Can I Leave Fractured Tooth Root In?
In some cases, it is possible for the dentist to leave a portion of the tooth’s root behind following the extraction of a tooth. When parts of the tooth are not properly removed, it can cause issues such as an infection. Fortunately, when a portion of the root is left behind, it is possible for it to be removed. The removal of the remaining root can help relieve pain and any infection.
After a tooth is removed during an extraction, a possible complication is the dentist missing part of the tooth’s roots. When this occurs, it is common that the dentist has minimal experience with extractions. When the crown of the tooth breaks during the removal of the tooth, this can be especially problematic. Teeth which have a large cavity are especially prone to crumbling or breaking down, leaving the tooth’s roots in place under the gums. In order to properly remove the entire tooth, including the roots, the dentist must be skilled. Roots which remain embedded in the mouth can cause dental infections or other oral health problems.
Fractured tooth fragments are also common when the root is located near a nerve. It is possible for the teeth to be closely associated with nerves that run throughout the jawbone. Retrieving these leftover fragments can result in long-term nerve damage and various nerve problems if the dentist is not careful. If the dentist thinks it is too risky to remove a small tooth or root fragment, they may intentionally leave it in the mouth. The potential consequences of removing it may outweigh the benefits.
A dental infection is a common side effect of a tooth fragment which is left in the mouth. The presence of bacteria can result in an abscess or swelling in and around the area of the fragments, leading to systemic issues such as Ludwig’s angina. This condition is extremely rare, however, leftover wisdom tooth fragments have been found to cause the condition and have the potential to require that the patient be hospitalized.
Bone Spicule
Patients sometimes confuse a tooth fragment such as the root for bone tissue. Following the removal of a tooth, bone forms in the area over time. Patients can also experience the extra formation of bone following an extraction and the bone may stick out of the gums. This is called a bone spicule. In most cases, the spicule will heal and dissolve on its own, but some patients need to have it removed.
Cost
As with most dental procedures, the cost to have leftover tooth fragments removed will range based on the location and size. The procedure costs about $200 on average. The dentist will typically order x-rays and complete a thorough examination prior to the procedure. Dental insurance does not usually cover the cost of the procedure to remove fractured root fragments.
The following procedure for removing a tooth fragment includes the following steps:
- Local anesthetic is applied
- Gum tissue in the area is reflected
- Portions of bone surrounding the tooth fragment may require removal
- Dental instruments are used to remove the fragment
- The area is irrigated and the dentist places a suture
Patients who think they have a fractured root in their gums following an extraction should follow up with a dentist or oral surgeon right away. The fragment should be removed in order to prevent infection, pain, and other complications. Most general dentists do not have the necessary skill set needed to properly perform the procedure.