Fractured Root: Symptoms and Treatments
When a tooth root is fractured, it can be rather difficult to diagnose as it is not usually visible. Some of the most common causes for these types of fractures include biting on hard objects, chewing, grinding, or due to the teeth aging. A fractured root has a crack which may be below the gum line. The symptoms of a fractured root can also come and go. A common symptom associated with a fractured root is increased sensitivity to cold and hot.
Below is a summary of treatments and symptoms commonly associated with a fractured tooth root. A fracture fortunately does not always require that the removal of the tooth. In some cases, the cracked root causes damage to the tooth’s structure and a root canal is needed. Other times, the fracture is more severe and the extraction is necessary. Possible treatments and the expected recovery can vary quite a bit from one patient to another.
If a patient has a fractured root, they should avoid eating hard foods as this can cause more damage and increase the risk of infection. If the patient thinks they may have a fracture, it is important to contact the dentist immediately for an examination. The dentist will likely order x-rays and review treatment options with the patient. Root fractures typically require intervention as they will not be resolved on its own.
The fracture of a permanent tooth is often called a vertical root fracture. This type of fracture contains a crack on the root, just below the gum line. The fracture may spread up to the crown of the tooth, making it visible above the gums. This puts the patient at risk for a complete split.
Unfortunately, there are limited treatment options for a fractured root. Treatments are highly dependent on the size of the fracture and when it was detected. A root canal is the most effective treatment when a fracture is identified right away. Root canals often have limited success when there is a delay in treatment.
Root Canal
Patients often have a negative perception of root canals. Hearing you need a root canal can cause a great deal of concern. In some cases, the patient may completely avoid treatment. Root canals are an excellent option when the fracture is detected early and has not spread up the crown of the tooth. While the procedure can be quite painful, they can aid in preserving the tooth.
The other treatment option for a fractured root is extraction of the tooth. When the root is fractured, the tooth often requires extraction eventually. There are excellent solutions available for replacing a missing tooth. The most popular tooth-replacement option is dental implants which are highly successful, functional, and attractive.
The recovery time for a fractured root is dependent on if the patient received a root canal or if the tooth was extracted. It is important to work with the dentist to determine the best treatment plan. In many cases, the tooth will eventually need to be extracted, however, it may be possible to preserve. Following a root canal, the gums will be swollen during the healing process and the area will likely be sensitive. The recovery will depend on the severity of the fracture, but can take up to three weeks. The recovery for an extraction is often quicker and can take a few days to two weeks. The mouth heals rather quickly, so many patients can resume routine activities within a few days.