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BROKEN TOOTH DECAYED TO THE ROOT - SHOULD IT BE EXTRACTED OR PRESEVER?

Does a broken decayed tooth with only the root left always need to be extracted? Join a CarePlus Dentist in this article to understand when a tooth can be preserved and when extraction is necessary—based on expert evaluation—to save costs and maintain long-term oral health.

BROKEN TOOTH DECAYED TO THE ROOT - SHOULD IT BE EXTRACTED OR PRESEVER?

Have you ever had a tooth so badly decayed that most of it broke off, leaving only the root behind? 

Many people assume: “If it’s just the root, it has to be pulled out!” But in reality, the decision to extract or keep the tooth should be based on thorough examination and professional assessment by a dental specialist. 

Let’s hear from Dr. Bui Xuan Dat, Specialist Level I in Odonto-Stomatology at CarePlus International Clinics, as we explore this critical decision together. 

🔍 What is a broken decayed tooth with only the root left? 

This condition results from untreated tooth decay that allows bacteria to invade and destroy the tooth structure. As decay progresses, the crown (visible part) of the tooth may break down almost completely, leaving just the root beneath or near the gum line. 

Risks of not treating a broken decayed tooth with only the root left 

Leaving a broken decayed tooth untreated for too long can lead to: 

  • Bad breath, causing embarrassment in social interactions 
  • Persistent pain, affecting daily activities and eating 
  • Gum inflammation, infection around the root, or dental abscesses 
  • Decay spreading to neighboring teeth 
  • Risk of jawbone infection at the damaged site 

Treatment options: Extract or preserve? 

Modern dentistry prioritizes saving natural teeth whenever possible, as they are still the best option for chewing function, jaw structure preservation, and long-term aesthetics. 

1️⃣ When the tooth can be preserved 

If the root is still strong, without vertical fractures or severe infection, the dentist may recommend root canal therapy followed by tooth reconstruction and dental crown placement. This restores both function and appearance. 

2️⃣ When the tooth needs to be extracted 

If the root is too weak, fractured, severely decayed, or surrounded by significant bone loss or infection, extraction will be necessary. Afterward, the missing tooth can be restored with a dental bridge or implant to regain full function and aesthetics. 

Advice from CarePlus Doctor 

If you're facing a broken decayed tooth with only the root left, don’t rush into extraction. Visit a dentist for a detailed examination and accurate diagnosis so you can choose the most appropriate treatment. Proper care doesn’t just preserve your natural teeth—it also saves you money in the long run and protects your overall oral health. 

✅ The Odonto-Stomatology Department at CarePlus offers a wide range of dental services, from general care (fillings, root canal treatment, etc.) to advanced procedures (ceramic restorations, dental implants, etc.), delivered by a team of internationally trained, experienced, and dedicated specialists. 

📞 Message us or call our free hotline 1800 6116 to book an appointment at CarePlus today! 


CAREPLUS INTERNATIONAL CLINICS  

Associate of Singapore Medical Group 

Hotline: 1800 6116    

Email: info@careplusvn.com    

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