If there is a problem with a tooth, but the root is still there, it can actually be preserved. Even if it is a residual tooth root, it can be put to use, for example, it can be used as an auxiliary denture, which can have good chewing and biting ability, which is much better than pulling out the tooth root and then implanting the denture; in addition, the inflamed tooth root must be extracted and cannot be retained. Retaining it will cause gum pain and infect other tooth roots. If the residual tooth root is not extracted, it can be retained; if the residual tooth root is not extracted, it cannot be treated; if the residual tooth root is not extracted, it can be retained. If the tooth root is relatively complete and long enough, the residual root can be used for post and crown restoration, which can also perform normal functions. For the front teeth, porcelain crowns can be made to improve the aesthetics. For cases where multiple teeth are missing and need fixed restoration, the residual roots can be used as abutments for fixed bridges. If the roots are too short, removable dentures can be used to cover the mucosa and residual roots. This is a non-hook denture, also called an attachment. Among them, magnetic attachments can be used to directly place dentures on tooth roots that meet the retention conditions. This approach not only better transmits bite force and prevents removable dentures from sinking, but also effectively slows down the absorption of alveolar bone through receptors around the tooth roots. Of course, the residual roots in the above situations must undergo complete root canal treatment to ensure the safe and reliable use of the tooth roots and the long-lasting and stable restoration effect. The remaining tooth roots cannot be removed or treated. Some residual roots that are too short, have fractured roots, or have no alveolar bone support should usually not be retained and extraction is recommended. Many middle-aged and elderly people do not want to have their remaining tooth roots removed, but they do not seek treatment. If they delay, they will only turn a small problem into a big trouble, which is not worth the effort. Those residual roots that are excessively decayed, painful, and inflamed at the apex must be further treated, and only after the effectiveness of the treatment is determined can they be considered for restoration. For those residual roots that have no symptoms temporarily but cannot be completely treated, they can be observed first, or simply repaired. Once problems occur, they should be removed immediately to prevent the spread of inflammation and affect the safety of adjacent teeth and alveolar bones. In short, whether the residual tooth root should be retained cannot be generalized. It needs to be determined in combination with clinical practice and the patient's own situation. As long as it is treated promptly and properly and fully utilized, the small residual tooth root will also play a "residual heat". To sum it up in one sentence, the remaining tooth roots do not need to be removed, but they must be treated! |
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