Roots that extend into the jawbone hold your teeth intact in their specific place. Teeth on the front have only one root whereas the teeth on the back (molar teeth) have three or even more roots. The tip of the root is called as apex; nerves and blood vessels enter the root through the canal and supply blood and essential nutrients to the pulp under the crown of your teeth. While the healthy roots give good support to your teeth, the decayed root pose problems. In this case, your dentist will prefer to remove just the unhealthy root instead of the whole tooth. In some cases, your dentist will also be taking off the part of the crown above the decayed root. This treatment is called root resection
Root resection is not the same as root canal treatment. In a root canal procedure, the blood vessels and the nerves within the infected root are removed and the space is filled with a substance that can be seen on X-ray. In the root resection procedure, the entire root of an infected tooth is removed. To implement this procedure, there is a need to cut directly inside the tooth that contains nerves and blood vessels. Therefore, the infected root needs a root canal procedure before beginning with root resection.
Root resections were a popular choice in the past, but now your dentist has more options than he had in the past. Now a day, the decayed tooth can simply be extracted and replaced by an implant. Root resection surgery can cost you more than a tooth extraction and an implant, as the procedure also involves a root canal. Some patients may even be requiring a synthetic crown (cap) to be placed over the affected tooth. This treatment may not be as long lasting as an implant is. However, root resection is an effective treatment in cases of broken teeth, tooth decay or bone loss and where conventional endodontic procedures are not enough to save the affected tooth. Root resection is done while treating one root of a tooth having multiple roots. A study has revealed that root resection go better with periodontal problems rather than with non-periodontal problems.
Before beginning with root resection, the tooth must first undergo root canal treatment. You will need a local anesthesia to numb the area that is to receive a root resection. In most cases, the dentist will be making cuts in the gum and go through the jawbone to examine the roots. Then he will drill through to remove the decayed and untreatable root. In some cases, the infected part of the crown will also need a cut. The decayed root will be removed along with that part of the infected crown. After this, the area is rinsed with a sterilized saline solution. A bone graft is placed in place of the displaced root; the gum is stitched and closed. A typical temporary filling is done where the crown is removed. The dentist will recommend you to take antibiotics and some pain killers to help you relax. Antimicrobial mouth washes will help you in warding-off any possible infections.
You may experience some discomfort, light bleeding and swelling for a day or two. You will be advised to avoid chewing with the operated tooth until the removal of stitches (7-10 days). Once the stitches are removed, the dentist will examine the site and check if the gums are healing well. After healing, the temporary filling is replaced with a permanent filling and a permanent crown is placed on the tooth.
As with most other types of dental surgeries, there is a small risk of infection after you face a root resection. As root resection involves both the procedures of root canal and tooth extraction, the risks associated with these procedures are also seen in root resection. The risks include:
- An accidental damage such as breaks or cracks to the adjacent teeth
- While treating an upper molar with root resection, there is a possibility of creating a hole in the sinus. This hole is generally healed within a few weeks. If this does not happen, another surgery will have to be done to close the hole.
If you experience severe pain, inflammation or bleeding following a root resection treatment, you will need to contact your dentist soon. If you experience severe sensitivity, a topical fluoride treatment will be helpful and in extreme cases you will need a dental restoration.
German dentists and dental surgeons have always been pioneers in conducting research with clinical trials and creating breakthrough innovations in the field of dentistry. With excellent facilities for dentistry in Germany
, the specialized dental care centers involve high-quality treatment procedures to make sure that you receive prompt and safe remedies for your dental problems. We have gained an enormous experience and expertise in the field of medical assistance services by helping numerous patients who have sought dental treatment in Germany. If you are looking to receive dental treatment in Germany, we can always help you to choose the best available services as per your needs and recommendations.