If the gums keep swelling and pus keeps coming out after impacted wisdom tooth extraction, how to find tooth root fragments remaining in the jawbone at a dental clinic in Songpa District

Hello.

This is Yonsei Dagam Dental Clinic in Songpa District.

If the area where your wisdom tooth was removed still feels uncomfortable,

we recommend taking a CT scan to check again in detail.

This is because there may be a remaining

tooth root fragment (root rest).

It is similar to having a thorn

stuck in your skin,

and if it is not completely removed,

persistent discomfort and inflammation

can occur.

After a normal extraction,

pain gradually decreases and

the gums usually recover,

but as mentioned by the dental clinic in Songpa District, if a root fragment remains,

this natural healing process

will be disrupted.

If the area where the wisdom tooth was removed

keeps swelling and shows signs of inflammation,

it should be suspected.

Even though a natural inflammatory response

may appear for 2 to 3 days after extraction,

if it lasts for more than a week

or seems to worsen,

there is a high possibility of another problem.

These symptoms are similar to the reaction

that occurs when a foreign object

gets into a wound,

and they act as a factor

that interferes with natural healing.

When similar symptoms persisted after extraction at another place,

and an X-ray was taken,

findings often appeared that were

suspected to be a remaining root fragment.

On a 2D X-ray,

a root fragment often appears faintly

or overlaps with surrounding tissues,

so it may not be clear.

To put it in a comparison used by the dental clinic in Songpa District,

it is like trying to see

a thin sheet of paper stuck

between thick books from the outside,

so an accurate diagnosis can be difficult.

When it is difficult to judge from

a 2D cross-section,

it is necessary to take a CT scan

and examine it three-dimensionally.

Then, as shown by the dental clinic in Songpa District,

it becomes clear that a tooth root fragment

is still remaining.

A 3D CT is like viewing an object

from several angles at once,

allowing even hidden parts

to be identified accurately.

In particular, it allows precise measurement

of the size and position of the root fragment,

as well as its distance from nearby nerves,

which helps establish a method to remove

the root fragment without unnecessary tissue damage.

There are cases where the root area is intentionally left behind during wisdom tooth extraction,

but unless there is a special reason,

it is correct to remove everything.

The main reason for intentionally leaving a root behind is when the root overlaps with the inferior alveolar nerve canal,

and the risk of nerve damage is high if removal is forced.

Therefore, in some cases,

leaving part of it behind may be the safer choice.

If that is not the reason,

why was a tooth fragment left behind?

Let’s look at the reason

at the dental clinic in Songpa District.

Why does a root fragment end up being left behind?

Wisdom teeth have more complex root shapes

than other teeth,

and their impaction positions vary widely,

so unexpected situations can occur

during extraction.

In particular, when the roots are curved like hooks

or divided into several parts,

or when the roots are intertwined with each other,

clean removal may be difficult.

Also, when bone density is high

or the roots are firmly fused to the bone,

or when the tooth is in a location

where visibility is poor,

a root fragment may remain.

Even when visibility is limited due to bleeding

or swelling during the procedure,

there is a possibility of missing the root rest.

Even after bleeding has stopped, of course,

the fragment should be removed.

A root fragment acts as a foreign body,

causing persistent inflammation

and may become a source of infection.

It can also interfere with the normal regeneration

of the surrounding bone tissue,

delay healing of the extraction socket,

and cause chronic pain and discomfort.

By analyzing the exact location,

we remove the root rest

and carefully check through CT

whether the root came out properly.

A hemostatic agent was placed in the extraction socket,

which is the place where the tooth came out,

to promote faster healing and bleeding control.

A hemostatic agent stops bleeding

and helps form a blood clot.

It also protects the extraction socket,

preventing food debris and bacteria from entering,

and plays a role in creating

a natural healing environment.

Hemostatic agents are made from materials

that are absorbed by the body,

so over time they break down naturally

and help new tissue form. Afterward, the symptoms were continuously monitored,

the healing process was observed,

and after confirming that the problem had disappeared,

the treatment was concluded.

If, as shown by the dental clinic in Songpa District,

the area does not heal after tooth extraction

and problems keep occurring,

please get an accurate examination again.

We hope that early detection and proper treatment

can prevent it from developing

into a bigger problem.

This was the dental clinic in Songpa District.

Thank you.

25.07.17~25.07.25