Contrary to what some people may assume, there are multiple types of fractures for the roots of teeth. The part of the teeth that people brush and use to chew food or speak is known as the crown. The crown consists of the outer shell known as the enamel and is what most people refer to when they mention anything about the teeth. However, the teeth have roots that actually go deeper into the gums and jawbone.
Within the tooth, there are layers that people may not be aware of. Underneath the enamel is the dentin. The dentin is the second layer of the tooth and contains the dental pulp. The dental pulp is the center of a tooth and contains the nerves and blood vessels. Any damage to the tooth that effects the position of these layers or reaches the dental pulp will cause the patient serious pain.
Even a minor crack that one decides to leave untreated can lead to catastrophic results the longer the patient waits to seek professional treatment. While a general dentist is certainly effective in preventing infection and keeping teeth healthy, there are issues that only a specialist will be able to treat. An endodontist can provide the necessary treatment for a variety of infections, cracks, chips or breaks in the teeth.
When a tooth fracture goes deep enough, it can jeopardize the entire tooth and the health of the surrounding teeth. The fracture can also allow plaque to breach the layers of the tooth and cause an infection. While the enamel is a shield that protects teeth against infection, a fracture can cause enough damage for the infection to break through.
There are several different types of fractures that an endodontist will treat:
An oblique supragingival fracture consists of a crack in the upper portion of the tooth that is above the gum line. This type of fracture may not cause immediate pain, but can lead to infection or pain in the future without treatment. While this type of fracture can be fairly small, it usually affects the surface of the tooth.
The surface of the tooth is the most-used section for chewing food. Using a tooth with this type of fracture will only cause more issues. With various forms of treatment available, an endodontist will need to examine the fracture in order to determine the most effective form of treatment.
An oblique subgingival fracture consists of a fracture that covers more of the tooth and can even reach down the root to the jawbone below the gum line. This type of fracture can cause intense pain and make simple tasks such as chewing, speaking, or even just sitting still, difficult. This type of fracture can also affect the nerves within the tooth.
While having a similar title to the other fractures listed above, an oblique root fracture takes place below the gum line and can extend all the way into the jaw. Unlike more minor fractures, this fracture will be extremely painful and will require professional endodontic treatment.
A vertical furcation fracture involves the tooth splitting and becoming two or more roots. This fracture will cause the patient pain and make it impossible to effectively use the tooth for basic functions.
A vertical apical root fracture is a fracture directly down the middle of the tooth and root. This type of fracture can be painful and will require professional treatment. In some cases, the treatment may involve a root canal therapy to help the patient heal.
If part of the tooth root breaks off, it is known as a vertical root fracture. The cause will often involve brittle roots due to nerve death in the tooth. In other cases, a previous root canal procedure that went wrong can also cause this type of fracture.
If you are struggling with any of these issues or pain in your mouth for no known reason, then seek professional care as soon as possible. The longer you wait, the worse the condition will get. If you are unsure about how to find an endodontist in your area, visit a general dentist and ask for advice or recommendations.
Discover the passion and commitment that drives our dental team
Dr. Adam Kwiatkowski is a highly skilled cosmetic and implant dentist, driven by a passion for excellence. He began his journey at the University of Illinois at Chicago College of Dentistry, where he earned several accolades, including the International Congress of Oral Implantologists’ Pre-doctoral Student Achievement Award. His education continued with UIC’s Advanced Predoctoral Implant Program, and he was inducted into the prestigious Omicron Kappa Upsilon National Dental Honor Society.
Dr. Song enjoys all aspects of general dentistry, with a special focus on preventive care and patient education. He believes that helping patients understand their oral health is one of the most important parts of building long-term trust and confidence. Before joining the Peakview Dentistry team, Dr. Song served as a Managing Clinical Director at Aspen Dental in Maine. He gained valuable experience in both patient care and clinical leadership.
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