Most Common Root Fractures in Teeth
A fractured root is a break in the hard outer layer of a tooth that extends into the root. This can be a serious condition, as it can lead to pain, infection, and tooth loss.
There are three main types of root fractures:
- Horizontal root fractures: These fractures occur across the root of the tooth, usually in the middle or apical third.
- Vertical root fractures: These fractures occur vertically along the length of the root.
- Oblique root fractures: These fractures occur at an angle across the root.
The most common type of root fracture is a horizontal root fracture. This type of fracture is often caused by a blow to the tooth, such as from a fall or sports injury. Vertical root fractures are less common, but they can be more serious. This type of fracture can cause the tooth to split in two, which can lead to tooth loss. Oblique root fractures are the least common type of root fracture.
The symptoms of a root fracture can be exceptionally painful or uncomfortable. Thankfully, they can almost all be treated by your dentist. Some common symptoms include:
- Pain: The tooth may be painful, especially when chewing or biting down.
- Swelling: The gums around the tooth may be swollen and tender.
- Discomfort: The fractured tooth may cause discomfort or pressure in the affected area.
- Sensitivity: The tooth may be sensitive to hot, cold, or sweet foods.
- Bleeding: The tooth may bleed when you brush or floss.
- Looseness: The tooth may feel loose or wobbly.
If you experience any of these symptoms, it is important to see a dentist right away to get a diagnosis and treatment.
Treatment for root fractures
The treatment for a root fracture depends on the fracture. In some cases, the dentist may be able to simply monitor the tooth and see if it heals on its own. However, if the fracture is severe or if the tooth is causing problems, the dentist may recommend one of the following treatments:
- Root canal: A root canal is a commonly performed outpatient procedure to physically disrupt and remove infected tissue from within the root of the tooth. The pulpy tissue holding your teeth in place may face severe infection, and before that destroys the root and infects your bloodstream, your dentist will remove it.
- Crown: After a root canal, the dentist may recommend placing a crown on the tooth. A crown is a cap that covers the tooth and protects it from further damage.
- Extraction: If the fracture is too severe or if the tooth is causing too much pain, the dentist may recommend extracting the tooth. Tooth extraction is a surgical procedure that removes the tooth from the socket.
Preventing root fractures
There is no sure way to prevent a root fracture, but there are some things you can do to reduce your risk. These include:
- Good oral hygiene: Brushing your teeth twice a day and flossing once a day can help to prevent cavities and gum disease, which can contribute to fractured roots.
- Avoid hard foods: Avoid chewing on hard foods, such as nuts, seeds, or ice.
See your dentist regularly: Seeing your dentist for regular checkups and cleanings can help to identify and treat problems early on.