If a tooth breaks and part of the root remains below the gumline, it can be concerning. A retained tooth root may occur due to tooth decay, trauma, or fractures and can sometimes lead to discomfort, swelling, infection, or other dental complications.
The most appropriate treatment depends on the condition of the remaining root, surrounding gum tissue, and your overall oral health. In some situations, a retained root may be considered for removal, while in others, your dentist may recommend a different management approach based on a clinical assessment.
This article explains the possible causes of a broken tooth root left in the gums, possible complications, and the treatment options that may be considered.
What Are the Causes of a Broken Tooth Root Left in the Gums?
- Age: As teeth age, they may become more prone to cracks and fractures. Individuals over 50 may have an increased risk of experiencing tooth fractures due to natural wear and tear.
- Biting Hard Foods: Consuming hard foods such as ice, candy, or popcorn kernels may potentially contribute to tooth cracks in some cases.
- Teeth Grinding (Bruxism): Grinding or clenching teeth, often due to stress, may lead to gradual wear and possible cracking over time.
- Dental Trauma: Injuries from falls, sports, or accidents may result in cracked teeth.
- Previous Dental Procedures: Large fillings or root canal treatment without subsequent crown placement may weaken teeth, potentially making them more susceptible to fractures.
- Excessive Pressure or Hard Trauma: Heavy impacts or pressure on teeth, especially where teeth are already weakened, may contribute to root fractures.
What Happens If a Tooth Root Remains in the Gums?
When part of a tooth root remains beneath the gumline, it may potentially increase the risk of dental complications if left untreated. The remaining root can create an environment where bacteria may accumulate, which could contribute to inflammation or infection of the surrounding tissues.
Some people may experience symptoms such as pain, swelling, tenderness, bad taste, or difficulty chewing. In other cases, there may be no immediate symptoms, even though an underlying issue may still be present.
A retained tooth root may also affect neighbouring teeth, gum health, and the supporting bone around the affected area. For this reason, it is generally advisable to consider arranging a dental assessment if you suspect part of a tooth root remains in the gums.
What Should You Do If a Tooth Root Remains in the Gum?
If you believe a tooth has broken and part of the root remains beneath the gumline, you may wish to consider the following steps:
- Avoid Attempting Removal at Home: Attempting to remove a retained tooth root yourself may potentially lead to injury, infection, or further damage to the surrounding tissues.
- Rinse With Warm Salt Water: A gentle warm saltwater rinse may help keep the area clean and may support comfort while you arrange a dental appointment.
- Avoid Chewing on the Affected Side: Reducing pressure on the area may help minimise discomfort and may reduce the likelihood of further irritation.
- Arrange a Dental Appointment: A dentist can assess the affected area and discuss possible management options based on your individual circumstances.
Treatment Options for a Broken Tooth Root in the Gums
- Root Canal Therapy: If the tooth can be preserved, root canal treatment may be considered to help remove damaged or infected pulp before sealing and restoring the tooth with a crown.
- Extraction: If the tooth is significantly damaged, extraction may be considered to remove the tooth and any remaining root, which may help reduce the risk of infection or further concerns.
- Dental Implants or Bridges: Following extraction, replacement options such as dental implants or bridges may be considered to help restore function and appearance.
- Periodontal Care: In some cases, a retained root may be associated with periodontal concerns. Management may include deep cleaning (scaling and root planing), and in more advanced situations, procedures such as flap surgery, bone grafting, gum grafting, or guided tissue regeneration may be considered depending on individual needs. These procedures may be performed by a periodontist when appropriate.
Signs You Should Seek Prompt Dental Care
- Persistent tooth pain
- Swelling of the gums, face, or jaw
- Bleeding around the affected area
- Pus or discharge
- Difficulty chewing
- A bad taste in the mouth
- Increasing discomfort over time
Final Thoughts
A tooth that has broken with the root remaining in the gums may benefit from being assessed rather than ignored. While some retained roots may not cause immediate symptoms, they can sometimes be associated with infection, discomfort, or other possible oral health concerns.
Because every situation is different, a dental assessment may help in understanding the condition of the remaining root and discussing possible management options.
If you are concerned about a broken tooth root or are experiencing discomfort, the team at Aspendale Gardens Dental Care can assess your situation and discuss potential management options based on your individual circumstances.
