A Case of Solving Tooth Fracture Caused by Severe Cavities with Sangil-dong Implants

Hello.

I am the director of Seoul Vardi Dental Clinic.

Except in cases caused by trauma,

fractures due to cavities usually progress over a long period of time.

In particular, older adults often have reduced sensation, so even when cavities are deep, there is little pain,

and the condition may progress without them realizing it.

One day, the tooth suddenly breaks, and that is often how it is discovered.

This patient was similar.

Today, through this patient’s case, I will explain step by step

how a tooth breaks due to cavities,

and in what cases it can even lead to implants. ^^

First visit, when they came because a prosthesis had fallen off A Case of Solving Tooth Fracture Caused by Severe Cavities with Sangil-dong Implants

"The implant prosthesis on my upper left molar fell off."

That was the reason this patient first came to our clinic.

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First, we checked the condition of the detached implant prosthesis and reattached it properly,

but the problem was that there were cavities in multiple areas.

After examining the mouth, there was decay progressing between the teeth in the #12 area (right front tooth).

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The gums around the upper front teeth (#11~22) and bridge had quite severe inflammation,

and it was accompanied by pus drainage.

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At this point, it seemed unlikely that the teeth would last for long.

The patient said, "Today I only want to fix the detached implant,"

but

in cases like this, even if we do not begin treatment right away, I make it a point to tell patients about the problem areas.

Because passing by without knowing and knowing in advance and setting a management plan are very different.

At the very least, if they remember, "Ah, they said this area was not good,"

then they become a little more careful with brushing and maintenance,

and that small difference can ultimately help extend the life of the teeth.

One year later, the patient returned because the front teeth and bridge had broken A Case of Solving Tooth Fracture Caused by Severe Cavities with Sangil-dong Implants

About a year later, the patient came back,

this time saying the front teeth had broken.

After checking, it was the front tooth area I had mentioned before.

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The condition had progressed even more than it had a year earlier.

As cavities accumulated over a long period, the tooth had effectively been reduced to only the root,

and the root had also undergone resorption, becoming shorter.

In such cases, even if a post is placed and a new prosthesis is made, there is a high chance it will not last long.

So we decided to extract the three front teeth and restore them with implants.

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Fortunately, when we checked the CT, the height and thickness of the bone were relatively good,

so we were able to place the implants without bone grafting.

After the healing period, we completed the final prosthesis about three months later.

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And then a year later... A Case of Solving Tooth Fracture Caused by Severe Cavities with Sangil-dong Implants

The implants we had placed were being used well,

but this time the upper right teeth next to the implants, (#13, #14), had broken, so the patient came in.

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After checking, we found again that the extent of decay was wide

and the roots had shortened, so we judged that it would be difficult to save them conservatively.

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So we proceeded in the same way: extraction followed by implants,

and this also was completed with prosthetics about three months later.

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"Why do teeth keep breaking here and there?" A Case of Solving Tooth Fracture Caused by Severe Cavities with Sangil-dong Implants

In this patient’s case, multiple cavities were already in progress,

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and inflammation around the bridge gums was also present,

so over time, the weaker areas started to show problems one by one.

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Given the patient’s age,

the nerves in the teeth had become thinner,

so even if cavities progressed deeply, it was difficult to feel pain.

In particular, between teeth or inside prostheses, problems are even more likely to be discovered late.

So it may look like the tooth suddenly broke,

but in reality, it is often the result of long-term accumulation.

Three key points to highlight in this case A Case of Solving Tooth Fracture Caused by Severe Cavities with Sangil-dong Implants

1. No pain does not mean it is safe

Especially for older adults, sensation can be reduced, so even if cavities are deep, there may be little pain.

2. Teeth with prosthetics require extra caution for "hidden cavities"

Around bridges and crowns, even if they look fine on the outside, they often progress from the inside.

3. Detecting the problem before the tooth breaks is much better than treating it after it breaks

Once a tooth has broken, the options become limited, and there is a high possibility it will lead to extraction and implants,

so getting regular checkups in advance and preventing problems is the only way to avoid a bigger issue.

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Treatment is important, but

sometimes what matters even more is setting the direction for aftercare.

In particular, cavities between teeth may not be visible from the outside, so discovery can be delayed.

That is why it helps to check in advance through a screening whether there is any problem.

As the year-end approaches, while wrapping up the year,

please make sure to check whether your teeth are okay as well. ^^

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A Case of Solving Tooth Fracture Caused by Severe Cavities with Sangil-dong Implants

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02-481-4278

| This post was written directly by Seoul Vardi Dental Clinic for the purpose of providing medical information in compliance with Article 56, Paragraph 1 of the Medical Service Act advertising regulations. The provided information is recommended for reference only, and for symptom assessment and exact management methods, please visit a medical institution and receive guidance from a medical professional. All procedures/surgeries performed at the dental clinic may involve individual risks (such as inflammation, bleeding, swelling, etc.). Please make decisions after sufficient consultation with the medical staff 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 the same conditions. |