What is the prognosis for extrusion of a root canal-treated tooth under 2mm?

Doctor's Answers 1

If you have a root canal-treated tooth that has failed, you can extract it. I mean if it is a hopeless case, there’s no way of saving it, you have to extract it. But the problem with extracting root canal-treated teeth is that they are very weak and brittle. So when the dentist tries to extract the tooth, there’s always a chance that the tooth may shatter and it may break or fracture.

Extracting wisdom teeth could be simple if the dentist is skilled and is able to remove the tooth in one piece but if the tooth breaks or fractures, it becomes a very difficult extraction. It could turn into very difficult surgery, especially if the tooth breaks and the root is left behind. That is the extraction of a root canal-treated tooth that if it is infected and there’s no more hope to save the tooth anymore.

And then there’s another thing called extrusion. But that is a different matter. Extrusion is when you use orthodontics like braces to extrude the tooth. When you extrude the tooth, you are trying to pull the tooth out of the bone socket so that the dentist can actually restore the tooth by having more tooth structure for the crown to grip on.

So the prognosis of that is really a case-by-case basis. However, there are some cases where we use braces to extrude teeth so that we can actually save them.

Similar Questions

What is considered dental trauma?

Dental trauma is a very big topic and it covers quite a lot of things. The trauma that you can sustain to your teeth can be very simple or it can be very complicated. For example, you could have a small chip on your front tooth, that’s considered a traumatic injury to your tooth. It can be just a small little chip and might not even cause pain, but it can still be considered to be trauma. On the other spectrum, you could have trauma to your teeth as a result of a very serious accident, for example, road traffic accident.

Photo of Dr Gerald Tan

Answered By

Dr Gerald Tan

Dentist

Is it possible to have sustained dental trauma without knowing it?

Yes, you could have dental trauma without even knowing it. A very common minor traumatic injury to the tooth that I often see happens when you are eating. For example, if you’re eating and you are biting down on something really hard. For example, using your teeth to bite on chilli crab shells, or if you use your teeth to open beer bottles. People use their teeth to do a lot of silly things. So when you do that, sometimes you injure the tooth by using too much force on it and then you can have a chipped tooth or you can have a small crack on the tooth.

Photo of Dr Gerald Tan

Answered By

Dr Gerald Tan

Dentist

Ask any health question for free

I’m not so sure about a procedure...

Ask Icon Ask a Question

Join Human

Sign up now for a free Human account to get answers from specialists in Singapore.

Sign Up

Get The Pill

Be healthier with our Bite-sized health news straight in your inbox