Your dentist has told you that you have a fractured root — a crack running down the root of the tooth. This is one of the most difficult dental problems to treat. Here is what it means and what the options are.
A tooth has two main parts: the crown (the bit you see above the gum) and the root (the bit anchored below the gum, into your jawbone). A fracture can occur in either, but a root fracture is particularly problematic because it is hidden from view and directly affects the tooth is structural integrity.
How root fractures happen
Root fractures are usually caused by trauma — a fall, a blow to the face, or an accident. They can also occur from long-term stress on a tooth, especially if you clench or grind heavily. Sometimes a crack develops gradually over years and only becomes apparent when symptoms suddenly worsen.
Your dentist may spot a root fracture on an X-ray, though not always — hairline fractures can be hard to detect. A CT scan may be needed for a definitive diagnosis.
Why root fractures are so difficult to treat
Unlike a cracked tooth crown, which can sometimes be repaired with a crown or bonding, a fractured root affects the tooth is foundation. Once the root is cracked, bacteria can travel along the fracture line into the jawbone, causing infection. The tooth is nerve and blood supply may be compromised.
Because the root anchors the tooth to your jaw, a fracture here often means the tooth cannot hold itself steady. Treatment options are limited, and the long-term prognosis is variable.
Your treatment options
If the fracture is near the tip of the root and the rest of the tooth is healthy, a minor surgical procedure called an apicoectomy can remove the fractured tip and seal the root. This preserves the tooth but requires specialist skill.
In many cases, extraction is the only realistic option. If the tooth is already mobile, infected, or the fracture runs deep, keeping it risks further complications including bone loss and spread of infection. Your dentist will explain whether saving the tooth is genuinely viable before recommending removal.
If extraction is needed, you have replacement options: a dental implant, a bridge, or a partial denture. Your dentist will discuss which suits your situation best.
What to do if you have been told you have a fractured root
Do not delay seeking a second opinion if you are uncertain. Root fractures are complex, and treatment decisions depend heavily on exactly where the fracture is, how deep it runs, and the current condition of the surrounding bone and gum.
Ask your dentist to show you the X-ray and explain clearly why they recommend the treatment they have suggested. You deserve to understand your options fully before making a decision.
The bottom line
A fractured root is serious — but not automatically a death sentence for your tooth. The right treatment depends on the specifics of your case. Get a clear diagnosis, understand your options, and make an informed decision with your dental team.
Call 01323 723757 or book at www.meadsdental.com
Meads Village Dental Practice