Treatment FAQ

what is the best treatment for root reabsorbtion?

by Isom Considine Published 3 years ago Updated 2 years ago
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Sometimes, if you're experiencing root resorption, a root canal is the best treatment. It can be a great alternative to an extraction. If the tooth is already too damaged, however, extraction may be the only option.Aug 10, 2021

What are the treatments for root resorption?

If you’re experiencing a more mild case, your dental professional may recommend treatment like a root canal or tooth extraction. The best way to treat root resorption is to prevent it. Keep your regular dental appointments with your dental professional so they can catch dental problems early.

What is root resorption and how does it work?

Root resorption is a process where the body breaks down tissues surrounding the tooth and absorbs this tissue. Stated more simply, the body starts eating its own tooth.

Can root resorption be repaired or replaced?

Sometimes, it may be possible to repair the damage to the tooth, but in some cases, the only solution is to extract the tooth and provide a replacement prosthetic or implant. For more information on treatment for root resorption or to schedule an appointment with Dr. Tom Shackleton, please contact us at 403-242-9952 today.

What causes internal root resorption in the mouth?

Internal Root Resorption is caused by Pulp Cells Pulp cells are found in the nerve chamber and canals inside the tooth. They start growing outward, turning the dentin into a sponge-like, soft, mushy mess. It’s usually a very slow process, and it’s rarely painful until it has progressed a lot.

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What is the treatment for root resorption?

When extensive inflammatory root resorption is diagnosed, there are generally three choices for treatment: (1) No treatment with eventual extraction when the tooth becomes symptomatic; (2) immediate extraction; (3) access, debridement and restoration of the resorptive lesion.

Can a tooth with root resorption be saved?

The cells in this tissue are the cause of the inflammatory process that has been destroying the tooth from the inside out. Luckily for this individual, the resorption has not completely destroyed the root of the tooth and it has a good chance of being saved with endodontic therapy – a “root canal.”

Can resorption be stopped?

Tooth resorption may only be diagnosed by an x-ray, but the process of resorption is actually pretty rare, and can usually remain asymptomatic for a long period of time. Internal resorption progression can be stopped with early root canal therapy, but a “wait and see” approach may be taken for external resorption.

Can root resorption stop on its own?

Resorption occurs naturally in a primary (“baby”) tooth so it can loosen and give way for an incoming permanent tooth. Â Resorption still occurs in a limited form with young permanent teeth but should eventually stop.

What happens if tooth resorption is left untreated?

Internal inflammatory root resorption (IIRR) is a rare condition of the root canal and if it is left untreated it may lead to destruction of the surrounding dental hard tissues. Odontoclasts are responsible for this situation which can potentially perforate the root.

How fast does root resorption occur?

ERR can advance rapidly, such that an entire root surface may be resorbed within just a few months if left untreated. ERR also affects teeth with chronic apical periodontitis. One of the most common causes for apical RR is overzealous orthodontic tooth movement.

How common is root resorption?

Tooth resorption is present in 5 to 10% of the general population who has never been subjected to orthodontic treatment. It has been considered the major cause of tooth loss; however, considerable confusion remains with regards to diagnosis of the different types of tooth resorption.

Is root resorption and autoimmune disease?

Is tooth resorption an autoimmune disease? Idiopathic root resorption is a type of root resorption that is autoimmune in nature. It commonly occurs in people suffering from scleroderma and is often diagnosed in dental X-ray reports. However, this condition is quite rare.

What causes adult tooth root resorption?

In most cases it is due to a physical injury to the tooth, as from an impact, chemical, or burn. The trauma leads to inflammation that in turn results in resorption. Other causes include pulp necrosis, periodontal treatment, orthodontics, or poorly done, non-professional tooth whitening.

How do you stop tooth resorption?

Dental resorption is best prevented by regular visits to your dentist for cleaning and examinations. They're likely to catch the earliest signs of this condition and can prevent it from worsening with proper treatment.

Can periodontitis cause root resorption?

[7,8] Root resorption in the presence of periodontal diseases is found three times more often than that in uninvolved teeth. Although studies are done to detect the presence of resorption in periodontally affected teeth, only a few studies classified teeth according to the severity of chronic periodontitis.

How do I stop external root resorption?

External resorption is easily treated by repairing affected areas of your teeth to prevent further damage....Dental procedures that are used to address external resorption include:Removing the damaged tooth.Restoring a damaged tooth with a crown.Root canal.Dental implants or veneers‌Gum surgery.

What does resorption mean in dentistry?

The term “resorption” comes from the Latin root resorbere, meaning “to absorb.” In teeth however, it’s not really absorption like a sponge absorbing water. A tooth being resorbed is actually eaten away, either by cells inside the pulp or outside the root. Because the growing cells shouldn’t be, resorption is a little like cancer. Only a little bit though. That’s because root resorption never spreads, not even to the tooth next to it.

Can dentists see a root?

Because it usually happens in tooth roots, it’s often not visible on normal x-rays. That means dentists can’t see it , unless there’s a reason to take an x-ray of the whole tooth, as seen here. This was taken in July 2019, on a new patient in our practice. It became sensitive just recently.

Is root resorption uncommon?

As I mentioned, root resorption is pretty uncommon. In my 20+ years of practicing dentistry, I’ve only come across a few cases. That’s why the patient in the first case above was so unusual. When evaluating the lower front tooth resorption, I noticed a second tooth with resorption, but this time it clearly started outside of the tooth. 2 teeth with resorption on the same patient is odd enough. One tooth with internal resorption and one tooth with external resorption on the same patient??? I’ve never seen, nor even heard of that happening.

Can root resorption happen after tooth movement?

There is one type of root resorption that is unfortunately a bit more uncommon. This kind occurs after aggressive tooth movement, and it seems to have a partially genetic basis. This panoramic x-ray is from a long-time patient in our practice. Her roots have gotten progressively shorter over the years, and now they’re starting to get loose. It’s tragic, but she will probably lose all her teeth within the next couple years. That’s why we’re discussing implant-supported bridges to replace all her teeth soon.

What is the process of removing the outer layer of a tooth?

Inflammatory Process Removes Layers of Your Tooth. This inflammatory process essentially affects your tooth’s structure—it can begin on the inside, but typically this process starts on the outside. Your body begins to absorb the outer layer of your tooth’s root, called cementum.

What causes bruxism in teeth?

Bruxism, better known as teeth grinding, causes damage to your tooth’s ligaments due to excessive pressure. This can cause inflammation and damage to the teeth.  Cavities, genetic factors, or nutritional deficiencies. All of these can be considered risk factors for root resorption.

Is root resorption a problem?

December 16, 2016. Root resorption is a generally uncommon problem where your tooth’s structure is actually eaten away. Although resorption is a natural process that happened to all of us when we were kids (think about shedding your primary teeth and getting permanent teeth), root resorption shouldn’t occur in adult teeth.

Can a dentist save a tooth?

Fortunately, dentists can try to save your tooth should root resorption be a problem. You have several options to correct root resorption and repair the damage. If the destruction is minor, your dentist may be able to remove the affected portion of your tooth and repair the affected area with a filling. If your root resorption is extensive and has ...

Can root resorption be seen on x-rays?

Root resorption is easily seen on an x-ray as a dark spot, but without an x-ray, it can be difficult to identify. There are numerous factors that could increase your risk for root resorption, but it’s important to remember that the risk factors won’t always lead to resorption.

Can a root canal be done to save a tooth?

If your root resorption is extensive and has affected the dentin (inner layer) of your tooth, you may need root canal therapy in order to save your tooth and remove the affected pulp. In some advanced cases, the tooth may not be able to be saved and will require extraction.

A Few Causes of Root Resorption

We don’t always know what causes root resorption in adults. Fortunately, it is a rare condition in adults, though it is healthy and natural in growing children.

Signs and Symptoms of Root Resorption

Root resorption doesn’t always present obvious symptoms, but here are some signs to watch for:

Root Resorption Treatment

Treatment varies depending on the cause and severity of the root resorption you’re experiencing. Your dental team will most likely need to take images like x-rays and conduct a thorough examination. The images will help your dentist see signs of the resorption’s progress, as well as other changes to your oral health.

Seek Professional Dental Care

The earlier you’re able to get understand and diagnosed what is root resorption, the better the outcome will be for your tooth. If you see any of the symptoms we’ve discussed in this blog post, make an appointment with your dentist right away.

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