination of soft tissues.
Sawing out a “window” in the bone.
Cutting off the inflamed area of the root with a granuloma or cyst.
Placing drugs into the cavity that stimulate bone growth.
Stitching.

What to do after deletion

After any surgical intervention, you should follow all the dentist’s recommendations, as well as:

do not eat for 2 hours after the procedure;
cool the soft tissues of the face in the projection of the removed root;
stop smoking for two days;
take prescribed pain medication;
make antiseptic applications;
watch to see if other teeth are crumbling.

Sometimes after complex extractions, dentists prescribe antibiotics to patients. This appointment cannot be ignored - after a tooth is pulled out of the socket, a focus of infection forms in it, which can only be extinguished with the help of medications.

The following video schematically shows different methods for removing incisors, canines, molars and premolars of the lower and upper jaw.

Removing the roots of teeth is a case when it is absolutely impossible to delay. In most cases, it is due to the fact that the roots simply begin to rot. There may be a lot of reasons for this, but first we’ll deal with possible complications.

What happens if the tooth root is not removed:

Formation of pus at the root. The more a person walks with a decayed tooth, the more this pus accumulates. This leads to constant pain, as well as other consequences.
Decreased immunity. Oddly enough, one bad tooth can cause serious health problems for a person. The fact is that festering roots attract all infections and bacteria. In turn, the immune system begins to fight this infection, which consumes a huge amount of resources necessary for life. As a result, a person becomes vulnerable to various viral diseases due to weakened immunity.
Damage to gums. In 100% of cases, advanced problems with rotting tooth roots lead to thinning of the bone tissue, resulting in the formation. The reason for this is the inflammatory process, which is caused by rotting, as well as the formation of a strong coating around the damaged area.
Flux. This is one of the most difficult and painful complications, which is caused by untimely removal of roots. The constant ingress of bacteria, infections, as well as rotting pieces of food causes the formation of pus. When enough of it accumulates, it begins to “look” for a way out. Thus, it eats away the bone tissue and stops under the periosteum of the upper or lower jaw. This process is accompanied by severe pain and swelling of the cheek on the side of the diseased tooth.

Flux in the gum. If you endure her pain and still put off going to the dentist, the person will begin to experience unbearable throbbing pain that radiates to the ear, as well as a serious increase in temperature.

Reasons for deletion

There can be many reasons for root removal. But it’s worth saying right away that it’s not always necessary to remove the roots, as many do. In many cases, everything can be treated without removal.

This process, however, is expensive and often painful.

Now let's look at the main reasons for root removal:

Purulent processes that destroy the root. If the tooth can no longer be treated, then it is necessary to remove either the entire root or its upper part (depending on the damage).
Mechanical damage. Often, situations occur when a person’s tooth breaks off. This can happen for many reasons. Often, this is not accompanied by pain, and people walk without part of the tooth. Complications may not appear for several years, depending on the complexity of the injury, immunity and other individual characteristics. But sooner or later this place will give way. Without the necessary protective coating (enamel), the damaged part gradually begins to deteriorate under the influence of various bacteria. If you do not attach importance to this, then over time the root will begin to deteriorate. Subsequently, it will need to be deleted.
Tooth decay. Often, this happens due to non-compliance with daily oral hygiene, education, enamel damage and many other reasons. As a result, the tooth simply begins to crumble and crumble into small pieces. The problem with this often lies in the root or nerve of the tooth, which simply begins to die, as a result of which nutrients do not reach the tooth.

Methods

There are not many ways to remove roots. The patient is not given such a choice either. The choice of removal method is made by a specialist, depending on the complexity, location, as well as a number of other parameters.

Tooth root removal process

Let's consider all the options:

Using forceps. The simplest procedure is when the doctor simply pulls out the root using forceps. It sounds scary, but in fact all this happens under anesthesia and very carefully.
Removal of the roots of the upper and lower jaw. There are special forceps for each jaw. It is worth saying that operations on the lower jaw are an order of magnitude easier.
Removal using straight and angular elevators. The instrument, although it sounds menacing, is not anything scary. There are different types of elevators for different teeth. For example, angular elevators are used for molars, since it is almost impossible to reach them with a straight elevator.

Procedure

The complexity of the procedure directly depends on the specific case.

The simplest option looks like this:

preparing the damaged area;
anesthesia;
deletion.

If the patient comes in with severe pain and flux, everything can be much more complicated. It is difficult to perform an operation at a time of severe pain, because the procedure, even under anesthesia, will bring pain to the patient. In such cases, they often act differently.

Initially, the pus is cleaned by cutting the gums, and after a few days, when the inflammation subsides, the root is removed.

Stages and cost

Let's take a closer look at all the stages of the procedure.

It is worth saying right away that we will now consider the case when a person does not come with unbearable pain and completely rotten roots:

Preparation and anesthesia. Preparation for surgery can vary from a simple x-ray to filling other teeth or treating other oral diseases. This is followed by anesthesia.
Separation of the gum from the socket. This is done so as not to damage the gum during removal. This will help with faster healing later.
Removal process. On average it takes 15 – 45 minutes (sometimes more).
After the operation, stitches are most often applied, which will need to be removed in about a week.

It is worth saying that removal in different clinics may cost differently. The average price for the entire procedure ranges from 1300 rubles to 1600 rubles. If the operation is serious, then the price can reach up to 3,000 rubles.

In dental practice, there are cases when the crown part of a tooth is completely destroyed. And in the root system affected by infection, a purulent-inflammatory process develops. Then an operation is prescribed to remove the remains. How the tooth root is removed, what instruments will be used and whether the chewing unit can be preserved for subsequent prosthetics depends on the clinical picture.

Indications

It is necessary to remove the root when:

Complete destruction of the coronal (supragingival) part of the unit, affecting the root system.
Extensive purulent-inflammatory process at the root: cyst, abscess.
Longitudinal axial fracture.
Previous incorrect extraction. Due to the doctor’s negligence, fragments remain in the socket. If they are not removed, an inflammatory process will develop. In the future, it will move on to nearby tissues.

When the crown of a tooth is completely destroyed, its root often needs to be removed.

Important! Often patients themselves make the situation worse. They cause caries and do not go to the clinic to replace lost fillings or restore broken walls. Over time, a so-called “stump” remains. Residues of food entering it provoke an inflammatory process. If you do not remove a rotten tooth at this stage, then serious consequences will arise, including sepsis - blood poisoning.

The rotting area is easily identified visually. Additionally, the following symptoms occur:

twitching, throbbing pain;
acute pain during mechanical action: pressing, biting, chewing food;
gum hyperemia;
bleeding;
bad breath;
purulent process;
temperature rise.

If one or more signs appear, destroyed units must be removed.

If not the entire root is affected, its partial removal is possible.

In some cases, incomplete removal of tooth roots is possible. This operation is performed when only the root tip is affected: periodontitis, small cysts, granulomas. Moreover, often the coronal part remains intact. The dentist provides access through an incision in the gum and excises the affected area. The unit can subsequently be restored with a crown.

Tools

Removing a rotten tooth root is similar to extraction. The same instruments are used for the operation:

Forceps. There are several forms for extracting the roots of various teeth in the lower and upper jaw:

molars are removed with S-shaped forceps; flat and curved types of instruments are also used for lower chewing units;
wisdom teeth on the upper jaw are bayonet-shaped and non-occlusal;
“eights” on the lower jaw – horizontal;
canines, incisors and premolars – club-shaped or straight.

2. Elevator. Consists of a handle, a shaft and a cheek. Happens:

3. Raspatory or smoother. Designed for gum detachment. They also separate cartilage tissue. Divided into:

costal;
curved;
double-sided;
direct.