What You Need to Know About Root Fracture
A root fracture is one of the more frustrating dental issues because it can develop without obvious symptoms and is often discovered during treatment. If you’ve been told you have a root fracture, you may wonder what it means for your tooth and your options. Here’s what you need to know.
What Is a Root Fracture?
A root fracture is a crack in the root of a tooth. These fractures can result from injury, excessive grinding or clenching, or dental treatment. Some, like horizontal root fractures, may be visible on X-rays. Unfortunately, vertical root fractures are more common and more challenging to detect. These cracks extend from the chewing surface to the root, creating a pathway for bacteria to enter.
Symptoms of a Root Fracture
Root fractures don’t always cause immediate pain, making them difficult to diagnose. When symptoms do occur, they may include:
- Occasional discomfort or a dull ache
- Sensitivity to temperature changes
- Pain when biting or chewing, which may come and go
- Swelling or tenderness in the gums near the affected tooth
Since these symptoms can mimic other dental issues, the best way to determine the cause is to have an endodontist evaluate the patient.
Why Is a Root Fracture a Problem?
Root canal treatment aims to remove damaged tissue and seal the space to prevent bacterial contamination. A root fracture compromises that seal, allowing bacteria to infiltrate the tooth.
Because of this, root fractures are a leading cause of root canal failure. Even a well-done procedure cannot fully protect a fractured tooth from reinfection, which can lead to persistent discomfort and the need for additional treatment.
How Is a Root Fracture Diagnosed?
Endodontists have several advanced tools to help diagnose root fractures. One is digital X-rays, specifically cone beam CT (CBCT), which produces better details on the image.
Another device they can use is a high-powered root canal microscope. They use it to examine the inner structure of a tooth. This technology allows them to detect fractures that may not appear on X-rays.
Root Fracture Treatment Options
Your endodontist will discuss whether the tooth can be preserved or if extraction is better. While some patients choose treatment to keep the tooth as long as possible, extraction is often the more predictable solution.
Reliable Treatment for Tooth Root-related Issues
Schedule a consultation with one of our board-certified endodontists at Empire Dental Specialty Group. We’re here to help at our Beavercreek and West Chester offices.
