The root part, remaining in the hole after a tooth fracture or complete destruction of its crown part by caries, can bring a lot of trouble in the future. Therefore, it is recommended to remove it without postponing it for “later”. Many patients who are assigned this operation, interested in: how to remove the roots of teeth if the tooth is destroyed, and whether it is possible to do it without any intervention.
Causes for roots removal
It is believed that the root does not necessarily need to be removed. People think it “comes out” of the gums, or overgrown with soft tissues and does not bother. But it’s not quite right. Overgrowth of the gum leads to the fact that the gum is constantly becomes a “delayed action mine”. In fact, it remains a foreign body, to which the immune system can react in a completely unpredictable way. The second question is whether the root of the tooth itself can come out – is also ambiguous.
But the opinion of dentists is absolutely clear: if the root is totally healthy, it has no tumors, and it has a strong and stable position, it makes sense to leave for further prosthetics on the pin. But if there is even one of the following features, the root should be removed:
the mobility of the root;
signs of carious process in the root;
cyst or granulomatosis of the root;
abnormal location of the root.
How the dentist extracts the root?
The main factor determining the choice of a method of root extraction is its position in the soft tissues and alveolar process.
Removing a root that is close to the surface
At this position of the root part, when its fragment extends beyond the soft tissues or is in the gums, but is clearly visible, special forceps are used. With their help, the root is captured and firmly fixed, after which the doctor rotates it out.
If the root is visible in soft tissues, but “drowned” in it, apply rasp a dental tool, with which the root part is separated from the soft tissues and ligaments about a depth of 1 cm.to ensure the capture of forceps. After that, the removal procedure is carried out according to the scheme described above.
Removing a root that is deep
This root removal method is selected in the following cases:
the upper part of the root is completely immersed in soft tissue;
bone tissue around the root is melted due to infection or inflammation;
gripping with forceps is not possible due to high risks for adjacent teeth.
In such situations, the extraction of the root of the hole is carried out with the help of an Elevator — tool with a strong and curved base. It is placed between the root and the hole, after which the doctor makes a circular motion with a controlled force. This method, using the principle of the lever, allows you to push the root completely or push it so that you can use the forceps.
Removal of root fragments or highly branched roots
Removal of the tooth root is carried out in the most complex cases. Dentists point on several of them:
structure of the roots does not allow the use of any “manual” tools;
root is fully immersed in the bone tissue of the alveolar process;
root has already been partially removed, but there are fragments and fragments in the gums;
patient is unable to open his mouth wide so that the doctor is guaranteed to be able to remove the roots with forceps or elevator.
In more complex cases, the bone is drilled into the lateral projection of the root so that the hole gives access to it. Then a special Elevator is introduced into this hole and, using the principle of the lever, the doctor pushes the root from the bottom up. Upon completion of all manipulations, suturing of soft tissues is carried out.
If you are still concerned about how effective and painless the root removal procedure is, this information will be helpful:
All manipulations are performed using local anesthesia. The doctor chooses the necessary anesthetic in this case, focusing on the estimated duration of the operation, the degree of its complexity and the overall health of the patient. You will not experience pain during tooth extraction.
Before removal of the apical portion of a tooth root, a mandatory x-ray examination is prescribed, which provides the doctor with a complete and accurate picture of the root’s location, the depth of its occurrence, proximity to the roots of adjacent teeth and other circumstances. This allows you to choose the minimum traumatic method of root removal.
In really difficult cases, when the position of the root does not guarantee its effective removal in a surgical room, you will be sent to the Department of maxillofacial surgery. It can be used for intravenous sedation (mild anesthesia, during which you will sleep), and surgeons at this time will remove the root, regardless of the degree of complexity of the clinical case.
When the root of the tooth is removed it is carried out mandatory instrumental and hardware control. In the first case, the doctor examines the hole with a probe to make sure that no fragment or fragment was left inside. This is necessary if the root was extracted in parts-if it was removed simultaneously, it is enough to make sure its integrity. In addition, it is often necessary to make another radiographic examination to confirm the absence of fragments in case they lie deep in the alveolar process.