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 the 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:

1. Examination and collection of anamnesis (allergic status, information about the state of health and the dental apparatus).
2. Preparation of the surgical field: treatment of the injection site, rinsing the mouth with an antiseptic.
3. Anesthesia.
4. Detachment of gum from tooth using a trowel.
5. Loosening a tooth with forceps.
6. Extracting a tooth from its socket.
7. Treating the hole with an antiseptic.
8. 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, 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.

Getting rid of a wisdom tooth can be especially difficult. Due to its location in the posterior quadrant of the jaw, access to it is difficult. With anatomically incorrect or curved roots, which are often found in third molars, the dentist may be forced to make incisions in the gums, pull out the root piece by piece, and then apply sutures.

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. On 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.

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.

Doctor's tasks:

• 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.

Removal

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:

1. Anamnesis collection.
2. Preparation of the surgical field.
3. Anesthesia.
4. Cutting the gum to access the root.
5. Delamination of soft tissues.
6. Sawing out a “window” in the bone.
7. Cutting off the inflamed area of ​​the root with a granuloma or cyst.
8. Placing drugs into the cavity that stimulate bone growth.
9. 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.

Human teeth are an organ that is subject to frequent destruction. This happens for a number of different reasons, from poor care to injury. But when the crown is destroyed as a result of damage to the dental tissue, a root (or several roots) remains in the gum. The question arises - whether to delete it. If the patient cares about maintaining the integrity of the dentition, and immediately after losing a tooth goes to restore it, for example, to install an implant, removal is inevitable. But in most cases, people do not rush to the dentist to extract a root from the gum, which, as they think, does not interfere and does not pose a danger.

Save or delete

During treatment, dentists try to preserve at least one root on multi-rooted teeth as much as possible. If possible, it will serve as a support for the restored crown, and the tooth will perform its functions to a sufficient extent.

But after complete destruction of the dental tissue, if the carious process has reached the roots and completely captured them, it is better to remove the pathogenic source of infection from the gums as soon as possible, before it spreads to a large area, damaging neighboring teeth.

Root removal with a damaged dental crown is a complex surgical procedure. Patients rightfully consider it one of the most unpleasant. And although today, thanks to the high level of development of anesthesia, the process is not as painful as before, the fear of this operation remains among patients.

By the way. Fortunately, in most cases it is not necessary to remove all of the tooth roots. If the carious lesion is not caught at the last stage, it is enough to treat the remaining roots, and subsequently resort to prosthetics or tooth restoration.

But when the carious process has destroyed the roots to the ground, if they are rotten through and through, it is necessary to part with them as quickly as possible.

A rotten root is a breeding ground for infection. The longer it is present in the oral cavity, the greater the problems it causes.

Most often, patients with neglected rotting roots left after a tooth crown falls out or chips come to the surgeon for emergency help with the words: “The rotten root hasn’t bothered me for so long, it hasn’t hurt, and then suddenly my whole cheek is swollen.” Of course, this does not happen suddenly. A natural fact that will happen 100% at the most inopportune time if you have a damaged root in your mouth.

Important! For a patient with gumboil, it is almost impossible to painlessly remove the root, since anesthesia should take into account the projection of the roots into the gingival tissue, but this place is filled with pus. In some cases, it is necessary to make an incision in the gum to drain the purulent masses, carry out disinfection and send the patient without removing the ill-fated root. And not all patients return on time as prescribed by the doctor in order to undergo the removal operation. Many people leave everything as is, waiting for a new flux.

Indications for removal

If none of the tooth-preserving techniques can be used, the roots of the tooth are removed. There are a number of situations when surgery is unavoidable.

Table. The need for tooth root removal

Reasons for deletion	Description
	Complex transverse fracture, lobar fracture, or fracture of a dental crown.
	Near the root there is a focus of inflammation. This can be a cyst, phlegmon or abscess, as well as in the case of osteomyelitis and periostitis.
	There are three degrees of root mobility, the last of which, the third, is an indication for its removal.
	The dental crown is completely destroyed below the level of gum tissue
	Atypical location of the tooth root to be removed.

The crown can be destroyed both on a “living” tooth and on a “dead” one. In the first case, the root is not badly damaged and can be saved. A pulpless tooth almost always has a severe degree of damage to the roots, and it cannot be restored using prosthetic techniques by adding a crown part. Root extraction and implant restoration are shown here.

By the way. For the roots of the posterior molars, the situation almost always requires their extraction.

1. These are the most complex and problematic teeth, located in the far part of the jaw closure, the care of which is difficult. Therefore, hygiene is not carried out in full, and their destruction occurs faster than others.
2. During the process of eruption, posterior molars often cause displacement of the dentition, disrupting the bite.
3. They often provoke chronic injury to the mucous membrane, as a result of biting the mucous membrane from the inside of the cheek. This can lead to constant inflammation and the formation of malignant tumors.

Since there is no need to restore the coronal part, which often does not even fully emerge from the gum tissue, on wisdom teeth, in case of their abnormal growth or destructive carious lesions, the rear molars are removed along with the root.

From dental practice

There are many situations in which it is necessary to make a decision to remove or preserve roots. An inexperienced dentist, for example, insisting on preserving a half-rotten root to install a bridge may be wrong if:

• the root has high mobility (the prosthesis will also be mobile along with it);
• the interroot septum is destroyed by necrotic processes;
• the focus of inflammation is localized at the root apex (narrow part);
• the root has low functional value.

The latter means that even if it is therapeutically possible to preserve the root, this is not always advisable. Even if the root is partially restored, the restored coronal portion attached to it may not be fully functional.

Better to extract:

• roots of posterior molars;
• teeth that do not have antagonists (therefore they cannot perform the chewing function);
• roots of teeth emerging from the dentition.

How are roots removed?

There are many methods for removing tooth roots in dentistry. But patients always feel fear when it comes to removing roots when the crown is completely or largely destroyed.

By the way. If the root is quickly removed from the gum before it is completely destroyed, the operation will not be the most difficult. Using forceps with “cheeks”, even without tissue incisions (if the root is not completely covered by the gum), an operation to remove the root of average complexity lasts about ten minutes.

The least difficult is root removal in patients aged forty years and above. In mature and old age, the alveolus atrophies, the height of the interroot septa decreases, and in almost all cases when the crown is destroyed, an inflammatory process forms in the root. Therefore, it is, as it were, pushed out, rejected by the body.

In younger patients, the hilar tissue usually remains healthy. When it is planned to remove two or more roots, the operation is considered complex.

Dental surgeon tools

Once upon a time, the roots were literally gouged out of the jaw with a chisel and a hammer (special dental ones, not construction ones, but it was still painful).

Today, the root is removed by cutting out the gum tissue using a drill and extracting it piece by piece using an elevator.

Cases when the root has to be hollowed out from the gums are recorded in only 2% of patients.

The anesthesia is complete and effective, and pain is minimal, just like when extracting a tooth with a preserved coronal part.

Incredible but true

Even today, in the 21st century, it is not residents of “dense” villages, but completely civilized and educated people who are trying to remove the root of a destroyed or dilapidated tooth on their own using pliers. The fear of going to the dentist is so great that, having taken a glass of vodka as anesthesia, the patient tries to grab the base of the root with this instrument, believing that after this it will not be difficult to pull it out.

Of course, when attempting such a removal, which usually will not be successful:

• the wound becomes infected;
• pain shock occurs;
• part of the root is crushed, filling the wound with fragments, which subsequently rot;
• complications arise.

Complications after removal

It is worth noting that complications are not uncommon after surgery to extract the root by a dentist. True, this concerns not very experienced doctors who do not have much experience in such operations.

Due to inattention, negligence or due to lack of professionalism, root fragments remain in the wound. The doctor reassures the patient, assuring that the non-removed parts will subsequently come out of the gums on their own. Of course, this doesn't happen.

With severe removal, the surgeon may create a situation where the root tip breaks off. This is not always noticeable because blood comes from the wound. Experienced dentists in such cases postpone the appointment, prescribing the patient for repeated removal.

Important! Leaving a broken root fragment in the wound is unacceptable. Yes, this fragment can remain in the gum for a long time without causing concern to the patient. But it will move to the surface, along the fistula canal. And if there was a cyst at the top, then even after several years of “calm” behavior, the remains of the root can provoke gumboil.

The second unpleasant situation can arise with a seemingly successful outcome, when the remainder of the root tissue is covered by the gum and ends up locked in a capsule of gum tissue. Such a “time bomb” will certainly provoke phlegmon or an abscess, and will also cause periostitis and osteomyelitis.

Sometimes a situation arises: the root is removed completely and purely in depth, but fragments are stuck in the gum tissue above. This is the most common surgical negligence that the patient must monitor. If you feel that life has not improved after removing the rotten root, consult another doctor. Listen to the opinion of at least three dentists in order to subsequently avoid alveolitis or other diseases.

Resume

In modern dentistry, everything is not as scary as it seems. For any pain threshold, the patient is given local anesthesia. The anesthetic will remain effective throughout the procedure and for two hours after it.

As the anesthetic begins to take effect, the jaw becomes numb. Modern lever elevators will then remove debris, food and other foreign organisms quickly enough to allow access to the root. You need to remove it. Therefore, the best thing you can do if you have a root in your mouth is to go to the surgeon and find out whether it is worth a planned, timely removal so as not to cause serious pathological complications.

Video - Removing tooth roots

Teeth are an integral element of the human body and various pathologies of the oral cavity of a dental nature inevitably cause disruptions in the functioning of all internal organs and systems, even if you carefully monitor their condition.

Many people are interested in the question: what will happen if, if you have problems with your teeth, you don’t go to the dentist, but simply try to numb the pain with the help of medications and folk methods?

You may be able to relieve the pain for a while, however, this will not get rid of the inflammatory process that has already begun. Thus, if you miss the moment, in the future you risk face many problems, and not only dental ones. This is explained by the fact that the human body is a single system in which everything is interconnected, and neglected diseased teeth can cause a number of diseases. For example, a tooth affected by caries accumulates a huge number of harmful microorganisms, which contributes to problems with internal organs, undermining the immune system, general intoxication of the body, and can even cause fetal pathologies during pregnancy.

Why teeth rot, treatment

If a developing infection leads to damage to the tooth root, then in this case it is carried out nerve removal surgery followed by filling. Such a tooth weakens over time and loses vitality. However, even at this stage, not everyone goes to the dentist.

Most patients visit the dental clinic already in the last stages of the development of the pathology, when the only way out of the situation is tooth extraction, since the inflammatory process has already penetrated quite deeply into the bone structure.

With an infectious lesion that covers large areas of the dental apparatus and tissues, the risk of blood poisoning, the development of a cyst or purulent inflammation increases. In addition, if you do not go to the dental clinic in a timely manner, increased sensitivity of the teeth occurs, carious cavities appear and the process of enamel destruction develops.

It is quite difficult to find out the exact cause of rotting, but it is even more difficult to stop the pathological process that has begun.

Tooth decay leads to tooth loss and bad breath. These factors contribute to the emergence of psychological problems, since a person with bad teeth tries in every possible way to reduce communication to a minimum, dooming himself to loneliness. Depression, sleep disturbances, and psychosis appear.

Rotting of teeth from gums: what to do?

Tooth decay (caries) is one of the most common dental ailments. What to do if your teeth rot?

The majority of oral diseases are associated with damage to the teeth and gums. In almost all cases, the source of the development of the inflammatory process is pathogens, inhabiting the oral cavity with insufficient hygiene rules.

Often the infection affects several teeth at the same time. Rotting can begin from the bottom - from the root or from the top - from the crown. There are cases when the patient notices the development of caries too late and it is much more difficult to deal with its consequences.

Symptoms and stages of the disease

The development of the disease occurs in several stages, each of which has its own clinical manifestations.

Initially, bad breath appears, which occurs periodically; with further development of the disease, it is constantly present. The appearance of a bad odor caused by the huge number of microorganisms present in dental plaque.

Over time, tooth enamel begins to darken, first partially and then completely; black areas may appear on the tooth root. Such lesions cannot be detected during a routine examination; an x-ray will be required.

The next stage of development of the disease is characterized by the appearance of voids in place of the black areas. Unpleasant sensations arise in the oral cavity and a feeling of discomfort appears. Ignoring these symptoms leads to acute, unremitting pain. This indicates that tooth decay has already reached its inner part (pulp). Pulpitis (this is the name of this stage of decay) affects soft tissues containing blood and lymphatic vessels, as well as a nerve bundle.

If the tooth begins to rot from the root, this may lead to its loss or the need for complete removal along with the root.

If the disease develops in the coronal part, the nerve dies and the toothache subsides, however, the process of destruction of the root system begins. Therefore, you should not ignore the beginning discomfort in the oral cavity, but it is better to immediately contact the clinic for treatment procedures.

Why do teeth rot? Reasons

There are a huge number of reasons for the appearance of rotten teeth in the human oral cavity. Conventionally, they can be divided into external and internal.

The first group includes circumstances beyond a person’s control. Among them the following main factors can be identified:

The second group includes the following factors:

• Unbalanced diet and abuse of harmful products that have a negative effect on tooth enamel. This list includes various sweets, as well as berries and fruits containing large amounts of acid.
• Bad habits. One of the causes of tooth decay is smoking, which results in deterioration of metabolic processes in the oral cavity. Teeth lose the ability to fully resist the negative effects of microorganisms. Substances contained in cigarette smoke cause the destruction of enamel. In addition, smoking, along with drug and alcohol use, contributes to weakened immunity.
• Leading an unhealthy lifestyle has a detrimental effect on the state of the body's defenses as a whole. This also includes irregular and/or poor quality oral hygiene.

A separate group includes the presence of dental and general diseases. This includes the development of cysts with foci of inflammation near the periodontal root, as well as complex dental pathologies that have a direct negative impact on the condition of the oral cavity. All these factors also contribute to rotting.

Problems with the appearance of rotten teeth in children, consequences of untreated

Many parents pay absolutely no attention to their children’s baby teeth, believing that sooner or later they will fall out anyway. But such behavior can have serious consequences. After all, caries affects not only the hard bone tissue of the tooth, but nearby soft tissues, where the purulent process develops.

This, in turn, contributes to the occurrence of the following diseases:

• meningitis;
• thrombophlebitis;
• abscess;
• sepsis;
• thrombosis of venous vessels (for example, cervical).

When stressful situations occur or hypothermia occurs, a shift occurs in the child’s immune system; it becomes very weak. It is during this period that a carious infection can lead to serious consequences.

Complications may be as follows:

• On the throat (usually a sore throat);
• on the nose (manifests itself in the form of a runny nose and sinusitis);
• on the ears (in the form of otitis and ear pain);
• on the functioning of the gastrointestinal tract (intestinal disorders often occur).

Therefore, if you notice signs of tooth decay in your child, you should not hesitate and urgently contact a pediatric dentist to remove the diseased tooth.

In other words, why does retrograde caries occur? Many studies have been conducted on this matter, as a result of which it was found that the source of infection affecting the child’s teeth are pathogenic microorganisms transmitted from the mother.

Streptococcal bacteria can penetrate the child’s oral cavity in the following cases:

• When kissing;
• when using shared cutlery;
• when parents lick nipples and baby spoons.

Tooth decay in a child can be caused by germs transmitted from other people. This is especially important for young children who are just beginning to teethe, since during this period babies are most susceptible to pathogenic microorganisms.

Of course, the presence of harmful bacteria is not the only cause of decay of baby teeth. An important role is played by the presence of the following factors:

• Violation of the diet (how often and at what intervals does the child eat);
• oral hygiene;
• genetic predisposition;
• features of children's saliva (protective immunoglobulins, mineralizing qualities, ability to neutralize acids and alkalis, buffer capacity).

Practice shows that caries of baby teeth is closely associated with regular sucking on a bottle of juice, formula or other liquid with a high carbohydrate content, which creates a nutrient medium for the development and proliferation of bacteria.

The tooth has rotted to the root: what to do?

If you have brought your teeth to a state where any other treatment is no longer effective, the only way out is complete removal. A tooth root that has lost its crown may provoke the development of various pathologies, so it should be removed.

This occurs under the following circumstances:

Rotten roots that are not removed cause purulent processes and the development of inflammation.

So, to maintain the health of the oral cavity, and therefore the entire body as a whole, very little is required: balanced diet and daily routine, regular visits to the dentist for preventive examinations and timely sanitation, as well as basic compliance with the rules of oral hygiene. All these components will help maintain healthy teeth for many years.

Consequences of not treating teeth

Of course, every person knows the fact that rotten teeth in the mouth are the main cause of bad breath, a terrible smile and become a direct threat to the health of the entire body. There are many reasons for the appearance of rotten teeth. The most important thing is to avoid encountering such a problem, you need to regularly visit a specialist. The tooth is destroyed gradually, but at an early stage of destruction it is still possible to restore it by eliminating the causes of the problem. If any manifestations of tooth decay are detected, you cannot wait until the tooth rots completely, in order to avoid the development of complications or its complete removal.

When teeth begin to rot in a person’s mouth, systemic diseases of the heart and joints occur. After all, the infection that affects them spreads throughout the human body. It is better to prevent such processes at an early stage of the disease.

Reasons

The disease has a huge number of causes. Many of them relate to the lifestyle and habits of the patient himself.

Each of the signs is characteristic of a certain category of people. But it is not a fact that the teeth of even a decent-looking person will not begin to rot. And the only reason for this will be improper oral hygiene or its complete absence. This is especially important for people with weak immune systems. Be sure to increase hygiene and take vitamin complexes in case of illness, pregnancy or breastfeeding.

Consequences

It should be remembered that rotten teeth entail dangerous consequences for the entire body.

Treatment

Treatment of a disease of this kind should be carried out using a comprehensive method. First, the doctor must identify the cause of the disease, and then prescribe the necessary therapy. Basically, this is taking antibiotics in combination with anti-inflammatory drugs. Only after treatment can filling and restoration begin, if possible. When restoration is impossible, the tooth is depulped and all canals are treated.

The ideal option would be to give up any bad habits after treatment. And it is imperative to eliminate the causes that led to large-scale rotting. If treatment is carried out on time, then there is a chance that such teeth will last a long time and may not have to be removed.

Prevention

It is, of course, easier to prevent rotting than to treat it later. People who think that rotten teeth are just a cosmetic defect are deeply mistaken. In fact, it is a massive accumulation of pathogenic bacteria and various types of infections that easily penetrate the bloodstream and sometimes cause irreparable harm to the entire body as a whole. Until the teeth are treated, infection of other organs cannot be ruled out, since the bacteria are still in the body. But what to do if the rotting process has already started?

1. It is imperative to maintain the necessary hygiene and care for the oral cavity with special attention;
2. Get examined by a dentist at least 2 times a year. Even in the absence of signs of rotting;
3. If carious cavities are detected, it is better to eliminate them immediately, they are the main reasons for the onset of decay;
4. Give your teeth the necessary load in the form of solid food. Try to minimize your consumption of sweets.

A strong immune system and a healthy lifestyle are the key to not only healthy teeth, but the whole body!

Removing the roots remaining in the gum after the destruction of the tooth crown is a very complex procedure. This depends on the characteristics of the anatomical structure, location, and the presence of damage to surrounding tissues. Difficulties are caused by the deep location of the roots or their fragments remaining in the gums after removal.

In each case, the dentist, based on x-rays, determines the condition and how to remove the tooth root. If there is no infection and the surrounding bone tissue is healthy, the canals are treated, filled, and a pin or stump insert is installed.

An artificial crown is then secured to cement. Must be removed if:

• A cyst has formed at the apex of the root.
• The tooth is movable.
• Presence of periodontal diseases.
• Root fracture.
• Damage from caries.
• The tooth fragments got deep into the gums.
• Atypical tooth position.

A situation often arises when the upper part of the tooth (crown) is almost completely destroyed, but the roots are still intact. In this regard, many questions arise: should the tooth root be removed? How to remove the root of a tooth if the tooth is destroyed? How much does it cost to pull out a tooth root? And the like.

If the tooth rots and the root remains, there are two possible scenarios for the development of events:

1. If the roots are healthy or well treated and the root canals are sealed and no inflammatory process develops, then it is possible to insert a pin into the canal and place a crown on it, and thus restore the tooth. You can also use a stump tab for this.
2. If the situation is not harmless and safe, the tooth root is removed.

A root that has lost its crown can cause some problems, so if they appear, it must be removed. This happens if:

• Be sure to remove the rotten tooth root;
• There is a cyst in the area of ​​the apex of the tooth root;
• Roots without a tooth cause the development of inflammation and purulent processes;
• In the root zone there are periodontal diseases (bleeding gums, tooth mobility, inflammation;
• A fracture, dislocation of a tooth root, or penetration of tooth fragments into the gum tissue also serves as an indication for removal;

Is it difficult to remove tooth roots? Yes, if you compare the procedure with a standard, uncomplicated extraction, then removing tooth remnants is associated with certain difficulties. In the absence of a crown, the doctor literally has nothing to cling to, so simply pulling out the root will not be possible. To do this, you first need to use a special tool - a raspator - to move away part of the periosteum, and then use forceps with cheeks to grab, swing and remove the roots.

It’s worth saying right away that you won’t be able to remove tooth roots on your own, and doing this is strictly prohibited. You can split the tissue, the fragments will go deep into the gums, and the manipulation can also end in dislocation or fracture of the roots, which will ultimately lead you to the dentist’s office.

How to remove a tooth root ? The procedure, of course, takes place under local injection anesthesia. During the examination, the doctor determines the complexity of the case and selects the optimal dosage of pain medication, taking into account the time he plans to spend on removal.

Before removing roots without a tooth, an x-ray is taken to determine the condition of the roots and the integrity of the connecting commissure. After this, using a raspatory, various types of forceps, and sometimes an elevator, removal is carried out. In particularly difficult cases, you have to cut the gum and use a drill.

After the doctor has removed the tooth roots, the hole is treated with an antiseptic and a medicine is put into it that prevents inflammation; during surgical removal, sutures are applied so that the wound heals faster.

How to remove the root if the tooth is completely destroyed? For this purpose special tools are used.

• Anatomical forceps come in several types and are designed to remove various teeth and roots on the upper or lower jaw. In each case, the most suitable ones are selected:
• Straight forceps are used to remove incisors and fangs;
• S-shaped – small chewing teeth of the upper row;
• S-shaped – first and second molars of the upper row;
• Bayonet-shaped, non-joining - upper eights;
• Beak-shaped - incisors, canines and premolars of the lower row;
• Flat, curved – molars of the lower row;
• Horizontal - lower eights.
• An elevator is a surgical instrument consisting of a handle, a rod and a cheek. There are angular, bayonet, periosteal, curved, and straight types of devices.
• A raspator is an auxiliary tool used to separate bone from the periosteum and peel off cartilaginous tissue. There are several types: rib, straight, curved, double-sided knife-raspatory.

Difficulty removing

• Tooth fragility.
• The patient cannot open his mouth wide.
• Increased salivation.
• High blood pressure.

These factors make the dentist's work much more difficult.

The root extraction procedure is performed under local anesthesia. The patient will not feel pain. Painkillers are selected taking into account the complexity of the operation, the patient’s condition, and the duration of the removal.

An x-ray is taken first to know whether the connecting adhesion, the length and shape of the roots have been preserved.

Using forceps

The forceps used to extract roots have narrow, interlocking cheek ends.

How to remove a tooth root with forceps if the tooth is destroyed? In the absence of inflammation, the doctor carefully peels off the gum and circular ligaments from the root with a rasp so that it can be grabbed with forceps. It deepens by about 1 cm, strongly fixes the cheeks of the forceps. Using circular movements, dislocates the root from the hole.

If it is not possible to achieve a tight clamp, the periosteum is peeled off from the socket. The dentist then rocks and extracts the root debris.

Roots on the upper and lower jaw

Units in the lower row are easier to remove with forceps than those in the upper row. Their roots are shorter, but the walls of the holes are thicker. To do this, use a curved tool with narrow cheeks. It is more difficult to pull out fangs; forceps with wide jaws are suitable.

When choosing forceps, whether the tooth is located on the right or left side matters how widely the patient can open his mouth.

Elevator use

But it happens that the surrounding tissues have melted, the root is located very deep and it is not possible to extract it with forceps. The damaged tooth root is removed using an elevator. The tool operates on the principle of a lever.

The elevator is placed between the wall of the hole and the root, then rotated with pressure and pushed out completely or partially. If not all of the root appears above the surface of the gum, it is grabbed with forceps and removed.

This angular tool can be used to remove separated roots of lower units. They are picked up and pushed out one by one.

The roots of wisdom teeth are removed using a bayonet elevator if the adjacent units are strong. The instrument is inserted between the root and the wall of the socket from the side of the second molar, pressing, and dislocating it. Incorrectly placed eights are also removed.

Drill

If there are fragments left deep in the gum after removal or the tooth has several curved, thin roots, and they diverge in different directions, the tooth is completely hidden in the bone, forceps and an elevator will not be able to help. Removal is performed using a drill, under anesthesia, and can last from 2 to 3 hours.

An alveolotomy is performed. The mucous membrane and periosteum are dissected to expose bone tissue. The wall of the hole is separated with a fissure bur, and the root is extracted using an elevator or forceps with narrow jaws. If the fragments are deep in the gum, the roots are strongly curved, then the incision is made to the very top. A small hole is drilled on the side between the wall of the hole and the root, a straight elevator is inserted and the root is pushed out. At the end of the procedure, the gum is sutured.

If a completely destroyed molar tooth in the lower jaw is removed, a different technique is used. The bone tissue here is much thicker; the area on the cheek side is drilled with various types of bur. If the jumper is preserved, it is also drilled out, dividing the root into several parts. Using a corner elevator, they are dislocated one by one.

On the upper jaw, when removing chewing units, an incision is made from the side of the oral cavity.

Hole treatment

The wound is washed with an antiseptic, and a special medicine (Alvogel) is applied to prevent inflammation. The mucous flap is placed in place and sutures are applied for 5 to 6 days if the removal was performed surgically. Suturing will help avoid bleeding, promote rapid healing, and protect against infection.

After the procedure, analgesics and antibiotics are prescribed.

Removing roots can cause a number of complications:

• Nerve damage is especially dangerous when wisdom teeth are removed.
• Fracture, dislocation of the jaw.
• Destruction of adjacent teeth.
• Perforation of the maxillary sinus, entry of bone fragments into its cavity during surgery on the upper jaw.
• Alveolitis (inflammation of the socket).
• Bleeding caused by rupture of blood vessels. A clamp is used to stop it, after which the vessel is bandaged.

If you strictly follow the doctor's instructions and regular oral hygiene, the wound will heal quickly and painlessly.

Treatment of tooth roots (endodontics)

In the past, if the root was damaged or "sick", the tooth was almost always removed. Nowadays, through a procedure known as root canal therapy, your doctor can save your tooth.

Inside each tooth there are soft tissues that provide the tooth with nutrients and nerves. It “goes down” along the root in the form of a kind of “thread”. If the soft tissues become infected, they are “sick”—the soft tissues rot. If these tissues are not removed, the tooth will deteriorate to the point that it will have to be removed.

After the dentist removes the damaged soft tissue, the root canal (which previously contained soft tissue) undergoes a process of sterilization and cleaning of the remains of rotted tissue and bacteria that were there; After cleaning is completed, the canal is sealed in order to protect it from re-infection.

In most cases, after root treatment, the doctor places a crown on the tooth to keep the tooth strong and protect it, because root treatment means removing a large amount of tooth tissue, which leads to weakening of the tooth.

What is the duration of treatment?

Root therapy is a relatively simple procedure that can be completed in one visit, but usually requires one to three visits.

What factor is the reason for tooth root treatment?

Additional reasons that may cause soft tissue damage:

— Gum diseases

— Trauma caused to a tooth as a result of a blow

Is root treatment a painful procedure?

When root treatment is performed, the area is under local anesthesia, so the procedure is only mildly uncomfortable. There are cases when the soft tissues of the tooth are missing or rotted, and therefore they do not transmit pain, and then root treatment can be performed without any anesthesia at all. There are also many cases where the patient suffers from pain before treatment and the pain goes away during treatment.

What are the reasons for unsuccessful tooth root treatment, and when does re-treatment become necessary?

Possible reasons requiring re-treatment of the tooth root:

Secondary caries - the development of caries under a restored tooth can lead to exposure of the root canals and secondary infection as a result of the penetration of bacteria from saliva.

Improperly performed cleaning and sealing – there are cases where, due to exceptional anatomical properties of the tooth, such as narrow, calcified or indirect canals, it is impossible to achieve a perfect seal at the required depth, and then the chances of treatment failure increase.

Damaged root - sometimes the root of the tooth is cracked or broken; It happens that the infection affects the end of the root, and this can lead to unsuccessful treatment attempts. In any case, if after treatment of the tooth root, discomfort or pain continues for a long time after the procedure, repeated treatment must be performed. In any case, when it is necessary to reconstruct a tooth that has undergone root treatment, it is necessary to evaluate the degree of success of the previous treatment before starting reconstruction.

Who is qualified to perform root canal therapy, and why is a specialist needed to do it?

All dentists have qualifications that allow them to perform root treatment. But dental root treatment specialists learn to perform this procedure in severe cases, as well as to perform repeated root treatment in special advanced training courses that last for three years. Doctors who specialize in root canal treatment usually have the appropriate equipment and extensive experience with successful treatment.