Root Fracture Extraction
Professional Care for Tooth Root Fractures at Newtown Dental

A tooth root fracture occurs when a crack extends into the root of the tooth, which may not be visible to the naked eye. Root fractures can cause a range of symptoms, and it’s important to seek treatment as soon as possible to prevent further complications. Common signs of a root fracture include:

• Pain When Chewing
  You may feel sharp pain or discomfort when biting down or chewing, especially on one side of your mouth.
• Tooth Sensitivity
  Sensitivity to hot or cold foods and drinks is a common symptom of a fractured root, especially if the fracture extends into the deeper layers of the tooth.
• Gum Swelling or Inflammation
  If a root fracture leads to infection, you may notice swelling or tenderness in the gums near the affected tooth.
• Pus or Abscess
  In some cases, a root fracture can result in an abscess (a pocket of pus) forming near the tooth, leading to pain, swelling, and a bad taste in your mouth.

If you suspect a root fracture, it’s crucial to schedule a dental examination to determine the best course of treatment.

When a root fracture is diagnosed, extraction may be the best option to prevent pain, infection, and damage to surrounding teeth. Here’s what you can expect during the extraction process:

1. Consultation and X-Rays
   During your consultation, we’ll conduct a thorough examination of the tooth and take digital X-rays to assess the extent of the fracture. Based on this, we’ll determine whether an extraction is necessary.
2. Local Anesthesia and Sedation Options
   To ensure a pain-free experience, we’ll administer local anesthesia to numb the area around the fractured tooth. For patients who feel anxious or require a more complex extraction, we offer sedation options like IV sedation or nitrous oxide (laughing gas) to keep you relaxed.
3. Tooth Removal
   1. Standard Extraction – If the tooth is fully visible and accessible, a standard extraction will be performed. Your dentist will carefully loosen the tooth and remove it from the socket.
   2. Surgical Extraction – For fractures that extend below the gum line or involve complex root issues, a surgical extraction may be necessary. This involves making a small incision in the gum to access and remove the tooth.
4. Stitches (If Needed)
   After a surgical extraction, the area may be closed with stitches to promote healing.

While some root fractures result from accidents or injuries, there are steps you can take to reduce your risk of developing a fracture:

• Avoid Biting Hard Objects
  Avoid chewing on hard foods (like ice or hard candy) and objects (such as pens or pencils) that can cause cracks in your teeth.
• Use a Mouthguard
  If you play contact sports or grind your teeth at night, wearing a custom mouthguard can protect your teeth from excessive pressure that can lead to fractures.
• Good Oral Hygiene
  Keeping your teeth and gums healthy can reduce the likelihood of root fractures caused by decay or gum disease. Brush and floss regularly, and visit your dentist for routine check-ups.
• Treat Grinding or Clenching
  If you grind or clench your teeth, your dentist can provide you with treatment options to alleviate the pressure and prevent cracks from developing.

Following the extraction of a fractured tooth, it’s important to follow aftercare instructions to promote healing and prevent complications:

• Pain Management
  Over-the-counter pain relievers, such as ibuprofen, can help reduce discomfort following the extraction. Applying an ice pack to the outside of your cheek can help minimise swelling.
• Control Bleeding
  Bite down gently on a piece of gauze to stop any bleeding. Replace the gauze as needed until the bleeding subsides.
• Soft Diet
  Stick to soft foods like yogurt, soup, and mashed potatoes for the first few days to avoid irritating the extraction site.
• Avoid Straws and Smoking
  Refrain from using straws or smoking for the first 48 hours, as these actions can dislodge the blood clot and lead to dry socket.
• Keep the Area Clean
  After 24 hours, gently rinse your mouth with warm salt water to keep the area clean. Avoid brushing directly over the extraction site until it has healed.