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Medical Forum / General / Dentistry / October 2006

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Part root not extracted

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godfrey.sally@googlemail.com - 16 Oct 2006 13:39 GMT
My daughter has had a bottom back tooth removed , but was told because
the roots were splayed so much, it was a difficult extraction and part
of the root has been left. Apparently she was told she can leave it and
it should be fine. I am worried about a part of a root just left in the
gum could someone tell me if this is true and what happens if it is not.
Steven Bornfeld - 16 Oct 2006 14:02 GMT
> My daughter has had a bottom back tooth removed , but was told because
> the roots were splayed so much, it was a difficult extraction and part
> of the root has been left. Apparently she was told she can leave it and
> it should be fine. I am worried about a part of a root just left in the
> gum could someone tell me if this is true and what happens if it is not.

    Leaving a root tip (as in doing the extraction at all) is a surgical
judgement.  I'm assuming this was a permanent and not a primary tooth.
It is of course preferable to get the entire root out.  But sometimes
the root is near a structure (say, the inferior alveolar nerve or
perhaps the floor of the sinus) and the surgeon judges that getting it
out poses a risk of bigger problems.  Sometimes these root tips are left
in (I've seen it many times) and they seldom cause any problems, esp. if
they are deep in the bone.  If the root is right below the gum however
it should be removed.

Steve
godfrey.sally@googlemail.com - 16 Oct 2006 14:19 GMT
Dear Steve

Thanks for you reply - it is a permanent tooth, she's in her 20s. The
dentist took the tooth out as the filling over it had given her great
pain. She was told it might help her wisdom tooth to come through now
easier as well. I was just worried that having a bit of root left there
might be a problem in time to come even though she was told that it
should just cover over and not be a problem.

> > My daughter has had a bottom back tooth removed , but was told because
> > the roots were splayed so much, it was a difficult extraction and part
[quoted text clipped - 13 lines]
>
> Steve
Mark & Steven Bornfeld - 16 Oct 2006 15:11 GMT
> Dear Steve
>
[quoted text clipped - 4 lines]
> might be a problem in time to come even though she was told that it
> should just cover over and not be a problem.

    Her dentist is almost certainly right.  Occasionally a retained root
will work its way to the surface (sometimes years later) and if this
happens it's usually an easy thing to remove at that point.

Steve

>>>My daughter has had a bottom back tooth removed , but was told because
>>>the roots were splayed so much, it was a difficult extraction and part
[quoted text clipped - 13 lines]
>>
>>Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

 
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