Boramae Dental Clinic Root Canal-Treated Tooth Broken, Same-Day Extraction and Immediate Implant Placement (Simple Case)

Hello,

I’m Director Park Jeong-gi of Seoul Remember at Boramae Dental Clinic.

A tooth that has undergone root canal treatment

has its pulp, which supplies blood and nutrients, removed,

so over time the tooth becomes weaker

and more brittle.

That is why it needs to be protected

by covering it with a strong restoration called a crown,

but even this can develop problems over time

if oral hygiene is not well maintained

or a long time has passed since treatment.

What kind of problems can occur? At Boramae Dental Clinic, I will explain the limitations that can appear

even after a crown has been placed following root canal treatment.

Since the tooth has already lost its vitality,

it can break under strong external force

or repeated chewing pressure.

In addition, as secondary decay progresses

between the crown and the natural tooth serving as the abutment,

the likelihood of fracture may have increased.

The case we are showing today at Boramae Dental Clinic

can be seen on the panoramic X-ray,

where white material is filled inside,

indicating that the lower left first premolar,

which had previously undergone root canal treatment,

has developed a problem,

and upon closer inspection, the crown,

the visible part of the tooth,

has fractured.

Looking inside the mouth,

the crown has broken off completely,

so unfortunately there is no longer a way to save and use it. Can it be extracted and replaced with an implant? Yes, it can.

In such cases, Boramae Dental Clinic

recommends immediate implant placement after extraction.

Since the problematic tooth is only number 34,

there is no need to interfere with the surrounding area,

and the issue can be resolved with a single implant.

However, in this case, from the patient’s initial panoramic image,

the area around the broken tooth root looked very good

and there was no inflammation,

so immediate placement seemed possible. What is immediate implant placement? As the name suggests, it means placing the implant

on the very same day the tooth is extracted.

Because it can be performed relatively simply and safely

without additional procedures such as bone grafting,

it is also classified as a simple case.

When the bone quality is good

and the area is healthy,

the tooth can be removed and a fixture placed immediately,

which shortens the treatment period.

Also, since the patient would need to receive an anesthetic injection anyway

for the extraction,

if the implant is placed while the area is still anesthetized,

the number of injections can be reduced

and the number of visits can also be lowered,

so there are many advantages.

That is why, at Boramae Dental Clinic,

we actively perform this procedure in cases where

immediate implant placement is possible. What was the result?!

Looking at the condition after all treatment was completed,

unlike the broken tooth at the beginning,

the crown has been restored,

and the tooth structure has been recovered,

while the broken root was extracted

and an implant was placed

so that it could serve as an artificial root.

Since it was placed on the same day the tooth was extracted,

the total treatment period was only about three months,

so the patient would likely have been very satisfied.

Today at Boramae Dental Clinic,

I wanted to say that when a tooth breaks,

if you do not leave it untreated and come in quickly,

you will have more options for how to address it,

and that means a higher chance of success

and many other additional benefits.

If this patient had delayed treatment

and come much later,

it might not have been treated this well.

So the most important thing is to visit quickly when a problem occurs,

and Boramae Dental Clinic promises honest treatment

that repays your valuable visit.

I hope today’s explanation was helpful

as you choose the hospital that will be your regular clinic going forward,

and I’ll end the post here.

Thank you for reading.

This was Director Park Jeong-gi of Seoul Remember.

Treatment period: 2025.01.31 ~ 2025.04.15