A Tooth Said to Need Root-Inflammation Removal: This Is How We Saved It. Treatment Method

Hello.

I am the director of Seoul Bardi Dental Clinic.

"Doctor, is there really no way to avoid pulling the tooth?

Isn't there any way to save it?"

This was the first question from a patient who recently visited our clinic.

They said they had been told at another dental clinic that the root inflammation was so severe that the tooth had to be extracted.

But after not giving up and trying treatment,

they are now using it healthily.

Today, I’ll share the treatment process that allowed us to save a tooth with root inflammation without extracting it.

<Table of Contents>

What happens if root inflammation in a tooth is left untreated?
Treatment process that saved a loose tooth caused by root inflammation

What happens if root inflammation in a tooth is left untreated?

Root inflammation can be compared to a tree root slowly rotting away.

Even if it looks fine on the outside,

just as a tree begins to wobble when the roots underground become diseased,

a tooth gradually becomes unstable when inflammation develops in the root.

This patient

said that the two upper right molars were becoming looser over time.

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After taking a more detailed scan (CT), the situation was

more serious than expected.

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The inflammation had spread deeply between the roots,

and the surrounding bone supporting the tooth had already been significantly lost.

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In addition, more than half of the palate was severely swollen,

and pus was coming out of the gums.

250121 A tooth said to need root-inflammation removal: This is how we saved it. Treatment method

In this condition, the looseness is very severe,

so most dental clinics would recommend extraction.

Treatment process that saved a loose tooth caused by root inflammation

Honestly, when I first saw the patient,

the treatment seemed very difficult.

The looseness was severe, and the root inflammation had spread widely.

However, I judged that it would not be right to simply say, "We can save it."

I explained the exact situation to the patient as it was.

"The chance of saving it is about 20%."

I also explained thoroughly that if treatment failed, other treatment options such as extraction followed by an implant would ultimately need to be considered.

Even so, the patient said they wanted to try treatment until the very end.

They were so determined that they said they felt as if they were grabbing at even a single straw.

Their sincerity was felt by us as well,

so we decided to do our best if there was even a 20% chance.

The treatment process was carried out as follows.

First, we began by removing the inflammation at the root tip through root canal treatment.

Even when root canal treatment is done very carefully on a tooth with root inflammation,

it is very difficult to remove the inflammation completely.

In particular, inflammation in the area between the roots (the furcation area)

is difficult to access and very hard to remove.

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But we did not give up and repeatedly performed the process of carefully removing and disinfecting the complex root canals.

After the inflammation had subsided to some extent,

we used a material called MTA to firmly seal the root tip.

What is MTA? It is a material with high biocompatibility,

and it is very effective in promoting healing of root-tip inflammation

and helping damaged roots recover.

*MTA application case

I will show you an example using photos from another patient where the images came out more clearly.

Inflammation at the root tip (before)

A tooth said to need root-inflammation removal: This is how we saved it. Treatment method

Unfortunately, MTA treatment is not covered by national health insurance.

However, in actual cases of application,

it helps with healing root-tip inflammation,

and when used appropriately if necessary, it can improve treatment outcomes.

One-month follow-up

Was it thanks to the patient’s strong determination and my efforts?

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As the inflammation gradually subsided, the tooth began to stabilize.

The looseness also decreased noticeably.

In the end, we placed a prosthetic restoration (crown), and the patient is now using it healthily.

250220 A tooth said to need root-inflammation removal: This is how we saved it. Treatment method

Many people feel despair when they are told that a tooth must be extracted.

But before giving up, I recommend checking once more.

To be honest,

we also cannot save every case.

But if there is even a small chance of saving it,

we simply try once more for that possibility.

However, for treatment to succeed,

the patient’s willingness is also very important.

No matter how much I want to save a tooth,

if the patient says, "Please pull it quickly and place an implant,"

there is nothing I can do.

Conversely, if the patient has a strong will to continue treatment until the end,

as in this case, then even with low odds, we can do our best

and challenge it together.

At Seoul Bardi Dental Clinic,

rather than simply concluding, "Extraction is necessary..,"

we first think about "How can we save the tooth?"

We will help you find a way to protect your precious teeth.

▼Check the clinic location▼

A tooth said to need root-inflammation removal: This is how we saved it. Treatment method

Go to make a reservation by phone
02-481-4278

| This post was written directly by Seoul Bardi Dental Clinic for the purpose of providing medical information in compliance with Article 56, Paragraph 1 of the Medical Advertising Act. The information provided is for reference only, and we recommend that you visit a medical institution and receive guidance from medical professionals for symptom assessment and accurate management methods. All procedures/surgeries performed at the dental clinic may carry risks depending on the individual (inflammation, bleeding, swelling, etc.). Please make your decision after sufficient consultation with medical professionals in advance. The treatment cases in this post were photographed with the consent of patients who completed treatment at our clinic, and the before-and-after photos were taken under identical conditions. |