Tooth decay on the root surface of teeth may also be called root cavities, root decay, or root caries. It is a potentially detrimental oral health problem that needs immediate treatment to prevent severe dental damage. In this blog, you can learn more about what root decay is, why it happens, how it’s connected to gum disease and soft tissue recession, and what treatments are available to repair your teeth and soft tissue. If you’re concerned you have decay on your tooth’s root surface, contact your dentist in Greenbelt, MD as soon as possible to begin repairs.
Root caries on lateral incisor, canine and first bicuspid
While many people are fortunate enough to have tough tooth enamel that is seemingly cavity resistant, few people have cavity resistant root surfaces. The root surface does not have a hard, protective enamel covering that is as thick and durable as the crown of the tooth. When gums recede below the enamel line or pull away from the tooth, the root surface is exposed. This unprotected tooth structure is much thinner and more vulnerable to tooth decay. Root caries can only occur if the root of the tooth is exposed through gum tissue recession or loss of attachment between the gum tissue and the tooth roots. The spaces between teeth and gum tissue are called the periodontal pockets, and healthy pockets are shallow and sit close to the tooth. When the periodontal pocket depths increase, it allows teeth to shift and bacteria and plaque to accumulate between the teeth and gums. This can lead to gum disease, root caries, tooth abscess, and a number of other oral health concerns. Gum tissue recession and increased periodontal pocket depth typical occur due to untreated gum disease.
There are many reasons you may experience root caries or gum tissue recession. Some of the most common include:
In some cases, patients don’t have symptoms at all related to root decay. In other cases, patients may experience a range of symptoms, including:
The appropriate treatment of receding gums and root caries depends on the reason for soft tissue recession and the extent and severity of the tooth decay. Some of the most common treatments recommended for decay in tooth roots and gum recession include:
Below, we’ve included the answers to some of the questions we hear from patients most often after they find out they have a root cavity that needs to be treated. If you don’t see the answer to your question here, we’re happy to talk about it in the office during a consultation or if you give our dental team a call, so don’t hesitate to reach out.
Oral health concerns are insidious, which means that, without appropriate treatment, they are likely to become more serious over time. Many people think that, if they wait, oral health issues will clear up on their own. This is simply not the case. Instead of clearing up, a cavity on your tooth root will get larger, spread deeper into the tooth, start impacting surrounding teeth, and it can even lead to whole body health issues stemming from the untreated infection. It’s essential to treat cavities and gum disease in early stages to avoid unnecessary oral health issues.
These are actually two different oral health concerns, but the two may be related. Decay on the tooth roots may lead to infection in the surrounding tissue called an abscess. Tooth abscesses can also occur due to untreated gum disease, tooth damage, or a weakened dental restoration that allows plaque and bacteria to accumulate. Tooth abscesses are very painful, and they can cause a number of oral and overall health concerns without treatment.
If your tooth root decay happened due to soft tissue recession as a result of untreated gum disease, it’s essential to treat both the cavity and the periodontal disease to ensure your oral health is fully restored. Without treatment for both, you are still at risk for developing root caries in the future.
Root canal therapy is necessary only if the tooth decay reaches the innermost layer of the tooth called the pulp where the tooth’s nerve is housed. When this happens, we can perform a root canal to remove the damaged pulp tissue and refill the tooth with a biocompatible substance. This procedure has a bad reputation, but in many cases, it’s the only way to save a severely damaged or decayed tooth from extraction.
In some cases, tooth extraction is necessary. However, we will do our utmost to retain your natural teeth, including removing decay, performing root canal therapy, treating gum disease, and even placing soft tissue grafts when necessary. If we do need to extract your tooth, despite our best efforts, we will partner with you to plan for tooth replacement as part of your treatment process, so you’ll have a full, healthy smile again as soon as possible.
Do you still have some questions about tooth root decay or gum tissue recession that weren’t answered here? The McCarl Dental Group team would be happy to help you. With more than nine decades offering dentistry services for Greenbelt, MD dental patients, our dentists and dental team have treated generations of family in our community. Their knowledge, expertise, and genuine determination to help Greenbelt families smile make McCarl Dental Group the go-to dental office for all of your dentistry needs in one convenient location.